What causes tightness in eye?
The picture with eye make up was before and without makeup was taken today
it looks like it has been widened slightly at the bottom
It's hard to say if there is facial palsy.
Hi and thanks for using HCM.
I looked carefully at pictures you uploaded and there is a very slight difference between them. It is my impression that there is no facial palsy. However how you feel about it is very important in this case. To say certainly if there is or is not a problem, needs to compare both sides of your face. I think Amytriptiline is not indicated in this situation, treatment consists on local muscular massage and maybe the use of corticosteroids ( Prednisolone).
Neuropathy develops after a prolonged history of alchohol consumption, not in your case. Sometimes facial palsy happens after prolonged exposure in cold of one side of face and is always reversible. In my opinion very soon your concern will subside.
Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
In this case Trigeminal Neuralgia.
Hi and thanks for asking again.
I looked the last photo you uploaded and I think the difference is minimal. I don't think this is a case of facial palsy, instead it is more likely that Trigeminal Neuralgia is causing your symptoms.
I suggest you to consult a Neurologist and have a careful examination of sensitivity on both sides of your face (light touch, numbness, temperature discrimination etc), and a possible imaging study (if it is indicated ) according to neurologic examination findings. (Cerebral MRI to check for/ rule out neuro vascular conflict). Treatment depends on examination and imaging findings.
Hope this helps. If you have further questions feel free to ask.
There is no significant droopness.
Hi again. As I mentioned before, there is only minimal asymmtry between both sides and this is not the case of facial palsy. Maybe the muscles of your right side of your face stay less XXXXXXX because the pain. Facial palsy has not the pain as a characteristic symptom, Trigeminal Neuralgia has it. If MRI resulted negative it is a good fact. Is there any difference in light touch on both sides of your face? If yes it is Trigeminal Neuralgia, if not you have nothinf to worry and you can start a treatment with Prednisolone and local massage, but this has to be discussed with your Neurologist. Hope this helps.
My neurologist diagnosed me with trigmenial sensory neuropathy. Can this be caused by drink spiking? (Someone putting drugs in my drink) Also will it go away?! I will go crazy if it's permanent
Trigeminal neuralgia is treated with Carbamazepin.
Carbamazepine is the main treatment for pain caused by Trigeminal neuralgia, Your muscles need massage ( physical therapy) to come back to normal. Physical therapy is started after pain is controlled. Drink spiking has a low chance to cause your concern if it was only one episode and you should get to normal after the drug is out of your system. Continuous drug consumption causes damages that last longer.
I think you soon will get back to normal.
Hope this helps.
They are not the same.
Trigeminal sensory neuropathy has no pain as a symptom.
In Trigeminal sensory neuropathy symptoms are numbness, anesthesia or hypoesthesia of the affected area.
You said you feel pain and pain is a feature of Trigeminal neuralgia.
Hope this helps.
Treatment depends on the cause of neuropathy.
Treatment of Trigeminal sensory neuropathy depends from cause.
I believe your Neurologist has done necessary tests to identify the cause.
Idiopathic cases ( it means there is no visible cause even after tests) usualy resolve spontaneously in few months.
Physical therapy helps in restoring muscle function. Hope this helps. Wishing you good health.
Drink spiking is a possibility.
Hi again XXXXXXX Drink spiking is a possibility but if was only once your symptoms should subside gradually. If you have symptoms from four months now, it's better to have a check up to identify/ rule out other possibilities. Hope this helps.
I believe it is not your case.
Hi again. Permanent neuropathy is caused from certain systemic diseases, side effects of drugs, toxic substances, chemotherapy, etc. and usually there are several nerves damaged. I think none of these is connected to your symptoms. Wishing you good health.
Pharmaceutical drugs I mean.
Dear XXXXXXX By drugs I mean drugs used for medical reasons can have side effects on patient's health and one of them is nerve damage. Drugs into beverages if can cause neuropathy it is not permanent and should subside after the drug is out of your system. Hope I've been understandable.
Toxic substances chemicals or heavy metals.
Hi again XXXXXXX Alchohol and drugs can cause neuropathy after a long time of abuse with it and generally there are several nerves damaged, not only one. Neuropathy is reversible in most cases that stop alchohol or drugs immediately after symptoms start. Toxic substances ( some chemicals and heavy metals) can damage nerves ( usually not only one) by cumulative effect over a long period of time and I think neither is your case. Time will show you had nothing to worry about. Best regards.