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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intermittent Pain In The Left Side Of The Face?

I have had intermittent severe pain on the left side of my face for the past week. I've also had a severe migraine type headache with it on 3 days. I thought it was perhaps my wisdom teeth but the dentist says it isn't. I already take co coda mol and pregabalin for severe pelvic area pain and I have a colostomy. Do you think I need to see my dr?
Wed, 26 Oct 2016
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Dentist 's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

As per your question it seems that you are suffering from neurotic pain like Trigeminal Neuralgia or Tic Doloreux..
Trigeminal neuralgia can occur due to disturbances associated with the fifth cranial nerve that is the Trigeminal nerve..
You need to consult a Neurophysician and get evaluated for the exact cause of the nerve induced pain as there can be some causes like the most common one is a large artery impinging over the nerve causing damage of the Myelin Sheath [ a protective cover over the nerve] leading to severe electric shock like pain..

Other causes are disorders like Multiple sclerosis, tumour compressing the nerve, physical trauma etc..

The common drugs given to relieve neurotic pain are Carbamazipine that is the first line drug while others like Gabapaentin, baclofen, oxycarbazipine etc but in case if the pain does not subside then a detailed evaluation and tests like MRI SCAN can be done to rule out the underlying cause and treatment of the same can relieve..

If there is any artery impinging the nerve Microvascular decompression in which the compression over the artery is surgically removed is done..
Other procedures like Balloon decompression,gama knife radiosurgery, glycerol injection etc can be done to relieve pain..

Hope this information helps..

Thanks and regards.
Dr.Honey Arora.
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What Causes Intermittent Pain In The Left Side Of The Face?

Hi.. Welcome to HEALTHCARE MAGIC.. As per your question it seems that you are suffering from neurotic pain like Trigeminal Neuralgia or Tic Doloreux.. Trigeminal neuralgia can occur due to disturbances associated with the fifth cranial nerve that is the Trigeminal nerve.. You need to consult a Neurophysician and get evaluated for the exact cause of the nerve induced pain as there can be some causes like the most common one is a large artery impinging over the nerve causing damage of the Myelin Sheath [ a protective cover over the nerve] leading to severe electric shock like pain.. Other causes are disorders like Multiple sclerosis, tumour compressing the nerve, physical trauma etc.. The common drugs given to relieve neurotic pain are Carbamazipine that is the first line drug while others like Gabapaentin, baclofen, oxycarbazipine etc but in case if the pain does not subside then a detailed evaluation and tests like MRI SCAN can be done to rule out the underlying cause and treatment of the same can relieve.. If there is any artery impinging the nerve Microvascular decompression in which the compression over the artery is surgically removed is done.. Other procedures like Balloon decompression,gama knife radiosurgery, glycerol injection etc can be done to relieve pain.. Hope this information helps.. Thanks and regards. Dr.Honey Arora.