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  5. I have been experiencing ear and facial pain for the past three years, which gets worse during long journeys or while chewing. The pain also becomes severe during extreme cold or hot weather. ENT specialists have ruled out any ear infection. I suspect trigeminal neuralgia. What should I do?

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I have been experiencing ear and facial pain for the past three years, which gets worse during long journeys or while chewing. The pain also becomes severe during extreme cold or hot weather. ENT specialists have ruled out any ear infection. I suspect trigeminal neuralgia. What should I do?

Asked by Male, 30 ยท 2 months ago

Your symptoms may be related to trigeminal neuralgia or another type of facial nerve pain, especially since an ear infection has been ruled out. You should consult a neurologist or pain specialist for a thorough neurological evaluation and an MRI of the brain and cranial nerves to confirm the diagnosis and rule out nerve compression or other structural causes. If trigeminal neuralgia is confirmed, your doctor may recommend anticonvulsant medications (such as carbamazepine or gabapentin), along with lifestyle changes to minimize triggers. Avoid self-diagnosis or self-medication until you receive a proper medical assessment.
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Other Related topics like...

  1. Understanding Trigeminal Neuralgia

    • Trigeminal neuralgia causes severe facial pain, often triggered by chewing or temperature changes.
  2. Diagnostic Steps

    • Confirm diagnosis with a neurological exam and MRI to exclude other causes.
  3. Medical Treatment Options

    • First-line medications include carbamazepine and oxcarbazepine. Alternatives may be considered if needed.
  4. Lifestyle and Symptom Management

    • Avoid triggers like extreme temperatures. Manage pain during travel or meals with protective measures.
  5. When to Consider Specialist Referral

    • Consult a neurologist or pain specialist if symptoms persist despite treatment.
  6. Surgical and Other Interventional Treatments

    • Options like microvascular decompression or nerve blocks may be considered if medications are ineffective.
  7. Follow-up and Monitoring

    • Regular follow-up is crucial to assess treatment effectiveness and adjust therapy.

Answered 2 months ago

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