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Trigeminal neuralgia , diabetes , and pregnancy

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How serious is this. I am in pain with the Trigeminal neuralgia and only 20 weeks pregnant. I read that the symptoms could also relate to diebetes and low B12, but no one has checked that. I also have a knot on the rt side of my head that appeared shortly after the burning and popped up around the same time that my ear started with the pain as well. Is there anything that I can do to alleviate this and could it be because of the pregnancy?

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replied June 20th, 2008
Neurological Disorders Answer A4301
Diagnosis that has been suggested: trigeminal nuerolgia
Current medical status: burning, stinging irritation-pain on rt side of face. stabbing pain in eye on rt side, ear pain on rt side
Current medical treatment: n/a...i'm pregnant , no help for me

Your symptoms (“burning, stinging irritation-pain on right side of face stabbing pain in right eye and ear pain”) are typical for trigeminal neuralgia. Diabetes can be manifested with nerve pain (due to the diabetic neuropathy) but pains are not so localized like in trigeminal neuralgia. The same stands for Vitamin B12 deficiency that also causes neuropathy.

Pregnancy can worsen the migraine or make it easier. There is no data that pregnancy can somehow act on the trigeminal neuropathy.

That “knot on the head that popped” probably has nothing in common with the migraine, trigeminal neuralgia and pregnancy so you can forget it if disappeared already.

Carbamazepin is usually used for treating trigeminal neuralgia but it can’t be used in your case because you are pregnant.

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