(hyper)sensitive nerve endings-paraesthesia

[ronald546]

I suffer from a chronic external nose irritation: idiopathic paresthesia?(my) Doc says it's sensitive nerve endings. They tingle/throb constantly at the tip(nasal dorsal nerve?) The area below my lower lip is similarly affected. No neuralgia, ie pain. Swiping yields but temporary relief. It always creeps back. I've tried a plethora of topicals to no avail: OTCs(all) , returns to East Coast manufacturers, and compounded medicine. I don't want to take an oral, I take 6 currently, for such a small localized area. Furthermore, most of the meds I use are analgesics(arthritis) with no significant relief(to nose) I've had this neuropathy for several years.

Treatment(s):  

               Triamcinolone acetonide-steroidish
               Capsaicin-reg&high potency
               Camphor-up to 4%(ret)
               LMX, lidocaine 4&5%
               Emla,      “        with prilocaine, both 2.5%(ret)
               Neosporin
               Eugenol
               Calamine-pramoxine, HCL
               Aspercreme, trolamine salicylate, methyl too
               Acupuncture
               Hydrocortisone-OTC 1%, hosp 2.5%
               Lanacane, benzocaine- 6&18% max
               Anti Itch X, benzyl alcohol
               MSM
               Zonalon, doxepin hydrochloride(ret)
    
Compounds:

               Gabapentin-Amytriptyline-Ketamine
                                 1:2.5%                    5:6G:2A
                                 2:5                         10: "  : "
                                 5:2
              -Ketoprofen, Guaifenes, Capsaicin, Lydocaine, Amitriptyline, triggerpoint  
              -Benzo-, Lido-, Tetracain
                 20%  -    8     -      4
               St John's Wort oil
               Dibucaine-1%
               Pramoxine-2.5%
               Bupivacaine & Procaine, both 1%

Any ideas on what will work on this blight(so I can "have a good day")?

[Christopher R Newey, DO]

Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.

Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.

I would suggest that you have your physician evaluate you further if not already done. I would suggest that you have an MRI of the brain with and without contrast. The concern would be for a meningioma irritating the nerve supplying the region you describe. If this is the case, the treatment would be removal of the meningioma. If the brain MRI is negative, it would be useful to work with your physician to maximize your medications. If you and your physician are unable to improve your quality of life, you should follow up with an ENT (a specialist in the ear, nose and throat).

Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.

[ronald546]

The last 4 items above are NOT compounds

Ronald