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Suggest Remedy To Manage Pain When Having Trigmenial Neuropathy

Posted on Tue, 17 Mar 2015

Question: I cannot take this. For 6 months i have has trigmenial neuropathy. The only symptom i have is trigmenial fullness/tightness feeling and it has made my cheek look puffier and bigger. Please tell me will this go away?!!!! Mri and blood tests are normal. What is the best medication to reduce the tightness feeling and reduce inflmmation i cry evrryday because i hate the way i look now. I just look swollen. It happened after heavy night of alcohol. Do u think i pressed on my nerve in my sleep? Will it go away i cant stop crying

Answered by Dr. Eris Ranxha (9 hours later)

Brief Answer:
It can go away

Detailed Answer:
Hi
Thank you for trusting HCM
I read your query and understand your concern.

I can assure you that nothing serious is going on with you and it can go away as there is no organic cause.

You should try immediately carbamazepine under the expert guidance and supervision of your treating doctor.

It should be started at low dose and increase it gradually till 600-1000mg until you feel better
You will feel much better after starting treatment, please discuss with your neurologist at the earliest.

Wish you all the best
Feel free to ask further questions or if you have any doubts.

Hope I have been of help
Best regards
Dr Eris Ranxha
Neurologist

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

Follow up: Dr. Eris Ranxha (2 hours later)

What is the cause for this? Will it go away on its own? Do you think sleeping compressed the nerve ??

Answered by Dr. Eris Ranxha (7 minutes later)

Brief Answer:
Idiopathic

Detailed Answer:
Hi again XXXXXXX
thank you for coming back
Unfortunately the most cases of trigeminal neuralgia are idiopathic meaning that the cause can be identified
Anyway the causes which need surgical treatment are vasal conflict and neurinoma
Those have been excluded with brain MR
Sometimes pain can go away by its own but generally treatment is needed
The best treatment is the one I suggested you ( carbamazepine)
It is effective and you will feel better once started it
Wish you good health and fast recovery
If you have no further questions please close the query or feel free to ask for further information
Regards
Dr Eris

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Eris Ranxha (39 minutes later)

But i do not have pain. Its just a constant awareness of my nerve like it feels full and tight. It feels like a balloon and i need to pop it to release the pressure feeling. I also dont like the way my face looks its made it look puffier likes theres more skin. I need it to go away please. Do you know any cases like this which have resolved on its own

Answered by Dr. Eris Ranxha (18 minutes later)

Brief Answer:
Don't panic

Detailed Answer:
Dear
I understand your concern
You don't have to worry too much
As brain MR is normal it will go away but unfortunately needs time
Start treatment and you will see the improvement soon
All other cases have been like yours so we know what we are talking about
Avoid tender foods and use liquids
Try to talk less possible
You will be fine again, I can sure you
Wish you all the best
Thank you again for trusting us
Regards
Dr Eris

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Eris Ranxha (15 minutes later)

So with carbamazepine the fullness feeling will go away? And basically I will be cured and the swollen nerve will be gone?

Answered by Dr. Eris Ranxha (3 minutes later)

Brief Answer:
Yes

Detailed Answer:
Dear
thank you for coming back
Yes carbamazepine is the only treatment to cure trigeminal neuralgia
But be sure to use it the right way
It must be started at slow dosage and increase it progressively till remedy
You will be fine again it is need just time
Wish you all the best and fast recovery
Regards
Dr Eris

Above answer was peer-reviewed by : Dr. Vaishalee Punj