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Suggest Treatment For Trigeminal Neuralgia While On Tylenol

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Posted on Wed, 5 Apr 2017
Question: I have nerve pain on the left side of my face that radiates to the top teeth, bottom teeth or both. Dentist can't find anything happening with my teeth. Took a round of antibiotics to rule out sinus issues. It has been getting progressively worse and this weekend I have taken Tylenol and Advil, switching every 2 hours. I remember my grandfather having a nerve cut in fish face probably 35 years ago for face pain. Is it in the genes? What to do?
doctor
Answered by Dr. Saddiq Ulabidin (3 hours later)
Brief Answer:
Needs neurological review and may require CT or MRI

Detailed Answer:
Hi! Welcome to HealthcareMagic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had gone through.

Based on the history you have shared, it seems as if you are suffering from pains relating to nerves and most probably some dental branch of maxillary or mandibular branch of trigeminal nerve. It can be a type of nerve pain condition called as trigeminal neuralgia.

Since local examination of teeth didn't reveal anything, it's beter to have dental OPG Xrays to look for insertions of teeth into skull bone and mandible and to look for any signs of infection, defficiencies in it. If that doesn't reveal anything, a neurologist opinion and CT or MRI scan of head an neck may be needed.

Meanwhile for pains more potent analgesics like tramadol or nerve pains suppressants like gaba pentins or duloxetine may be helpful. If still remains uncontrolled, carbamezapine may be helpful. If all of these methods fail then nerve block may be needed. Such conditions are usually not inherited, and can be a coincidence to have it when your gran father had it in past.

Wishing you a speedy recovery. Hope this has answered your query, if you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Saddiq Ulabidin (33 minutes later)
Thank you!
doctor
Answered by Dr. Saddiq Ulabidin (13 hours later)
Brief Answer:
Closing remarks

Detailed Answer:
Thanks for the appreciation. Regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

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

General & Family Physician

Practicing since :2011

Answered : 3941 Questions

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Suggest Treatment For Trigeminal Neuralgia While On Tylenol

Brief Answer: Needs neurological review and may require CT or MRI Detailed Answer: Hi! Welcome to HealthcareMagic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had gone through. Based on the history you have shared, it seems as if you are suffering from pains relating to nerves and most probably some dental branch of maxillary or mandibular branch of trigeminal nerve. It can be a type of nerve pain condition called as trigeminal neuralgia. Since local examination of teeth didn't reveal anything, it's beter to have dental OPG Xrays to look for insertions of teeth into skull bone and mandible and to look for any signs of infection, defficiencies in it. If that doesn't reveal anything, a neurologist opinion and CT or MRI scan of head an neck may be needed. Meanwhile for pains more potent analgesics like tramadol or nerve pains suppressants like gaba pentins or duloxetine may be helpful. If still remains uncontrolled, carbamezapine may be helpful. If all of these methods fail then nerve block may be needed. Such conditions are usually not inherited, and can be a coincidence to have it when your gran father had it in past. Wishing you a speedy recovery. Hope this has answered your query, if you have any more questions, feel free to ask. Regards.