[23M] With lower eyelid twitching and recent head bump

Patient Description

A 23-year-old male has been experiencing twitching in his lower left eyelid for about three days. The twitching started suddenly and occurs for a few seconds at a time, making the eyelid feel a bit swollen. The patient noted that the twitching has decreased over the last few days and has stopped drinking caffeine as he read that excessive caffeine can be a cause. He also mentioned higher stress levels recently and an irregular sleep schedule. Blinking seems to trigger or worsen the twitching. Additionally, the patient recently bumped his head and is concerned about a possible concussion. However, he has not experienced any headaches, vision changes, dizziness, balance issues, nausea, vomiting, confusion, memory problems, or loss of consciousness since the bump. The patient has a history of ADHD, diagnosed in 2010, and is not aware of any allergies or adverse reactions to medications. He is currently taking 400mg of Ibuprofen as needed, mainly to help with the swelling under his left eye. He is not taking any other medications, supplements, or herbal remedies.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Eyelid Twitching (Myokymia): This is a common and usually harmless condition that can be caused by stress, fatigue, caffeine, or eye strain. Given your recent increase in stress and irregular sleep schedule, these could be contributing factors.

    • Treatment: Typically, eyelid twitching resolves on its own. Reducing stress, getting adequate sleep, and avoiding caffeine can help alleviate the symptoms.
  • Minor Head Injury: Since you recently bumped your head, it's good to be cautious. However, you have not reported any concerning symptoms like headaches, vision changes, dizziness, or confusion, which are often associated with more serious head injuries.

    • Treatment: Continue to monitor for any new or worsening symptoms. If you experience any of the concerning symptoms mentioned above, seek medical attention promptly.

What you can do

Here are some steps you can take to help manage your symptoms:

  1. Reduce Stress: Try relaxation techniques such as deep breathing exercises, meditation, or yoga to help manage stress levels.
  2. Improve Sleep Hygiene: Aim for a regular sleep schedule by going to bed and waking up at the same time each day. Create a relaxing bedtime routine to improve the quality of your sleep.
  3. Avoid Caffeine: Since you have already stopped drinking caffeine, continue to avoid it to see if this helps reduce the eyelid twitching.
  4. Eye Care: Take regular breaks if you spend a lot of time in front of screens to reduce eye strain. Ensure you are in a well-lit environment to avoid squinting.
  5. Monitor Symptoms: Keep track of your symptoms using the MDandMe journal. This can help you identify any patterns or triggers and provide useful information to your healthcare provider.

What you should look out for

While your symptoms do not currently appear to be life-threatening, it's important to be vigilant. Seek medical attention if you experience any of the following:

  • Persistent or worsening eyelid twitching that does not improve with lifestyle changes
  • New or worsening symptoms such as headaches, vision changes, dizziness, balance issues, nausea, vomiting, confusion, or memory problems
  • Any other concerning symptoms that develop after your head injury

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. If you have any further questions or concerns, don't hesitate to reach out to a medical provider.

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3 mo ago


People Also Ask


What causes eyelid twitching and how can it be treated?

Eyelid twitching, or myokymia, is often caused by stress, fatigue, caffeine, or eye strain. It is usually harmless and resolves on its own. Treatment involves reducing stress, getting adequate sleep, and avoiding caffeine.


Can stress and lack of sleep contribute to eyelid twitching?

Yes, stress and lack of sleep are common contributors to eyelid twitching. Managing stress through relaxation techniques and maintaining a regular sleep schedule can help reduce symptoms.


What are the signs of a concussion after a head injury?

Signs of a concussion include headaches, vision changes, dizziness, balance issues, nausea, vomiting, confusion, memory problems, or loss of consciousness. If any of these symptoms occur after a head injury, seek medical attention.


Is it safe to take Ibuprofen for eyelid swelling?

Yes, Ibuprofen can be used to help reduce swelling and discomfort. However, it should be taken as directed and not used excessively. If symptoms persist, consult a healthcare provider.

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