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Shivering of lips and neck - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   I am having symptoms of agoraphobia. what should I do . I am basically unable to control my facial nerves and they keep trembling ( nose area and lips)
User :   Hello.
Doctor :   Hi
Doctor :  
what symptoms do you have?
User :   I am finding myself unable to talk to anybody (even sometimes alone) .
User :   My facial nerves keeps vibrating and I can not control my lips and area around nose . I don't know why It is happening
Doctor :  
User :   So, I am avoiding social contacts
Doctor :   may i know your age and gender?
User :   and feeling panic attacks when I am called for a conversation
User :   28 , Male
Doctor :  
since when you have this problem?
User :   panic attacks are mostly for 'fight or flight' I guess. and I feel darking evrything and loosing control over my body
User :   As far as I remember since 12th class .
User :   but somehow I managed to live but situation is worsen
Doctor :  
panic attacks are neither for fight nor for flight
Doctor :   they are there as a result of anxiety
Doctor :  
did you consult a doctor for your problem
User :   There have never been a time when I didn't feel these things, even when I am most excited and happy, do you think even in that case anxiety play a role ?
User :   I never consult this to anybody. this is my first time I am actually telling this to somebody
Doctor :  
Doctor :   what exactly you mean by panic attack ?
Doctor :  
do you think shivering of your lips is panic attack?
User :   shivering of lips and area around nose.
User :   and yesterday my neck was shivering
User :   and I feel tightness at back of the head.
Doctor :  
User :   shivering of lips and nose around area is happening almost all the time, even when I am sitting alone and talking to no body
Doctor :  
this is not called panic attack
Doctor :  
it is a different entity
User :   I am now feeling unable myself to face and talk to anybody
Doctor :   may i know your height and weight?
User :   5 feet 10 inch
User :   and 66 kg . I am going to gym regularly
Doctor :  
User :   however, Staying alone and away from home caused bad food habbit (for around 7-8 years I was away and eating very less food or sometime very heavy food).
Doctor :   ok
User :   but I eat only home made food. and try to keep myself healthy and never got sick in last 10 years.
User :   but only problem I am having is my facial nerves.
Doctor :   ok

Doctor :   this is not a panic attack
Doctor :  
the shivering of the lips and neck is not due to anxiety also
Doctor :  
and your lack of social contact is due to the shivering you have in your lips and neck
Doctor :  
the shivering needs an evaluation by a general physician and neurologist,
Doctor :  
you need to consult them
Doctor :  
to know what exactly is causing the shivering
Doctor :  
if that shivering is stopped than you will gain the confidence to speak to the people in public
User :   I dont get shivering anywhere else.
Doctor :   ok
User :   I get checked my calcium level , which is normal and all other tests are normal.
Doctor :  
why did you check for calcium ?
User :   One of my friend (MBBS) suggested that twiching in nerves (I can feel pulse near my nose area and lips) happens due to lack of calcium
Doctor :   ok

User :   Actually due to this occurring social phobia I am not able to concentrate and going for another life seems to be better idea to me. I want to know is there any problem with me ? and is there any cure for this?
Doctor :  
cure is there if you take a right approach
Doctor :   first you need to find out the cause for the shivering of lips and circum oral region
Doctor :   to this you need to consult a physician and he in conjunction will be able to arrive at a diagnosis
User :   er myself a confident person, but now I am not sure. should I visit a pschitarist or neurologist ?
Doctor :   not psychatrist
Doctor :  
it has to be neurologist if nor a physician
User :   What should I say. (can you help me in particular words to say as generally nobody gives time to patients in outdoor visits)
Doctor :   this is false, it is what people think.but fact is doctors don't want to waste time by simply talking to patients when they already have a diagnosis
Doctor :   if they dont have definitely they will give all the time required
Doctor :  
also express what is your problem in your own language, don't try to use medical terms
Doctor :   it is of no use
User :   ok.
Doctor :  
medical terms are for doctors and not for patients
User :   ok
User :   Can you suggest any neurologist in delhi ?
Doctor :   if you have already got one appointment finish it off
Doctor :   for the social phobia which is because of the shivering of the lips you actually need a psychiatrist help also
User :   this would be my first visit. so I can cancel.
Doctor :   ok
User :   ok. then I will meet the psychiatarist then

User :   so , you are suggesting me to go to the psychitarist or neurologist first....
User :   yes, I can go to noida.
Doctor :  
neurologist first
User :   Thanks, I wanted to hear this because I firmly believe I don't have psychic problem. It relaxes me a bit. do you suggest me any doctor in noida ?
Doctor :  
Dr b.c bansal
Doctor :  
90, sector 15 A noida
User :   thank you very much .
Doctor :   is there anything else i can help you with?
User :   No, that is it. Thanks a lot for your kind help sir
Doctor :   thanks for consulting health care magic, bye for now
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