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I have fiber neuropathy and muscle spasm with persistent eye twitching. Should I seek medical help?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 28-year-old female. I have small fiber neuropathy (unknown cause), muscle weakness, and frequent muscle spasms. The only test that came back abnormal was the VGKC-AB test. My left eye has been continuously twitching nonstop for the past few days. It does not hurt but is driving me insane. What should I do to subside the symptoms that I deal with it? I want to know if there is anything I should worry about? Should I seek help at this point?

Answered by Dr. Aida Abaz Quka

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I passed carefully through your question and would explain that your symptoms could be related to vitamin D deficiency or vitamin B12 deficiency.

For this reason, I would recommend rechecking these vitamin levels. In the meantime, I would recommend taking Gabapentin or Pregabalin to help improve your situation.

Another treatment option would be Clonazepam, which can reduce muscle twitching and muscle spasm.

I hope this helps.

Patient's Query

Thank you doctor,

I stopped taking Gaba about a year ago because I could not function at work anymore. I fell asleep at my desk several times. I have been off all medications for a significant amount of time now because of the side effects. However, I will look into going in and getting my levels retested to check for Vitamin B12 and D deficiencies. Do you not think eye twitching is anything to worry?

Answered by Dr. Aida Abaz Quka

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

Eye twitching is widespread during anxiety or caffeine intake. So, I would recommend avoiding caffeine. Vitamin D deficiency can also trigger it. Anyway, I do not think that this is anything serious. Regarding the drugs, you should try a low dose of Clonazepam and see if it helps.

I hope this helps.

Medically reviewed by Dr. Vinodhini J.
Published At January 9, 2021
Reviewed At December 22, 2023

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

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