Uncontrollable Eye Blinking and Mouth Movements: When to Seek Help? - Neurology

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Blinking and mouth twitching?


Hello, Dr.
Yeh: I would like to ask a question on behalf of my boyfriend.
I am concerned because he has been experiencing involuntary blinking and facial twitching (which has been happening frequently for quite some time).
When I asked him about it, he said it was due to discomfort in his nose, which causes the facial movements.
I worry that this has become a bad habit, and it really does not look good.
Therefore, I would like to know if he should see a neurologist or an otolaryngologist (ENT) for this issue.
Thank you for your response.

Fan, 20~29 year old female. Ask Date: 2004/01/01

Dr. Ye Boshou reply Neurology


Based on the description of the symptoms as involuntary movements, the patient should be evaluated and treated in a neurology outpatient clinic.

Reply Date: 2004/01/01

More Info


Uncontrollable eye blinking and mouth movements can be concerning symptoms, and it's understandable that you want to seek help for your boyfriend. These involuntary movements may be indicative of a variety of underlying conditions, and determining the appropriate specialist to consult is crucial for proper diagnosis and treatment.

Firstly, the symptoms you describe could be related to a condition known as "tics." Tics are sudden, repetitive movements or sounds that can be difficult to control. They can be motor tics (like blinking or facial movements) or vocal tics (like throat clearing or grunting). Tics can sometimes be associated with stress, anxiety, or even neurological disorders such as Tourette syndrome. If your boyfriend's symptoms are frequent and persistent, it would be advisable to consult a neurologist, as they specialize in disorders of the nervous system and can provide a thorough evaluation.

On the other hand, if your boyfriend believes that his symptoms are related to nasal discomfort, it might also be worth consulting an ear, nose, and throat (ENT) specialist. Conditions such as allergies, sinusitis, or other nasal issues can sometimes lead to facial discomfort or involuntary movements as a response to irritation. An ENT can assess whether there are any underlying issues with the nasal passages that might be contributing to his symptoms.

In addition to these specialists, it may also be beneficial to consider a psychologist or psychiatrist if the tics are believed to be stress-related or if there is a psychological component involved. Behavioral therapies, such as habit reversal training, can be effective in managing tics and reducing their frequency.

It’s important to note that while some tics may resolve on their own, persistent or worsening symptoms should not be ignored. Early intervention can lead to better outcomes, especially if there is an underlying condition that needs to be addressed.
In summary, I recommend that your boyfriend first consult a neurologist to rule out any neurological conditions. If the neurologist finds no neurological issues, then seeing an ENT specialist may be the next step to address any potential nasal problems. If there is a psychological component, a mental health professional may also be helpful. Encourage your boyfriend to seek medical advice sooner rather than later, as addressing these symptoms early can lead to more effective management and relief.

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