Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

155 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for left sided pain in the face while on Advil

Answered by
Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3335 Questions

Posted on Wed, 15 Mar 2017 in Brain and Spine
Question: I’m a 72 year old male, in general good health. Beginning about 3 days ago I began experiencing pain on the left side of my face, seeming to begin from the cheekbone and radiating out to eventually include an area about the size of my hand from forehead to jaw. The pain cycles at about 20 minute intervals, growing steadily more intense until it peaks bordering on severe , then receding back to a completely normal feeling. No vision or balance issues, no nausea.

Activity seems to help reduce the pain—walking, chewing something on that side of my mouth (food, gum). I’ve been taking Advil (3 at a dosage), but that doesn’t seem to provide much relief.

Roughly 9 months ago I had a filling in an upper left molor replaced and that tooth has maintained temperature sensitivity since then, but no other pain symptoms. I visited my dentist about a month back and he examined the filling and x-rayed the area, but found nothing abnormal.

Yesterday I visited an urgent care facility (2 day of this pain incident) and the only abnormal element detected was a solid buildup of ear wax in the left ear (some in right as well). Both were irrigated, but this hasn’t stopped the pain cycle.
Answered by Dr. Erion Spaho 2 hours later
Brief Answer:
Consider trigeminal neuralgia

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

Trigeminal neuralgia may manifest with different patterns of pain that affect one side of face mostly around cheekbone.

Causes may include dental surgery, neurovascular conflict, compression of trigeminal nerve, multiple sclerosis etc.

It is necessary to get evaluated by a Neurologist ( neurological examination ) and by tests such MRI of brain in order to get a correct diagnosis of your condition.

Hope you found the answer helpful.

Kind regards.
Above answer was peer-reviewed by : Dr. Prasad

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Procedures
Medical Topics

Recent questions on  Ear wax

doctor1 MD

HI, Since Today Morning (07/11/17) i felt like diziness and since midnight i was having some wax movment in my left ear . please suggest some easily available medicines. can you let know the reason what is the cause for it With Regards xxxxxx...

doctor1 MD

I have plugged ears and can't hear well for a week now, took decongestant for a few days, what can I take?

doctor1 MD

Have had ear wax build up and it's now gone but think I've fluid in ear now , got a photo of inside of ear when getting wax looked at , ear still feels blocked