On my 79 y.old at hospital for me put a diagnosis as left-side prosopalgia, as face hurt, and neck, but anti hurt am using Carbamazepine 200 mg/day, but true keeping hurting, please help me.
Facial ache as prosopalgia are the diseases staying, which are hard diagnosing, as on the surface skin face are going lots of qualities nerve ends as from the spine and from the head brain/scull-brain nerves. They are all tied with different organs and systems, which are having in the body side. And on the face lots of organs, answering on the life importance organism functions answers neurologist-doctor Mihailova.
Aches in face having different origin as from stomatologic diseases and Lor organs,till damages nerve system. And a most hard aches is having from trigeminal neuralgia as damage for triple nerve, but a face hurt in teeth diseases, sinusitis, rhinitis or antritis . And aches with traumatic or degenerative changes for vertebra in neck region is Horton s disease as temple arteritis , is autoimmune damaging arteries, temple-jaw syndrome as pathology for temple low jaw joint, in scull base formed, in sinuses or eye socket, tumors are close nerves pressing, and vessel headaches kinds/carotidynia, migraine and other.
Ache is having two kinds , of symmetrical as symmetrically on the both facial sides, and one side, in one place localizing without attaching to the face side. One side facial aches are having neurogenic or vessel origin. As they are all having asymmetric for face , edema, and stuffy nose, sense lost, taste, worsening vision, tearing, groups of muscles shortening involuntary. If to the facial aches adding burning and hot, and you are feeling nausea or vomiting, vessels pulsation, thus are different types for headaches having as cluster, migraine, but if to prosopalgia added skin numbness and facial zones and body, thus are destroys for brain blood circulation as stroke, and here calling a doctor or visit neurologist, if diagnosis too approved. And in facial aches visit dentist, neurologist, and attention, you are possible to visit both doctors and a few profile specialists, which are cure adding. And parallelly checking in different specialists as neurologist, Lor, dentist, neurologist will prescribe visit neurosurgeries, when you are visited MRT , do not delay these visits, ache, and her localization on acuting time will give full picture for displaying a disease.
Base cure is Carbamazepine, 0.1 gr for/day, after daily dose slowly increase with a Dr. Control till 1-2 pills, and in patients, using this remedy for the long time, slowly lowering his effectivity, doctor need to say you and about side effects as lowering memory, sleepiness, dizziness, avoiding prescribing remedy in glaucoma, prostatitis, blood diseases. And every 2-3 months controlling results for a common blood test, biochemic liver function, and electrolytes, or in worsening common condition , common weakness , sleepiness. And other anticonvulsants are prescribing Gabapentin, Pregabalin , and antidepressants, and importance role here playing physio porocedures/carbohydrate cure, elector sleep, laser and magnet therapy.

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