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My 13 yr old daughter is unable to smile on one ...

Sent to Health Experts August 29 2006 at 6:16 AM
   

My 13 yr old daughter is unable to smile on one side of her face and has a problem closing the eye on the same side of her face if you ask her.(she cant wink with that eye) But there is no problem closing both eyes at the same time.
There is no muscle weakness as far as we can tell. We had her squeeze our finger with one hand at a time and we had her sit on a chair and push up against our hand with her legs one at a time. There didn't seem to be any pressure difference in either, with both being strong.
She doesnt have any complaints of any kind of pain, including headaches, toothache, or earache.
She is extremly shy.
Any ideas of what this could be.

 

Optional Information:
Female , Age: 13

Customer (name blocked for privacy)
Status:  Closed   Value: $8
Info Request
August 29 2006 at 6:18 AM (1 minute and 51 seconds later)
         
REPLIED to Info RequestCheck Mark
Hi

How long has she been like this?

Can she raise her eyebrows?

AI
Scottish DOC -- Doctor (MD) -- 97% Positive Feedback on 1126 Health Accepts
MBchB (commended),FRCA, MRCGP(with merit) I qualified in 1990 and work full-time in family medicine.
Reply
August 29 2006 at 6:21 AM (2 minutes and 49 seconds later)
         
Reply to Alexander Irvine's Post: We just noticed it recently. She can raise both eyebrows at the same time.
Customer (name blocked for privacy)
Info Request
August 29 2006 at 6:24 AM (2 minutes and 55 seconds later)
         
REPLIED to Info RequestCheck Mark
Are the symptoms constant or variable.

More obvious when she is streed or anxious?

AI
Scottish DOC -- Doctor (MD) -- 97% Positive Feedback on 1126 Health Accepts
MBchB (commended),FRCA, MRCGP(with merit) I qualified in 1990 and work full-time in family medicine.
Reply
August 29 2006 at 6:26 AM (2 minutes and 50 seconds later)
         
Reply to Alexander Irvine's Post: We have been keeping any eye on her, trying to do so without her notice.

It is not a permanant smile, it seems to be only when she is nervous or excited.

But it is just the right side that pulls back into the smile.
Customer (name blocked for privacy)
Answer
August 29 2006 at 6:33 AM (6 minutes and 33 seconds later)
         
REPLIEDCheck Mark
Hi

I think that you suspect this is a symptom of an emotional problem?

I have to say that from your decription I do concur.

Is she under any undue stress at the present time?
Have you discussed any worries she may have?

AI
Scottish DOC -- Doctor (MD) -- 97% Positive Feedback on 1126 Health Accepts
MBchB (commended),FRCA, MRCGP(with merit) I qualified in 1990 and work full-time in family medicine.
Reply
August 29 2006 at 6:37 AM (4 minutes and 13 seconds later)
         
Reply to Alexander Irvine's Post: We have talked to her and she says there is nothing bothering her. However, her father has a medical condition that worries everyone.

She does have trouble with her reading also and I know this bothers her.

And of course, she is a teenager.
Customer (name blocked for privacy)
Info Request
August 29 2006 at 6:43 AM (6 minutes and 3 seconds later)
         
REPLIED to Info RequestCheck Mark
Hi

What medical condition?

AI
Scottish DOC -- Doctor (MD) -- 97% Positive Feedback on 1126 Health Accepts
MBchB (commended),FRCA, MRCGP(with merit) I qualified in 1990 and work full-time in family medicine.
Reply
August 29 2006 at 6:44 AM (39 seconds later)
         
Reply to Alexander Irvine's Post: he has idiopathic cardiomyopathy with congestive heart failure
Customer (name blocked for privacy)
Info Request
August 29 2006 at 6:45 AM (1 minute and 13 seconds later)
         
REPLIED to Info RequestCheck Mark
Hi

That is clearly a significant condition.

Are you planning to take your daughter to see her own Dr?

AI
Scottish DOC -- Doctor (MD) -- 97% Positive Feedback on 1126 Health Accepts
MBchB (commended),FRCA, MRCGP(with merit) I qualified in 1990 and work full-time in family medicine.
Reply
August 29 2006 at 6:46 AM (1 minute and 10 seconds later)
         
Reply to Alexander Irvine's Post: yes we do plan on it, tomorrow.

She doesnt want to go, she hates the idea.
Customer (name blocked for privacy)
Answer
August 29 2006 at 6:52 AM (5 minutes and 40 seconds later)
         
ACCEPTEDCheck Mark
I can understand that.

You do need your Dr to do a physical exam.
I expect it to be normal.

I suspect she is anxious/stressed/worried - all quite normal but manifesting with these physical symptoms you have observed.

She may require some input from a counsellor ( or similar professional.)

AI

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Scottish DOC -- Doctor (MD) -- 97% Positive Feedback on 1126 Health Accepts
MBchB (commended),FRCA, MRCGP(with merit) I qualified in 1990 and work full-time in family medicine.
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