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What Causes Persistent Mild Headache And Twitching Around Nose?

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Posted on Fri, 13 Mar 2015
Question: I am having continues mild headache some time goes severe and I am having twitching around my nose and upper lips. This twitches Goes worst while having Food. Doct had prescribed me nurokind plus tab but then too my head ache and twitches are not in control. Pls suggest
doctor
Answered by Dr. Sudhir Kumar (2 hours later)
Brief Answer:
Symptoms are suggestive of hemifacial spasm.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your symptoms. They are suggestive of hemifacial spasm.

It would benefit from medications such as trihexiphenidyl (pacitane) tablets.

Some people who do not improve with pacitane, require botox injections.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: XXXXXXX


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (6 minutes later)
Please briefly describe this disease. And pls guide which test should I do
doctor
Answered by Dr. Sudhir Kumar (2 minutes later)
Brief Answer:
The description is below.

Detailed Answer:
Thank you for getting back.

This condition involves twitching of muscles on one side of face, such as near nose, cheeks, lips, etc. This occurs while awake and disappears during sleep.

It can be diagnosed on clinical examination by a neurologist and no tests are generally needed.

If there is a need, the neurologist may ask for brain scan.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (5 minutes later)
Then why my doctor is not getting my prblm. Why he prescribed me nurokind plus tab
doctor
Answered by Dr. Sudhir Kumar (1 minute later)
Brief Answer:
Please discuss with him.

Detailed Answer:
Thank you for getting back.

Please review with him and discuss about the possibility of hemifacial spasm.

If needed, seek second opinion from a different neurologist.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6231 Questions

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What Causes Persistent Mild Headache And Twitching Around Nose?

Brief Answer: Symptoms are suggestive of hemifacial spasm. Detailed Answer: Hi, Thank you for posting your query. I have noted your symptoms. They are suggestive of hemifacial spasm. It would benefit from medications such as trihexiphenidyl (pacitane) tablets. Some people who do not improve with pacitane, require botox injections. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX XXXXXXX Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: XXXXXXX