Possible fasciculations in a 28 years old woman

Dear Ask The Doctor: Question: What kind of treatments can I do to eliminate the nerves twitching in my face? Background: I'm 28, Female with no major health issues. I noticed particularly on my right side of my face, the nerve that runs down from my eye brow down to the right side of my nose then down to my mouth twitches when I'm either dehydrated, stressed, or often times relaxing. It also happens when I get really excited or laughing. My right side doesn't do it so much. I'm in sales, so especially when I'm nervous, these nerves start twitching rapidly. I also noticed that when I tap the area outside where my nose is, my MOUTH goes numb. Or somedays, if I tap anywhere along my face, that spot is connected to a nerve and it can make it flicker. Either on my eye lid, or by my eye brow. All of these nerves are extremely sensitive. I never had this happen until a couple years ago when I got off of all medication (birth control, anti depressant, and adderall. My doctor gave me propopanol to take in case I have huge presentations, but I don't like to take it.

Dear Cierra: Sometimes involuntary muscular contractions, called fasciculations may occur as a result of Hypokalemia (low potassium), peripheral nerves or muscular problems, or simply occur in a spontaneous way with no identifiable cause, like the cramps. These fasciculations usually cause a temporary nuisance and typically resolve on their own without treatment. When muscle fasciculations continually recur, it is time to seek an evaluation by a physician. The primary treatment of muscle fasciculations involves methods to relax the affected muscle; this typically involves stretching, massage, and heat application.Most likely you may have a possible mild facial nerve problem that is producing the fasciculations of your face, but depending on if you have or not factors as high blood pressure, diabetes, heart disease, smoking your doctor might have to rule out some other more serious causes for the symptoms that you have described. So I strongly recommend you to make an appointment with your PCP or a neurologist for an evaluation.