[41M] Experiencing left eye twitching and rapid heart rate

Patient Description

A 41-year-old male reports experiencing left eye twitching for the past 16 months. The eye twitching episodes last for approximately 15 to 20 minutes and involve specific parts of the eyelid, with rapid movement from left to right. The severity of the twitching is rated as a 4 out of 10. The patient also experiences severe headaches and double vision, but no involuntary eye closure, facial muscle spasms, weakness, or numbness on one side of the body. Additionally, the patient has noted a rapid heart rate, averaging 125 bpm, particularly in the evenings, which started after receiving a COVID vaccine. There is no known pattern to these episodes, and no relief measures have been identified. The patient does not have any known allergies or adverse reactions to medications and reports no pre-existing conditions or chronic illnesses. No medications were reported.

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Arora's Assessment

What might be happening

Based on the information provided, possible explanations include:

  • Benign Essential Blepharospasm: This is a condition where you have uncontrollable blinking or lid twitching. It's not life-threatening and is usually harmless, but it can be bothersome and interfere with quality of life. It's not clear why it happens, but it may be related to miscommunication between your brain and the muscles around your eye.

    • Treatment usually involves Botox injections to help reduce the twitching.
  • Hemifacial Spasm: This is a nervous system disorder in which the muscles on one side of your face twitch involuntarily. It's usually caused by a blood vessel touching a facial nerve.

    • Treatment options include medications, Botox injections, or surgery.
  • Stress or Fatigue: These can cause eye twitching. You might have noticed that the twitching becomes worse or more noticeable when you're under a lot of stress or haven't been getting enough sleep.

    • Treatment involves reducing stress levels and ensuring you get enough sleep.
  • Eye Strain: This can be caused by digital screen use. Staring at a computer screen for too long can cause eye strain, which may lead to twitching.

    • Treatment involves taking regular breaks from screen time.
  • Caffeine: Too much caffeine can cause eye twitching.

    • Treatment involves reducing your caffeine intake.

The rapid heart rate (tachycardia) could be due to a number of causes, including anxiety, dehydration, heart disease, or other medical conditions. It would be best to consult a healthcare professional for an accurate diagnosis.

What you can do

  1. Try to reduce stress and ensure you get enough sleep.
  2. Take regular breaks from screen time.
  3. Reduce your caffeine intake.
  4. Stay hydrated.
  5. Consult a healthcare professional for an accurate diagnosis and treatment.

What you should look out for

  • If the twitching continues for more than a week.
  • If the twitching completely closes your eye.
  • If you have redness, swelling, or discharge from your eye.
  • If your upper eyelid is drooping.

Please remember that while I strive to provide accurate information, I'm not a doctor. You should consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What are common causes of eye twitching?

Common causes of eye twitching include stress, fatigue, eye strain, caffeine intake, and sometimes neurological conditions like benign essential blepharospasm or hemifacial spasm.


Can stress and fatigue lead to eye twitching?

Yes, stress and fatigue are known to contribute to eye twitching. Reducing stress and ensuring adequate sleep can help alleviate symptoms.


How can caffeine intake affect eye twitching?

Excessive caffeine intake can lead to eye twitching as it stimulates the nervous system. Reducing caffeine consumption may help reduce twitching.


What could be the reasons for a rapid heart rate after a COVID vaccine?

A rapid heart rate after a COVID vaccine could be due to anxiety, dehydration, or an immune response. It's important to consult a healthcare professional for a thorough evaluation.


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