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For The Last 3 Weeks My Left Upper Eyelid Been

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Posted on Thu, 10 Oct 2019
Question: For the last 3 weeks my left upper eyelid been twitching should I be concern
doctor
Answered by Dr. Dr. Antoneta Zotaj (49 minutes later)
Brief Answer:
Eyelid twitches are generally not worrisome- details below

Detailed Answer:
Hello and welcome to "Ask a Doctor" service,

I carefully read your query and understand your concern.

Eyelid twitching is a very common complaint that generally is self-limiting and there is nothing to worry about. It mostly happens when patients are tired, stressed or not resting well. Alcohol, coffee, energy drinks, and smoking may cause it to be worse as well.

To conclude:
- eyelid twitching is very common and generally not worrisome
- try to rest as possible, sleep at least 7-8 hours a day and avoid alcohol, energy drinks, coffee, etc
- if you notice any twitching in other areas of the body or any numbness or weakness in your limbs or any vision changes or problem with speech or swallowing, you will need to see your doctor (this is rarely the case)

I hope this is helpful.
I remain at your disposal for further medical assistance.

Regards,
Dr. Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Antoneta Zotaj (1 hour later)
I sometimes get a twitch in leg or arm but it’s been mainly in the left eye
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Follow up: Dr. Dr. Antoneta Zotaj (2 minutes later)
Can this be a neurological issue I read it can be a sign of MS or ALS
doctor
Answered by Dr. Dr. Antoneta Zotaj (3 hours later)
Brief Answer:
Detailed answer below

Detailed Answer:
Hello and welcome back,

While both MS and ALS may cause muscle twitches, they generally cause several other symptoms as well. It is normal to worry about these diagnoses whenever neurological symptoms are present but one needs to consider that these are rare conditions and cause a wide spectrum of symptoms.

In your case, because you have only muscle twitches and mostly eyelid twitches, I would recommend you to try to rest as possible, avoid caffeine, energy drinks, alcohol, and smoking. Also, try to take it easy and relax.

As I mentioned above, stress and overload are the most common cause of eyelid twitches.

If you notice no improvement in 1-2 weeks or you notice any worsening or new symptoms (numbness, weakness, problems with swallowing, speech, vision or bowel or urine control issues) you will need to talk to your doctor and have a thorough neurological exam.

A careful physical examination is all that is generally needed to rule out ALS. While MS may need a brain and spine MRI.

I hope this is helpful.
I remain at your disposal for further medical assistance.

Regards,
Dr. Antoneta Zotaj
General and Family Physician


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Antoneta Zotaj (1 hour later)
Hello I have low back issues herniated disc and impingement can that cause twitches my eye twitch been 2 weeks and I get an occasional twitch in leg or arm
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Follow up: Dr. Dr. Antoneta Zotaj (12 minutes later)
Also been tested for thyroid last year levels were normal but antibodies were high can I still have some form of thyroid issues which can cause the twitching
doctor
Answered by Dr. Dr. Antoneta Zotaj (10 hours later)
Brief Answer:
The herniated disc is a separate condition. You may need to repeat TSH

Detailed Answer:
Hello and welcome back,

The herniated disc may cause neurological symptoms and these are not related to the eye twitches, it is a separate condition.

If the thyroid antibodies were high, you may need to have a TSH checked again. This is to make sure that the thyroid function has remained normal.

I hope this is helpful.
I remain at your disposal for further medical assistance.

Regards,
Dr. Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr. Antoneta Zotaj (1 hour later)
In XXXXXXX I repeated tsh still normal my question was can I still have the twitching if only antibodies are high
doctor
Answered by Dr. Dr. Antoneta Zotaj (38 minutes later)
Brief Answer:
If TSH is normal the thyroid is unlikely to cause the twitches

Detailed Answer:
Hello and welcome back,

Thank you for the reply and the extra information.
If your TSH was normal in XXXXXXX this year then the thyroid is unlikely to cause you muscular or neurological symptoms. You will need to repeat TSH every your though to make sure it remains normal.

Eye twitches can last as long as you are tired, overloaded or not resting well. This is why it is important to make sure you rest well (sleep at least 7-8 hours a day) and avoid drinks that may stimulate you and make the twitching worse.

If you think you are resting well and having a good lifestyle (no alcohol, no coffee, no cigarettes or energy drinks), and you still get the twitching after a couple of weeks, it may be best to have a visit with your doctor. In this case, the doctor will do a neurological examination and further determine if other examinations are needed.

I hope this is helpful.
I remain at your disposal for further medical assistance.

Regards,
Dr. Antoneta Zotaj
General and Family Physician

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Antoneta Zotaj (9 minutes later)
Also eye twitches can last 2 weeks
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Follow up: Dr. Dr. Antoneta Zotaj (19 minutes later)
Thank you can eye and muscle twitches be benign
doctor
Answered by Dr. Dr. Antoneta Zotaj (27 minutes later)
Brief Answer:
Detailed answer below

Detailed Answer:
Hello and welcome back,

Eyelid twitches and muscle twitches can be benign. This depends on the presence of other neurological symptoms such as weakness or numbness or problems with vision, speech or swallowing.

If the patient has no other symptoms very likely the twitches are benign. On the other hand, if twitches last for more than a couple of weeks, while you are resting well, it is best to have a neurological exam to definitely determine if these twitches are benign and rule out other possible diagnosis.

I hope this is helpful.
I remain at your disposal for further medical assistance.

Regards,
Dr. Antoneta Zotaj
General and Family Physician



Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Dr. Antoneta Zotaj

General & Family Physician

Practicing since :2004

Answered : 4435 Questions

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For The Last 3 Weeks My Left Upper Eyelid Been

Brief Answer: Eyelid twitches are generally not worrisome- details below Detailed Answer: Hello and welcome to "Ask a Doctor" service, I carefully read your query and understand your concern. Eyelid twitching is a very common complaint that generally is self-limiting and there is nothing to worry about. It mostly happens when patients are tired, stressed or not resting well. Alcohol, coffee, energy drinks, and smoking may cause it to be worse as well. To conclude: - eyelid twitching is very common and generally not worrisome - try to rest as possible, sleep at least 7-8 hours a day and avoid alcohol, energy drinks, coffee, etc - if you notice any twitching in other areas of the body or any numbness or weakness in your limbs or any vision changes or problem with speech or swallowing, you will need to see your doctor (this is rarely the case) I hope this is helpful. I remain at your disposal for further medical assistance. Regards, Dr. Antoneta Zotaj General and Family Physician