Neurology

Ask a Neurologist. Get Answers to Your Neurology Questions.

Ask a Doctor,
Get an Answer ASAP!

Neurology

This is related to my last question(Please see below). The

Customer Question
This is related to my...
This is related to my last question(Please see below) . The fact that i am twitching throughout my body ( after stopping baclofen) , can this be a symptom of ALS . In ALS also twitching and fasisculations are a symptom . I do not feel any weakness in my
body or muscles . the current symptoms i have are : My lips feel heavy . Sometimes i have a burning , tingling sensation in them . 2. My nostrils are sometimes painful while taking breath . 3. I have twitching and fasisculations throughout my body sometimes
thumping one's including my face ( over my nose too) ----------- Dear Doctor , Here's my long case history : 1. In April 2015 , i had a dental work for Deep Teeth cleaning (Root Scaling and Planning i believe ) . For the dental cleaning , the dentist thorougly
anesthesized me and as a consequence I felt no pain during the cleaning . 2. A few days post cleaning , i started having jaw pains and also heard clicking noises while opening jaw . could not chew food without pain especially hard foods . My PCP said that
it was probably TMJ and asked me to visit TMJ specialist . 3. The TMJ Specialist ordered for an MRI-TMJ which i took . Based on the MRI . the specialist said that i don't TMJ disorder . She said that had fluid in my facial muscles as a consequence of the dental
procedure(strain) and diagnosed tendonits . 4. I visited another specialist in Cleveland-clinic who took an facial XRAY . Said it was not TMJ and said that it was probably related to nerves . He asked me to visit ENT Doctor and then a neurologist. By this
time , the jaw pain has resolved . However i have twitching of eyelids , tingling and sometimes burning pain in lower and upper lips , inside of cheeks , teeth and gums 5. The ENT Doctor said everything was fine . 6. Over the net i read eyelid twitching can
be resolved by anti histamine eye drops . I apply them and eyelid twitching disappeared though sometimes i do get them sporadically . 7. First Neurologist saw me barely for 5 minutes . Asked me questions like whether i could swallow . He then said that i need
to visit a movement specialist because i could have dystonia . He also ordered for metabolic panel blood work and Brain -MRI . 8. The metabolic panel blood work was normal except Homocysteine ( 21.2) . Creatinine is 0.98 and Albumin is 4.9 (Normal) The neurologist
prescribed Vitamin B12 ( 1000mcg) 9. I visited another Neurologist who ordered Brain MRI as well as Cervical-Spine MRI . Brain MRI was completely normal Cervical Spine MRI showed 1 or 2 disk protrusions . He recommends Back surgery , but does not offer any
suggestion for facial pain . 10 . I visit another neurologist and ask him if i could have Serious diseases like Mysthenia Gravis or ALS given that my Homocysteine level . He said that he does not think so . He checks for whether my tongue is fasisculating
. Observes that the worms like fasisculation involving the whole tongue is not there even though there is transient fasisculation which comes and goes . Babinski test is negative . I can easily perform I also tell him about another symptom involving my right
cheek . when i attempt a half smile from my right side of my mouth , the facial muscles twitch a lot . However with full smile , they do not . We do not observer this in my left cheek (when i attempt a half smile from that side) . He thinks that the symptoms
i am having may be due to injury sustained to the facial nerves when the dentist injected anaesthesia . He has prescribed a light dose of baclofen ( 5mg/day) . I was taking this for about 10 days and then i discontinued them . I am concerned that i may be
having early symptoms of bulbar als based on the following : 1. My lips feel heavy . Sometimes i have a burning , tingling sensation in them . 2. My nostrils are sometimes painful while taking breath . 3. I have twitching and fasisculations throughout my body
sometimes thumping one's including my face ( over my nose too) Can these be early symptoms of ALS . Please let me know
Submitted: 2 years ago.Category: Neurology
Show More
Show Less
Ask Your Own Neurology Question
Answered in 3 minutes by:
9/28/2015
Neurologist: Dr. Frank, Board Certified Physician replied 2 years ago
Dr. Frank
Dr. Frank, Board Certified Physician
Category: Neurology
Satisfied Customers: 9,000
Experience: Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
Verified

Hi. I tried to answer your question earlier. If you want another opinion that is fine and i will step aside. Dr frank

Ask Your Own Neurology Question
Customer reply replied 2 years ago
I am sorry Doctor .. I was trying to get an ancillary question answered by you . One of the things i want to know is what could be causing the twitching through out my body post stopping baclofen . If baclofen withdrawal is not the cause as you stated , can als be causing this ...Also what's the treatment for burning pain in my lips which is my dominant and most uncomfortable symptom now . Does ALS cause tingling or burning pain in the face ...
Neurologist: Dr. Frank, Board Certified Physician replied 2 years ago

ALS causes neither burning sensations in the peri oral area of your face nor tingling in the extremities. Therye is one condition called hyperventilation syndrome where hypocarbia from hyperventilating causes a respiratory alkalosis which excites sensory nerves. That is seen in stressful situations and the treatment and diagnostic test is the same which is to rebreath the exhaled co2 by using a paper bag to breath into. Another possibility is burning mouth syndrome which comes again from dental procedures and your dentist should be advised. There.are newer treatments for burning mouth. I hope that answers your question. Please get back to me or rate me if satisfied dr Frank

Ask Your Own Neurology Question
Neurologist: Dr. Frank, Board Certified Physician replied 2 years ago

I hope I was able to answer your questions. Please remember to rate my service as that is how I am compensated for my work. Click on the stars. Thanks Dr Frank

Ask Your Own Neurology Question
Ask Dr. Frank Your Own Question
Dr. Frank
Dr. Frank
Dr. Frank, Board Certified Physician
Category: Neurology
Satisfied Customers: 9,000
9,000 Satisfied Customers
Experience: Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.

Dr. Frank is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Mark

Dr. Mark

Neurologist (MD)

1,985 satisfied customers

Neurosurgeon - Brain, spine, and peripheral nerve surgery

Jack Scariano Jr

Jack Scariano Jr

Neurologist (MD)

1,056 satisfied customers

Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine

Dr. Bob

Dr. Bob

Neurologist (MD)

3,731 satisfied customers

Neurology & Int Medicine (US Trained): 20 yrs experience

healthydoc

healthydoc

Board Certified Physician

1,851 satisfied customers

Board Certified U.S. Neurologist

Dr. F

Dr. F

Board Certified MD

266 satisfied customers

Neurosurgeon with more than 20 years experience in practice and teaching.

Phytube.com

Phytube.com

Neurologist (MD)

86 satisfied customers

Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications

Stroke Doc

Stroke Doc

Board Certified Physician

51 satisfied customers

I am board-certified in Neurology and the subspecialty Vascular Neurology.

< Previous | Next >

Related Neurology Questions
I have been having a lot of upper arm and legs muscle
I have been having a lot of upper arm and legs muscle weakness, extreme fatigue and body fever. I just recently found out my Ana results came back 1:1280, what could this mean? … read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
Had brain MRI two weeks ago due to balance, head pressure,
Had brain MRI two weeks ago due to balance, head pressure, history of same previously diagnosed as anxiety. Recent shingles seems to have triggered some side effects from lisinopril previously well to… read more
Dr. Bob
Dr. Bob
Neurologist (MD)
Doctoral Degree
3,731 satisfied customers
Soar throat for 3 weeks now. No cough or fever. Very dry in
Soar throat for 3 weeks now. No cough or fever. Very dry in the morning hurts to swallow. Started of as a bad cough with lots of phlegm.… read more
Dr.M.D.Mazumdar
Dr.M.D.Mazumdar
Consultant Gynecologist
MBBS. MD (Obstetrics and Gynecology
3,688 satisfied customers
I have had daily headaches for the past three years.
I have had daily headaches for the past three years. Mitigation of the pain has been unsuccessful regardless of medication used (including opoids). Aches have been accompanied by severe weight loss (1… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I have been experiencing an odd taste in my mouth which is
I have been experiencing an odd taste in my mouth which is immediately followed a tingling sensation/numbness that starts below my navel and proceeds up to the level of my upper chest. Occasionally, I… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,901 satisfied customers
I have a question about sudden short term memory loss I'm
Hi, I have a question about sudden short term memory loss I'm experiencing … read more
Dr. Mo
Dr. Mo
Board Certified Physician
MD
1,777 satisfied customers
Concern regarding complex insomnia;inability to induce sleep
concern regarding complex insomnia;inability to induce sleep even with medicaton and anxiety disorder. recent weight loss,blood work and physical normal … read more
Dr. Vikas
Dr. Vikas
Associate Professor
M.D (Psychiatry)
33 satisfied customers
I am experiencing pain in my right buttock & numbness in my
I am experiencing pain in my right buttock & numbness in my right foot. I am doing daily stretching exercises that do take away the pain & numbness for a short period of time. However, it always comes… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
Out of the blue the muscle in between bicep/tricep started
Out of the blue the muscle in between bicep/tricep started hurting and would feel a deep pulling when I would raise arm. Progressively got worse and swelling now lumpy as thought there is something un… read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,722 satisfied customers
After I wake up from sleeping I get this pain as I walk
After I wake up from sleeping I get this pain as I walk around in my head … read more
Dr. Bob
Dr. Bob
Neurologist (MD)
Doctoral Degree
3,731 satisfied customers
Thank you for taking my message. I have episodes of
Good evening. Thank you for taking my message. I have episodes of confusion and difficulty with my ability to find words and stuttering. Last week, it was bad enough that I went to the ER. CAT scan, E… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I had a pre-eclamptic pregnancy 6 months ago that has left
I had a pre-eclamptic pregnancy 6 months ago that has left me with symptoms I have never experienced before and severe anxiety. I am 27 years old, female and severely anemic, I have GERD and IBS as we… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,277 satisfied customers
I have a concern about muscle twitching, and I am not sure
I have a concern about muscle twitching, and I am not sure about what to do or how concerned I should be. I will say that I have high anxiety when I have new symptoms, and I am sure that that is not h… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
After 2 dental procedures last week, I had the following
After 2 dental procedures last week, I had the following reactions … read more
Dr. Mo
Dr. Mo
Board Certified Physician
MD
1,777 satisfied customers
At night I get this nerve pain on the front of my right
At night I get this nerve pain on the front of my right thigh. which prevents me from sleeping. It is very sensitive to any light touch. What can I do to ease the pain? I tried Advil, but I hate to ta… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,277 satisfied customers
I've had medical things going on that I just can't seem to
I've had medical things going on that I just can't seem to pinpoint a problem. This all started probably around February or March of 2017. I would wake up with stiff feeling and aching around my knees… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,901 satisfied customers
For the past month I have had tingling/numbness that comes
For the past month I have had facial tingling/numbness that comes and goes. It is mostly on my left cheek but can spread around the face. One evening it was particularly bad near by left eye. I have n… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,901 satisfied customers
Does cannibis oil be used by an epilepsy patient taking
Does cannibis oil be used by an epilepsy patient taking Dilantin and Zonegran? … read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
534 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x