[27F] Experiencing eye twitching, white coated tongue, and oral mucocele

Patient Description

A 27-year-old female presents with eye twitching that has been occurring on and off for a month, each episode lasting a few minutes. The patient also reports a white coated tongue, predominantly at the back, which cannot be scraped off and is not painful. Additionally, the patient mentions the presence of an oral mucocele. There is no history of trauma to the mouth or tongue, no fever, chills, changes in taste, or difficulty swallowing. The patient is experiencing high stress levels but no muscle weakness or visual disturbances. The patient also indicates a recent UTI and a history of Erythema nodosum diagnosed at age 18. There is a known allergy to Amoxicillin, which causes hives. No other chronic illnesses or conditions have been reported.

Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

Oral Thrush: This is a fungal infection in the mouth, often characterized by a white, coated tongue. It's usually harmless but can be uncomfortable and might affect your taste or make your mouth feel sore.
- Treatment typically involves antifungal medications.
Benign Essential Blepharospasm: This is a condition that causes your eyelid to twitch or close involuntarily. It's often associated with increased stress, fatigue, or caffeine intake.
- Treatment might involve stress management techniques, getting more sleep, or reducing caffeine intake.
Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi.
- Treatment typically involves antibiotics to kill the bacteria causing the infection.

Please note that these are potential explanations for your symptoms, but they are not definitive. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

What you can do

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

Maintain good oral hygiene. Brush your teeth at least twice a day and floss regularly. This can help prevent oral thrush.
Try to manage your stress levels. This might help reduce your eye twitching. You could try relaxation techniques like deep breathing, yoga, or meditation.
Drink plenty of water and avoid irritating substances, such as strong mouthwashes, hot spicy foods, alcohol, and tobacco. This can help soothe your mouth if you have oral thrush.
If you suspect you have a UTI, it's important to see a healthcare professional. They can provide a proper diagnosis and prescribe antibiotics if necessary.