Brief Answer:
Treatment varies from person to person, degree, severity

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. If you do not mind, please do write back to me with the exact diagnosis and the the current treatment you are on as of now? Thank you so much.

For nerve inflammation, the doctor usually examines the patient and depending on the degree/severity treatment is advised, but please also note that not all the time do we choose to treat the inflammation directly, treating the cause is way more important. As long as the cause is present, the symptoms will also be present.

As for the options, they include:

+NSAIDs (non-steroidal anti-inflammatory drugs's)
+Physiotherapy
+Glucocorticoids
+Thromboxane
+Immunoglobins
+Chemotherapy (considered severe and consists numerous side effects)
+Surgery

I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I am always here to help.

Best wishes.

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Brief Answer:
I completely understand, simple treatment will surely help

Detailed Answer:
Hello once again XXXXXXX

Thank you so much for that information.

I am sure you understand and do not need me to repeat this but alcohol is your worst enemy and you should completely avoid it. I would also request you to revisit your doctor for a physical evaluation and accordingly treatment, but if I were your doctor I would start you off on:

+NSAIDs (to be taken twice a day)
+Vitamin B complex supplements
+Physiotherapy (3-6 times a week)
+Exercise
+Controlled fluid intake (monitor intake and output)

I hope you can approach your doctor and initiate this therapy at the earliest, but please make sure you do so only after a doctors appointment XXXXXXX and not before that, I request you as your well-wisher.

Best wishes.

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Brief Answer:
Oh I disagree with your doctor

Detailed Answer:
Hi XXXXXXX

So all this happened almost 5 months ago, that is indeed long ago, but if your MRI has returned a normal result then this can only be temporary, and so stress should be avoided and therapy should be initiated at the earliest.

And I do not agree with your doctor, alcohol (especially in large quantities) can cause severe damage to your nerves and I would strongly advise against the use of alcohol ever again. In my opinion the alcohol is clearly and undoubtedly the cause.

Best wishes XXXXXXX

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Brief Answer:
It is certainly worth a shot, don't you think?

Detailed Answer:
Hello once again XXXXXXX

Have you been consuming alcohol all this while? If so, please stop immediately.

Your MRI has returned a normal result, this means there is some other stimulus for your inflammation and if at all you have been consuming alcohol all this while, then alcohol may as well be that stimulus.

It is certainly worth trying to discontinue it permanently and then helping to wash out all the toxins accumulated by the alcohol consumption, which should hopefully reduce the swelling.

Could you also attach an image of your entire face, and one of the region where the swelling is predominant for my viewing? If you do not mind i.e.

Best wishes XXXXXXX

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Brief Answer:
Hardly even noticeable, but I do see mild swelling

Detailed Answer:
Hi XXXXXXX

Why so serious? :)

I do notice a very slight (negotiable in my opinion) amount of swelling on the right side, but I also believe this is hardly even noticeable. I only noticed it because I am trying to help you with it.

You did not answer my question about alcohol intake?

The neuropathy always has a cause to it, and if at all your MRI has returned a normal result then the cause is something much more simpler. So it has to go away, and in my opinion should in a matter of time. But we have to try to remove the stimulus, which could possibly be alcohol in your specific case. Worth a shot.

Hope this helps.

Best wishes.

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Brief Answer:
Please take some time to read and understand my explanation

Detailed Answer:
Hello once again XXXXXXX

Let me give you an example:

Mr. X was allergic to corn, but he loved it so much. He tried his best to resist it as much as possible, but during his low and weak moments he indulged. And each time he did, he reported to the doctor requesting for anti-allergy/anti-histamine medications.

This became a regular affair, and the doctor started wondering as to why Mr. X kept reporting to him requesting for the anti-allergy medications. So he decided to educate Mr. X on the cause and to simply avoid the cause, as it was not doing him any good.

The reason why I chose to narrate this story is so that you understand that taking medications is not the solution, the solution is to remove the cause. For Mr. X, all we had to do is to keep corn away from him. For you, we need to find the cause/stimulus for the neuropathy or simple facial oedema. If at all it is alcohol, then simply by discontinuing it, we should be able to attain good results ma'am.

But if at all you choose to take medications, then ibuprofen may not be the solution. As per your requirements, your doctor may choose other drugs. Please do consider visiting your doctor and discussing the possible causes in detail and at the same time the solution.

Ibuprofen is mild and if at all required, your doctor may choose stronger medications which you may not be able to access over the counter (OTC).

Best wishes.

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Brief Answer:
Need to look into other possibilities

Detailed Answer:
Hello once again XXXXXXX

If you have not consumed alcohol for almost 5 months now, then this swelling could possibly have another cause to it. This means a more detailed investigation of various blood parameters will have to be conducted. As we do not know what we are looking into, it nay be exhaustive and frustrating, please have patience and discuss the same with your doctor. Was an ultrasound of your abdomen and pelvis conducted XXXX?

An IgM value of 1.46 is not terribly high, but is certainly mildly elevated. May I ask which kit this IgM was part of?

Best wishes.

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