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Having numbness in left cheek. Reason? - Online Doctor Chats

Date : 12-Jun-2013
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:Good afternoon
Doctor:How can I help you today?
User:i need your valuble advice to reduce my fear
Doctor:Go ahead
User:past 4days i have Throat pain in my left lside
User:then past two days slowly i feel some improper blood flow like numness left hand side cheeks
User:i went to dental specialist they told nothing to worry inside
User:what i need to do
User:during deep sleep if i am getting wake up i can feel this clearely
User:due to this fear i am loosing my sleep also
Doctor:ok I need to know the details of your symptoms so that I can help you better.
User:i explained already that
Doctor:I will ask a few questions.
User:if iam sitting also i am felling the same in my cheeks
Doctor:I need to know your age and gender.
User:male 39years
Doctor:Since when do yo have the symptoms?
User:past 4days
Doctor:How did the symptoms start?
User:like some time slight inching
User:but no sign in the skin
Doctor:How did the symptoms progress?
User:no abnormalities
User:i explained slowly starts like itching
Doctor:Ok the symptoms started as itching in the skin of neck.
User:no in the cheeks
User:left side
User:sloly in the lip also
Doctor:Then you noticed cheek numbness
Doctor:Then the numbness progressed to left hand.
User:s true
Doctor:There is no skin rash
User:no pain
Doctor:No weakness of facial muscles
User:its like sudden blood flow
User:visually no
Doctor:In the face?
Doctor:Do you have high blood pressure?
User:like normal
User:2month before BP was 140/90
User:due to family issue
User:then i took medicine
User:father in law was admitted in hospital
User:due to improper sleep
User:ihad this bp issue
Doctor:Is your BP controlled now?
Doctor:Are you still in stress for any reason?
User:weekly once i am checking
User:i am not sure
Doctor:Are you taking BP medicines?
User:temprorily stopped due to this kind of issues
User:i assumed side effect
Doctor:which medicine?
User:doctor advised stop for 10days and observe
User:coversyl AM4/5
User:thyroid issue was there during general checkup
User:normal 5
User:but i had 8
Doctor:I think coversyl has a side-effect of paraesthesia
User:not clear
Doctor:It means altered sensations
Doctor:The numbness you are experiencing is due to supplying nerve affected
User:now what i need to do
User:shall i change the doctor
Doctor:It can be due to many causes.
Doctor:It can be high BP
User:shall i change the doctor
Doctor:It can be a side-effect of the medicine
Doctor:It can be a viral
Doctor:Altered serum electrolytes can also cause it.
Doctor:I think you need to get detailed blood tests.
Doctor:Try to see a neurologist in this regard.
User:what kind of test
User:or shall i XXXXXXX any general physian for opnion
Doctor:ok the tests should include fasting blood sugar, serum electrolytes, Thyroid, Vitamin B12 levels, Folate levels
Doctor:I think you should see atleast an XXXXXXX medicine specialist....Neurologist is even better.
Doctor:Most such inflammations subside once a cause has been figured.
User:ok fine
Doctor:You also need monitoring of BP
Doctor:Do you have any question?
User:i will XXXXXXX the neurologist
User:one important question
Doctor:Stress levels can be decreased with exercise, healthy diet and meditation
Doctor:go ahead
User:past 20years before i was attacked by dog ( house dog), immidiately for security reason i took raby pool injection 3days ( medicine name i think correct), after that we shifted the house after 6months the dog was fine
User:so any impact will be there now
Doctor:Since the dog was fine...I do not think it is responsible for your symptoms
User:so any test is advisible means i am ready to do
User:is ther any chances
User:in General
User:i hope u r busy
Doctor:Actually rabies causes acute means that the symptoms will be seen in a few days time
Doctor:If the symptoms do not appear during that will not appear later.
Doctor:I think we need to test more important things for now.
User:tell me
User:tell me
Doctor:I named a few tests already....
Doctor:those tests should be included in your investigations.
User:fasting blood sugar, serum electrolytes, Thyroid, Vitamin B12 levels, Folate levels
Doctor:Also if a nerve is swollen , then you will need a prescription from a doctor to decrease the swelling.
Doctor:The doctor may advise other tests too.
Doctor:It is important that you get these tests done.
User:apart from this i dont want to get fear about this dog bite
User:dont mistake me
Doctor:yes I understand
Doctor:I can tell you one thing
User:s pls
Doctor:In the 10 years of my clinical practice I have not seen even one patient with rabies
Doctor:Seeing rabies after 20 years is impossible.
User:i am so happy
User:thanks vaishalee
Doctor:Do not worry about rabies at this time
User:i will do the test as per ur advice
Doctor:Worry can cause high BP too
Doctor:Yes please
User:how to communicate to u
User:after test
Doctor:You can ask Customer care team to put you across to me.
User:over phone
Doctor:They will put you on call
User:thru helpline no
Doctor:Hope I helped.
User:finally ineed to XXXXXXX neurologist not skin doctor
Doctor:Do you have other question?
User:i will do it today
User:have a nice day
Doctor:You too.
User:live long serve better
User:save more
Doctor:You can always login again to chat with a doctor 24/7
User:sure pa
Doctor:Bye for now
Doctor:Bye for now
Doctor:I need to close the chat window.
User:my mail id YYYY@YYYY
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