[26F] With itchy eye and facial numbness

Patient Description

A 26-year-old female reports a sudden onset of a very itchy, burning, and tingling sensation in the left eye, persisting for about 10 hours. The patient has tried eye drops and warm compresses with minimal relief. Additionally, there is constant numbness on the left side of the face, which is concerning. The patient experienced a slight headache and dizziness, which have since improved. There is a belief of an impending cold, but no recent infections, illnesses, or exposure to sick individuals. The patient has no history of allergies or sinus issues and is not on any new medications or supplements. A similar episode of numbness and headache occurred about a year ago. Current medication includes Sertraline 100mg, taken for three years, and Tylenol as needed. No other medications or supplements are being taken.

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Arora's Assessment

What might be happening

Your symptoms could be related to a few different issues:

  1. Allergic Reaction or Irritation: The sudden onset of itchy, burning, and tingling eyes could be due to an allergic reaction or irritation from dust or other environmental factors. This is common and usually not serious.

  2. Sinus Issues or Infection: Given your potential cold, sinus pressure can sometimes cause facial numbness and discomfort. This might explain the numbness on the left side of your face.

  3. Nerve Involvement: The numbness, especially if it has happened before, could be related to nerve irritation or compression. This might require further evaluation if it persists.

Typical treatments might include antihistamines for allergies, decongestants for sinus issues, or further investigation if nerve involvement is suspected.

What you can do

For Itchy Eyes:

  • Continue using over-the-counter antihistamine eye drops.
  • Avoid rubbing your eyes, as this can worsen irritation.
  • Try using a cool compress instead of a warm one to reduce itching.

For Facial Numbness:

  • Monitor the numbness. If it worsens or doesn't improve, consider seeing a healthcare provider.
  • Ensure you stay hydrated and rest, especially if you're developing a cold.

General Tips:

  • Keep a symptom journal using MDandMe to track any changes or patterns.
  • If symptoms persist or worsen, seek medical advice for a thorough evaluation.

What you should look out for

Seek medical attention if you experience:

  • Sudden vision changes or loss.
  • Increased facial weakness or drooping.
  • Severe headache or dizziness that doesn't improve.

Remember, while I can provide guidance, it's important to consult a healthcare professional for a formal diagnosis and treatment.

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2 mo ago

People Also Ask

What could cause sudden itchy, burning, and tingling sensations in the eye?

Sudden itchy, burning, and tingling sensations in the eye can be caused by allergic reactions, irritants like dust, or environmental factors. These are usually not serious but can be uncomfortable.

Can sinus issues cause numbness on one side of the face?

Yes, sinus issues or infections can cause pressure that leads to numbness or discomfort on one side of the face, especially if there is an underlying cold or sinus congestion.

What are the potential causes of facial numbness that should be evaluated?

Facial numbness can be caused by nerve irritation or compression, which might require further evaluation if it persists. Other causes could include infections, migraines, or more serious neurological conditions.

When should I seek medical attention for eye or facial symptoms?

You should seek medical attention if you experience sudden vision changes or loss, increased facial weakness or drooping, or severe headache or dizziness that doesn't improve.

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