Eye Twitching, Dizziness, and Treatment Options - Neurology

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Eyelid twitching accompanied by slight dizziness, a feeling of pressure in the back of the head, and a perception that things appear brighter than usual?


I have been experiencing eyelid twitching for a week, accompanied by slight dizziness.
There is a feeling of pressure in the back of my head, and things appear brighter than usual.
I visited a family medicine clinic, where I mentioned that during the period of eyelid twitching, I also had redness and dryness in my eyes.
I later saw an ophthalmologist, and my eyes were deemed normal; it might just be allergies, and after using some eye drops, I felt much better.
I also mentioned that prior to the eyelid twitching, I had been staying up late and spending long hours on the computer, which made me feel drowsy during the day.
The doctor diagnosed me with autonomic nervous system dysfunction and prescribed four medications: 1.
Vitamin B, 2.
SONGORA F.C.
TAB, 3.
Endase, and 4.
DENOSIN TAB.
Could you please explain the effects and side effects of these four medications? Are they effective for my symptoms? I have measured my blood pressure, and it is within the normal range.
Additionally, the doctor suggested that I could undergo blood tests.
Is my condition serious? Is there a way to recover? Currently, on the second day of taking the four medications, I feel more energetic this afternoon, but things still appear bright, and there is still some pressure in the back of my head.
However, I am not feeling faint.
I apologize for the lengthy question.

Xiao K, 20~29 year old female. Ask Date: 2013/07/03

Dr. Gao Chunde reply Neurology


Eyelid twitching, a heavy sensation in the back of the head, and seeing bright lights are common symptoms associated with fatigue from work or excessive eye strain.
Typically, resting and taking a walk outdoors can lead to improvement within one to two weeks.
The first two medications mentioned are commonly used by physicians to alleviate fatigue and improve circulation.
The latter two are more akin to cold medications; it would be helpful to know if you described any cold-related symptoms during your consultation with the physician.
If symptoms persist despite medication and rest, it is advisable to visit a neurologist for further evaluation.
This is important because, although rare, other causes may be involved.
The back of the head corresponds to the occipital lobe, which is responsible for vision, and certain types of migraines and electrical sensations can present with similar symptoms.
The physician will arrange for relevant tests based on the situation to confirm the diagnosis and determine appropriate treatment.

Reply Date: 2013/07/03

More Info


Eye twitching, medically known as myokymia, can be a benign condition often linked to stress, fatigue, or excessive screen time. The symptoms you've described, including dizziness, a sensation of brightness when looking at things, and a feeling of pressure in the back of your head, can be concerning but are often manageable with appropriate treatment and lifestyle adjustments.


Understanding Your Symptoms
1. Eye Twitching: This is usually harmless and can be triggered by factors such as stress, lack of sleep, caffeine intake, or prolonged screen exposure. Given that you mentioned late nights and extended computer use, these could be significant contributors.

2. Dizziness and Pressure in the Head: These symptoms can arise from various causes, including tension headaches, anxiety, or even dehydration. The sensation of brightness could be related to eye strain, especially if you have been using screens for long periods without breaks.

3. Dryness and Redness of the Eyes: These symptoms can indicate eye strain or allergies. If your eye doctor has ruled out serious conditions, it may be a matter of managing your environment (like reducing screen time or using artificial tears).


Treatment Options
Your doctor has prescribed a combination of medications, which may help alleviate your symptoms:
1. Vitamin B: B vitamins, particularly B1, B2, and B12, are essential for nerve health. They can help reduce stress and improve overall energy levels. Generally, they are well-tolerated, but high doses can sometimes lead to mild side effects like nausea or diarrhea.

2. SONGORA F.C. TAB: This is likely a formulation that may contain ingredients aimed at reducing anxiety or improving mood. The specific effects and side effects depend on the active ingredients, so it's essential to consult your doctor or pharmacist for detailed information.

3. Endase: This medication is often used to improve circulation and may help with symptoms related to tension or stress. Side effects can include gastrointestinal upset or dizziness, but it is generally well-tolerated.

4. DENOSIN TAB: This medication may be used for its calming effects and to support energy metabolism. Side effects can vary, but they often include mild gastrointestinal issues or dizziness.


Monitoring Your Condition
Given that your blood pressure is normal, this is a positive sign. However, the persistence of your symptoms warrants close monitoring. If you continue to experience dizziness or if your symptoms worsen, it would be wise to follow up with your healthcare provider. They may recommend further tests, such as blood tests, to rule out other underlying conditions.


Lifestyle Adjustments
In addition to medication, consider the following lifestyle changes:
- Reduce Screen Time: Take regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds.

- Improve Sleep Hygiene: Aim for 7-9 hours of quality sleep each night. Establish a calming bedtime routine.

- Stay Hydrated: Dehydration can exacerbate dizziness and headaches.

- Manage Stress: Incorporate stress-reducing activities such as yoga, meditation, or light exercise into your daily routine.


Conclusion
Your symptoms, while uncomfortable, are often manageable with a combination of medication, lifestyle changes, and possibly further medical evaluation if needed. It's essential to maintain open communication with your healthcare provider about your symptoms and any changes you experience. With the right approach, many individuals find significant relief from their symptoms and can return to their normal activities. If your symptoms persist or worsen, do not hesitate to seek further medical advice.

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