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What causes tightness on face with light headedness? - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:My face feels tight at times, warm to the feeling and touch, itchy, light headed and just want to sleep during the heated moments.
Doctor:I am reading your query
Doctor:What are those times, can you detail?
User:it all began on Tues and has continued since then...I have no energy, but force myself to get up and move around or get outside
Doctor:Are you using any medicine for any other problem?
User:no, take my normal acid reducer, I have acid reflux and nothing else
User:I refuse to take steroids
Doctor:Have you checked out from home? Are you alone and feeling low in mood?
User:I am home today, no, not feeling low in mood per se, I am usually a very upbeat and going person, but with my face feeling the way it does, I attempt not to get too hyper active
Doctor:Did it happen for the first time?
Doctor:Do you have headache or migraine?
User:Tues 2/18 is when it came on heavy. I had noticed my face was itching over the weekend, but contributed that to working outside in the dusty dirt.
User:I did go to the ER, but all they did was give me IV fluids and benedryl and sent me home
User:I had a minor aching in head but no migraine
User:it felt like sinus headache so I took Tylenol sinus for allergy and it went away...the headache
Doctor:Is the tightness on one part of the face or all over?
Doctor:Is it numbness or tingling or itchy to scratch?
Doctor:Do you see any lesions on the face?
User:I haven't eaten anything out of the ordinary to cause it and thought possibly it could have been working in the desert dust
User:nope, no lesions, just red face every now and is still warm to touch even when not red
User:itchy yes, at times tingling, hurts at times also
User:tightness all over
Doctor:It sounds to be cluster headache or neuralgia
Doctor:However since this is the first time I am unable to confirm it
User:what is "cluster headache"?
Doctor:Where there is mod to severe pain, redness. occurs in clusters or groups and other time you willl be normal
User:this is the first time it has ever happened. What is neuralgia?
Doctor:These should respond to simple over the counter pain killers most of the time
Doctor:MOTRIN or ADVIL should do the trick along with good hydration and rest
Doctor:Neuralgia is spread over the distribution of a nerve on the face
Doctor:where there is tightness, pain and tingling
User:if I have a pinched nerve, could this be something to do with that?
Doctor:Neuralgia has sx of pinched nerve
Doctor:But what could pinch it suddenly?
Doctor:Stress, dehydration, menopause, calcium def all can cause similar symptoms
User:it didn't get pinched suddenly, I just haven't gone to a neurologist due to the expense
User:okay, that helps me,
User:menopause I am
Doctor:You do not have to go a Neurologist, but an Internal Medicinist should be ok
User:great, I will look into one
Doctor:IM specialist is better than ER specialist
Doctor:Since you have not gone to right one, I think you can try one appnt
User:underlying stress, I most likely have, possible dehydration...okay, getting somewhere that I can start with
Doctor:Yeah thre you are
Doctor:Cut down coffee, alcohol or carbonated stuff
Doctor:Start calcium supplements
User:okay, I do drink a lot of coffee, and diet soda
Doctor:Relax, spa and neck massages may hep
Doctor:reduce the stress
User:great, feeling better mentally already just with possible ideas
Doctor:As long as it is not confirmed never feel that you are sick
User:I can't reduce the stress too much at this time, I need my job
Doctor:The feeling will take away your XXXXXXX and different sx set in
User:oh I continually tell myself I can't get sick, too much life to live to be sick
Doctor:Job is not stress if you enjoy it, Am I right?
User:I do not enjoy "where" I work, I love what I do, just don't care for all of the politics at work
Doctor:That is everywhere
Doctor:You may find some happy people around but who knows they are not reacting to these dirty politics
Doctor:So it is about our reaction that is stress
User:at my age I cannot afford to go looking for another job, I am a Certified Nursing Assistant, the health insurance is good and I have a child still at home
Doctor:Hang around, mingle with people who are like you
Doctor:At least you find one
Doctor:that is enough
User:problem is, I am in my 50's with 20 years experience and the others are in their 20's with no experience.
User:okay, thank you very much, that is something to start with and well worth the payment
Doctor:That is ok you have priorities and they have theirs
Doctor:but not to share a cup of XXXXXXX
Doctor:Ok All the best
Doctor:Have good health
User:it will all be well now that I have something to work with
User:thank you so much
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