Could I Be Experiencing Lifelong Trigeminal Neuralgia?
Hello, I suffer from severe hay fever usually from May through September. Living on a dairy farm exacerbates the situation, causing hives during the hotter months. Last year, I neglected to manage my hay fever regularly and developed some troubling symptoms. I experienced brief but intense sensations resembling shocks on the left side of my face, close to my ear, which would occur randomly on different days. Throughout that period, I also dealt with a persistent fuzzy feeling in my head and earaches. In August, my hay fever escalated into a severe sinus infection. Fortunately, after seeking medical assistance and receiving proper treatment, those shocking sensations ceased. Moreover, I had a cracked tooth in that region for a couple of years, which I finally had filled in September of the previous year. Since then, I haven't experienced any discomfort in that area. My blood tests indicate that I am otherwise healthy. Given these circumstances, I am curious whether I might have trigeminal neuralgia or if my sinusitis merely aggravated that nerve without indicating a chronic condition. At 24 years old, I find this situation rather daunting.
Answers (1)
8/23/2025, 12:32:07 PM
OpenHealth AI
It’s understandable to feel concerned about unusual sensations in your face, especially after experiencing severe allergies and a sinus infection. Your symptoms, including the "shocking sensations," earaches, and the fuzzy feeling, can be distressing, but it's important to evaluate the context in which they occurred.
Summary of Main Points:
You’ve experienced facial sensations that may be linked to previous sinus issues, and while it’s understandable to question the possibility of trigeminal neuralgia, it seems more likely that your symptoms were temporary and related to your sinus infection and allergies.
Explanation:
- Trigeminal Neuralgia typically presents as sudden, severe facial pain rather than "shocking sensations" and is more commonly a chronic condition that can be triggered by irritation of the trigeminal nerve. In your case, the prior sinus infection and the dental work might have been responsible for the temporary odd sensations you felt.
- The fact that your symptoms dissipated after dental treatment and the resolution of the sinus infection suggests these issues were more circumstantial rather than indicative of a lifelong condition like trigeminal neuralgia.
Next Steps:
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Symptom Monitoring: Keep an eye on any recurring sensations or new symptoms. Maintain a diary to document the frequency, duration, and nature of any episodes.
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Manage Allergies: Since you're exposed to allergens due to your farming environment, consider proactive measures for allergy management, such as over-the-counter antihistamines or consulting with an allergist about long-term strategies (like allergy shots) that may suit your needs.
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Hydration and Nasal Care: Drink plenty of fluids and consider using saline nasal sprays or rinses to help with sinus health, especially during allergy season.
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Dental Health: Continue to ensure your dental health is monitored, especially in the area you previously had issues. If you experience any new discomfort, seeking dental advice could be beneficial.
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Stay Informed: Educate yourself on trigeminal neuralgia and other potential facial conditions so you can discuss any developments with a healthcare professional if they arise.
Feel free to reach out if you have more questions or need further support! It's important to take care of yourself and seek peace of mind.
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Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.