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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for trigeminal neuralgia

Hi , for the past 5 months I was Suffering from trigeminal neuralgia. MRI of brain taken suggests that vascular loop is mildly indenting on the right trigeminal nerve in the prepontine cistern seen.then doctor suggested tegretol 150 mg to be taken half in the morn and half at night for 15 days and later 1 in the morning and 1 at night.it was getting worse so I tried homeopathy along with that . They suggested sanguinary 30 . Mean while I set my missing tooth also by bridge . And also did 2 rootcanals . After this only my pain started more day by day. For the past 2 days I couldn t speak, or eat .whenever I say to open my mouth the painstarts and the attack is continue . Now daily iam taking 300 mg tegretol in the morn and 150 mg at night . Also homeopathy 4 pills 4 times daily. I Wang to get completely cured without doing any operation . Iam 41 yrs old
Thu, 30 Jan 2020
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Internal Medicine Specialist 's  Response
Hello,

I will suggest you to look into the aggravating factor of your trigeminal neuralgia. You should consult a dentist first. The primary problem may lie in bridge fixation and 2 root canal which you have done recently as the pain was well controlled before these procedures. Meanwhile add some analgesic in your regimen, like diclofenac sodium 50mg twice a day to get instant relief.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammad Faisal Bacha, Internal Medicine Specialist
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Suggest treatment for trigeminal neuralgia

Hello, I will suggest you to look into the aggravating factor of your trigeminal neuralgia. You should consult a dentist first. The primary problem may lie in bridge fixation and 2 root canal which you have done recently as the pain was well controlled before these procedures. Meanwhile add some analgesic in your regimen, like diclofenac sodium 50mg twice a day to get instant relief. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist