### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello, I am a 52yr old female, wt 177, hgt 5 4 , Medical Hx includes HTN,CAD,Hyperlipidemia,MI x3 (no stenting),Raynauds (self dx) and recently Dx with DM in Oct.2010(surgery postponed because of this new dx)..In Dec 2010 I had an Aorto-Bifemoral Bypass, so here s my question..Lately Ive noticed facial numbess when I m laying in bed (strange) no speech changes, no facial distortion, numbness mainly left side of face and nose, sometimes includes the feeling of entire body numbness..When I get up the numbness subsides but still slightly noticed in face..Could this have anything to do with my recent surgery as mentioned above??...Thank you in advance for your time..Any advice, recommendations would be appreciated....

### output:

Hello, Brief answer: No relation to surgery, it is just trigeminal neuralgia. Explanation: My opinion is that in diabetic patient, neurological complications are an important issue that includes peripheral neuropathy in legs and arms, trigeminal nerve inflammation that leads to facial numbness. The major surgery you have done is not related to your conditions suggest my patients the following: Gabapentin tab twice a day and vitamin B12/folic acid supplementation are the best way of management in such a case. Conclusion: I suggest you start Gabapentin with vitamin B complex supplement, check your blood sugar level and have a good control over it. Hope I have answered your query. Let me know if I can assist you further.