This is Dr. David
it could be due to nerve inflammation or facial nerve dysfunction.
you could be low in B12 or folate or magnesium which can affect nerve function.
long term alcohol use can cause deficiencies in this
medications like neurontin or lyrica could potentially help. these are medications for neuropathy.
a spiked drink most likely would not cause this.
Will this go away?
this does sound like a trigmenial sensory neuropathy
the the MRI scan needs to be done with IV contrast.
if you have low B12 or folate or low magnesium and these are corrected with supplements, then it could get better.
what can i do about the droopiness of side of face?
medications like neurontin or lyrica could help.
you really should stop drinking heavy alcohol
regular heavy alcohol use will damage nerves and blood vessels in your body and face
and could be part of the cause.
are you willing to seek help to stop alcohol?
is there anyway to make the side of face go back to normal though?
im not an alcoholic, it was just one night of drinking a lot of alcohol
you should try B12 and folate and magnesium supplements
and see if physical therapy or exercise of your face muscles can help.
and ask your doctors for medications like lyrica or neurontin and see if that helps.
will physical therapy make it go back to normal?
taking supplements can help your nerves function better.
and will this nerve inflammation go away?
or is it permananet
nerve inflammation should not be permanent.
in rare cases, patients can have autoimmune conditions where their body's make antibodies which can attack nerves.
you can get blood testing to check for this as well.
ANA, ESR, C reactive protein, anti DS DNA antibodies.
to see if they are elevated.
I think i had those tests done and it came back normal.
also you should get your TSH levels checked.
to check your thyroid hormone levels.
ok thanks. if all the blood tests are normal will this trigmenial sensory neuropathy go away?
yes, there is a chance it could go away.
make sure your prior MRI scan was done with IV contrast.
without contrast, inflammation of the trigeminal nerve and trigeminal neuralgia
can be missed.
let me know if you have other questions.
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Thank you. My doctor said it is very unlikely that my facial symptoms have been caused by alcohol
is this true?
is my website if you have other questions.
but alcohol never helps anything.
so avoid heavy uses in the future.
I will. what medication can i take to make my cheek not look so puffy?
i think the inflammation is making it look a little bigger
ice packs for your eyes and cheeks can help decrease swelling.
Is it likely this will go away? Im very stressed, im dealing with this for 4 months
and what can i do for the facial nerve dysfunction?
you might need some treatment to help bring down your anxiety symptoms.
ok i will try to ice packs, but i work in a place where appearance is very important, isnt there any medication to reduce the inflammation?
you can try allergy medications or antihistamine which is good at decreasing inflammation and swelling.
even from nerve inflammation?
the best thing would be a prescription for prednisone steroids from your doctor
steroids would be good to help decrease inflammation from nerve inflammation.
but steroids have side effects as well.
Ok thanks. So steroids and physcial therapy is the treatment for it to go back to normal? And to also ask my doctor for results of blood test and do mri contrast?
and work on physical therapy and strengthening of your face muscles.
and if your anxiety is bad, talk to your doctor about treatment to decrease your anxiety symptoms.
good luck to you
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Ok thanks, ***** ***** question will the steroids make my cheek look more or less normal?
yes, the steroids will help decrease swelling around the nerve and in your cheeks and all over your body.
this is only because i work in a place where appearance is very important
yes, you have said this.
are your work colleges making comments about your appearance?
If i ask them if the side of my face looks different they say yes, it makes me feel unhappy
you should not feel unhappy.
I think you need to be seeing your GP and also seeing a therapist regularly about this as well
I dont feel my best when i do not look my best
are you willing to talk to a therapist about this?
your GP doctor can refer you to see a therapist.
my gp says that my face looks normal, i dont know if they will precribe the steroids to me. it is not proper swelling but it just doesnt look as defined, cheek just feels squidgy
this could be your anxiety making you extremely worried about how your face looks.
that is why I suggested you talk to your doctor about seeing a therapist.
and also consider treatment for excessive anxiety.
Ok i will do, but i still want to take the prednisone for peace of mind
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one last question before i go with physical therapy will it improve my muscle of lower eyelid, or is surgery the only option for this?
yes, physical therapy will help with the muscle of your lower eyelid.
you are welcome
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