[49F] With sharp headache and facial numbness

What might be happening

Based on the symptoms you've described, here are some possible explanations:

• Migraine with Aura: Given your history of migraines and family history, it's possible that you're experiencing a migraine with aura. Migraines can cause severe headaches, often on one side of the head, and may be accompanied by sensory disturbances such as numbness or tingling in the face. The twitching could be related to muscle tension or nerve irritation.

  • Treatment typically involves medications to relieve pain and prevent future migraines. Over-the-counter pain relievers or prescription medications may be recommended by your doctor.

• Cluster Headache: These are severe headaches that occur in cyclical patterns or clusters. They often cause intense pain around one eye and can be associated with facial symptoms like twitching or numbness.

  • Treatment may include medications to relieve pain and prevent future attacks. Oxygen therapy and other treatments may also be recommended by a healthcare provider.

• Trigeminal Neuralgia: This condition affects the trigeminal nerve, which can cause sharp facial pain and twitching. It is less common but could explain the facial symptoms.

  • Treatment often involves medications to reduce nerve pain, and in some cases, surgical options may be considered.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Rest in a Dark, Quiet Room: This can help alleviate migraine symptoms.
2. Apply a Cold Compress: Placing a cold pack on your forehead or over your eye may provide some relief.
3. Stay Hydrated: Ensure you're drinking enough water, as dehydration can worsen headaches.
4. Track Your Symptoms: Use MDandMe to journal your symptoms, track their frequency and intensity, and share this information with your healthcare provider. This can help identify potential triggers and improve your treatment plan.

What you should look out for

Seek medical attention if you experience any of the following:

• Sudden, severe headache unlike any you've had before
• Changes in vision or speech
• Weakness or numbness on one side of your body
• Persistent or worsening symptoms despite self-care measures

Remember, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.