Facial issues
Dr.
Lai, I have been experiencing persistent pain in the left side of my nose, which radiates to the left side of my face, causing numbness.
My eyes and mouth are normal, but the left side of my face feels swollen.
I consulted an ENT specialist, but the doctor said there were no issues with my nose or ears.
The doctor prescribed pain relievers and antibiotics, but the pain returns severely once the medication wears off.
My father has had two strokes affecting one side of his body.
Am I at risk of having a stroke as well? I was hospitalized for a week last month due to hypokalemia.
Could this be related? Please answer my questions, thank you.
Xiao Ai, 20~29 year old female. Ask Date: 2005/02/18
Dr. Lai Lunxiang reply Neurology
Hello! 1.
There seems to be little correlation between stroke and hypokalemia.
2.
Based on your description, I suspect you may have trigeminal neuralgia, but I still recommend that you visit an outpatient clinic for a detailed examination.
Thank you!
Reply Date: 2005/02/18
More Info
Facial pain can be a distressing symptom, and your concerns about it potentially being a warning sign for a stroke are valid, especially given your family history. However, it is essential to differentiate between various causes of facial pain, as they can range from benign to serious conditions.
Firstly, the symptoms you describe—persistent pain in the left side of your nose and facial numbness—could be indicative of several conditions. One possibility is trigeminal neuralgia, a condition characterized by sudden, severe facial pain that can be triggered by touch or movement. This condition arises from irritation or damage to the trigeminal nerve, which is responsible for sensation in the face. However, your symptoms do not perfectly align with classic trigeminal neuralgia, as you also mention swelling and persistent pain that does not respond well to pain medication.
Another consideration is the possibility of a sinus infection or inflammation, which can cause facial pain and swelling, particularly around the nasal area. Since you have already consulted an ENT specialist who found no issues with your nasal passages or ears, this may be less likely, but it is still worth considering if other symptoms arise.
Regarding your concern about stroke, it is important to note that stroke symptoms typically include sudden onset of weakness or numbness on one side of the body, difficulty speaking, confusion, and severe headache. While facial pain can occur in the context of a stroke, it is usually accompanied by other neurological symptoms. Given your father's history of stroke, it is understandable to be vigilant about your own health. However, the specific symptoms you describe do not strongly suggest an imminent stroke.
Your recent hospitalization for low potassium levels could also play a role in your current symptoms. Electrolyte imbalances can lead to various neurological symptoms, including muscle weakness and cramping, which might contribute to your facial discomfort. It would be prudent to ensure that your potassium levels are stable and within the normal range, as this can affect overall nerve function.
In conclusion, while your symptoms warrant further investigation, they do not definitively indicate a stroke. It is crucial to follow up with a neurologist who can perform a thorough examination and possibly recommend imaging studies, such as an MRI, to rule out any serious underlying conditions. Additionally, keeping track of any new symptoms or changes in your current condition will be helpful for your healthcare provider in making an accurate diagnosis.
In the meantime, managing your anxiety about these symptoms is essential. Stress and worry can exacerbate physical symptoms, so consider engaging in relaxation techniques or speaking with a mental health professional if your anxiety becomes overwhelming. Remember, it is always better to seek medical advice and get a professional opinion rather than self-diagnosing, especially with a family history of stroke. Your health and peace of mind are paramount, and addressing these concerns with a qualified healthcare provider will help you find the answers you need.
Similar Q&A
Is It a Stroke? Understanding Arm Numbness and Facial Symptoms
Doctor: My family member has recently experienced a sensation of numbness in their arm. Sometimes, their face also feels this way! It's similar to the numbness you get when you compress your hand for a long time, leading to poor circulation. This has been ongoing for several...
Dr. Huang Yingzhe reply Neurology
It sounds like there are two most likely scenarios: 1) recurrent transient ischemic attacks (commonly known as warning signs of a stroke) 2) focal seizures occurring repeatedly. Please seek medical attention from a neurologist as soon as possible![Read More] Is It a Stroke? Understanding Arm Numbness and Facial Symptoms
Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Hello, doctor. This year I have experienced tingling in my scalp and face, mostly in the upper right side of my scalp and right cheek, with occasional sensations on the left side. I also have experienced tingling and pain in my chest, which led me to see a cardiologist. The docto...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned whether there is a greater possibility of stroke or brain tumor issues. I wonder if you have any problems related to hypertension, diabetes, or hyperlipidemia? Generally, the risk factors for cerebral artery embolism include older age, diabetes, hyperte...[Read More] Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Is Your Neck Discomfort a Sign of Stroke? Understanding the Symptoms
Hello, Dr. Jiang: On October 14th, I felt a pressure in the left side of my neck below the ear, which was uncomfortable. On the morning of October 15th, when I woke up, my vision suddenly went black for about 20 seconds before turning white, and I felt a stinging sensation. Throu...
Dr. Gao Chunde reply Neurology
Neck compression can be a sensation or the presence of a palpable mass. If there is an issue with the neck vessels, the most concerning condition is arterial dissection, such as carotid or vertebral artery dissection, which can occur due to external trauma or severe neck twisting...[Read More] Is Your Neck Discomfort a Sign of Stroke? Understanding the Symptoms
Neck Pain and Facial Numbness: Signs of a Stroke Risk?
About a month and a half ago, I experienced pain in a certain area of my clavicle, which radiates from my right neck and right shoulder. The pain persists with certain movements and sometimes extends to my right side of the head. Last Saturday, I felt a tingling sensation when I ...
Dr. Lai Lunxiang reply Neurology
Hello, I suspect that you might be experiencing an issue with your muscles or ligaments.[Read More] Neck Pain and Facial Numbness: Signs of a Stroke Risk?
Related FAQ
(Neurology)
Face(Neurology)
Headache(Neurology)
Trigeminal Neuralgia(Neurology)
Stroke(Neurology)
Facial Twitching(Neurology)
Neck Pain(Neurology)
Pain In The Back Of The Head(Neurology)
Headache(Dermatology)
Foot Pain(Neurology)