Facial Twitching: Causes and When to Seek Medical Help

Lip twitching?

Hello, I have recently been feeling a twitching sensation at the corner of my right mouth, similar to a pulsing feeling.
What could be the cause, and should I seek medical attention?

Miss Yang, 20~29 year old female. Ask Date: 2022/04/29

Dr. Jiang Junyi reply Neurology

Hello Ms.
Yang,
You mentioned that "the right corner of my mouth keeps twitching, like a pulsing sensation.
What could be the cause?" Your symptoms may suggest facial nerve spasms, which typically involve twitching of the same side of the cheek and mouth (hemifacial spasm).
Facial nerve spasms can be triggered by various factors, including fatigue, stress, excessive intake of stimulants such as caffeine, low calcium levels, or direct irritation of the facial nerve (such as vascular compression).

I recommend that you visit a neurology clinic for further evaluation.
However, due to the recent surge in COVID-19 cases, it would be advisable to wait until the situation stabilizes before going to the hospital for examination.
Please ensure to practice self-protection measures, including cleaning and disinfecting, and adhere to new preventive health guidelines before and after your medical visit.
Thank you for your inquiry.
If you have any further questions, feel free to discuss them! Wishing you good health and safety.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Hospital

Reply Date: 2022/04/29

More Info

Facial twitching, particularly around the mouth, can be a concerning symptom for many individuals. The sensation you describe, where the right corner of your mouth feels like it is pulsing or twitching, can be attributed to several potential causes. Understanding these causes and knowing when to seek medical help is crucial for proper diagnosis and treatment.

Common Causes of Facial Twitching
1. Benign Fasciculation Syndrome: This condition involves involuntary muscle contractions that can occur in various parts of the body, including the face. It is generally harmless and often resolves on its own.

2. Stress and Anxiety: High levels of stress or anxiety can lead to muscle tension and spasms, which may manifest as twitching in the facial muscles. This is particularly common in individuals who are experiencing significant life changes or pressures.

3. Fatigue: Lack of sleep or extreme fatigue can lead to muscle twitching. The facial muscles may become more prone to spasms when the body is tired.

4. Caffeine and Stimulants: Excessive consumption of caffeine or other stimulants can lead to increased muscle excitability, resulting in twitching.

5. Nutritional Deficiencies: Deficiencies in certain vitamins and minerals, particularly magnesium, potassium, and calcium, can lead to muscle spasms and twitching.

6. Neurological Conditions: In some cases, facial twitching can be a sign of underlying neurological disorders, such as hemifacial spasm, multiple sclerosis, or even a transient ischemic attack (TIA). These conditions may require immediate medical attention.

7. Medication Side Effects: Certain medications can cause muscle twitching as a side effect. If you have recently started a new medication, this could be a contributing factor.

When to Seek Medical Help
While occasional facial twitching is often benign, there are specific circumstances where you should seek medical attention:
- Persistent Symptoms: If the twitching continues for an extended period (more than a few weeks) without improvement, it is advisable to consult a healthcare professional.

- Accompanied Symptoms: If you experience additional symptoms such as weakness, numbness, difficulty speaking, or changes in vision, you should seek immediate medical evaluation, as these could indicate a more serious condition.

- Impact on Daily Life: If the twitching is affecting your quality of life, causing significant distress, or interfering with your daily activities, it is worth discussing with a healthcare provider.

- Recent Changes: If you have experienced recent changes in your health, such as new medications, increased stress, or significant lifestyle changes, it may be helpful to discuss these factors with a doctor.

Conclusion
Facial twitching, particularly around the mouth, can arise from various benign causes, including stress, fatigue, and nutritional deficiencies. However, it is essential to monitor the symptoms and seek medical advice if they persist or worsen, especially if accompanied by other neurological symptoms. A healthcare professional can provide a thorough evaluation, potentially including neurological examinations or imaging studies, to determine the underlying cause and appropriate treatment options. Taking proactive steps to manage stress, ensuring adequate rest, and maintaining a balanced diet can also help alleviate symptoms.

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