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Have twitching eyes, stress, fatigue, sleepless, smelling metal, overweight, examination done. Cause?

Recently had a physical - Despite being overweight, blood work and blood pressure was good. My eyes have been twitching for weeks, but I have all the standard causes of that - stress, fatigue, lack of sleep and too much caffeine intake. For three days now, I have been smelling metal. Don't know if twitching is related to it, or if smell is related to frequent nosebleeds. I had one this morning for more than 1/2 hour. Any chance all of these symptoms are just coincidently coinciding?
Asked On : Thu, 11 Apr 2013
Answers:  2 Views:  57
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Psychiatrist 's  Response
Welcome to health care magic
I can understand your situation. I appreciate your effort to seek online support.

Your symptoms points towards the probability of "anxiety disorder". Caffeine intake can worsen anxiety symptoms. Twitching could also be related to that.
Smelling metal needs ENT check up once to rule out any other pathology.
Following treatment strategies would be helpful-

1) Antidepressants like SSRIs (escitalopram, sertarline, paroxetine etc)
2) Antianxiety agents like clonazepam, lorazepam, alprazolam etc
3) Psychotherapy/ Counselling sessions
4) Relaxation techniques like yoga, meditation, deep breathing etc
5) Avoid tea, coffee and take proper rest.

Hope it helps
Good luck
Dr. Gourav Monga
Consultant Psychiatrist
Answered: Fri, 12 Apr 2013
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1 Doctor agrees with this answer

Psychiatrist Dr. Jonas Sundarakumar's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

Twitching of the eyes can often be due to stress and fatique. However, the symptom of "metallic smell" that you have been experiencing is concerning. This could be due to local causes (probably due to the nose bleeds) or sometimes, due to a more serious (neurological) problem.

If you are having this in sudden episodes lasting for a few minutes, then the possibility of a temporal lobe epilepsy has to be ruled out. So, I would advise you to report this symptom to your doctor, so that you can have a detailed evaluation and rule out any serious problems.

Wish you all the best.

Dr. Jonas Sundarakumar
Consultant Psychiatrist
Answered: Fri, 12 Apr 2013
I find this answer helpful

3 Doctors agree with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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