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What causes tingling tongue,dizziness and increased heart rate? - Online Doctor Chats

Date : 26-Mar-2014
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User:Hello. One day my lips started tingling. 10 min later the sides if my tongue. 10 minutes later I got a sudden bout of dizziness and my heart started racing. It's been a month and I still have episodes of the tingling sensation on the sides if my tongue and dizzy spells. They started every few days to now daily. I have been to the doctor multiple times. So far they found my thyroid to be 5.07 and I have a vitamin D deficiency. Otherwise, everything is pretty normal. They don't know what's causing these spells. I'm a little nervous,
Doctor:May I know your age and gender?
User:Female. 31
Doctor:Off the symptoms you described what's troubling you the most now
Doctor:Are these intermittent in nature or you have it throughout the day?
User:I get dizzy spells about 2 times a day that last about an hour each. My tongue tingles sometimes
User:My tongue only tingles on the sides towards the back
Doctor:Any history of hearing impairment, ringing sensation of ear, ear ache or discharge?
Doctor:Do you have history of chest pain, breathing difficulty?
User:No. The doctor checked my ears and nothing is wrong. They don't think it is vertigo either. No chest pain or breathing trouble
Doctor:Besides the tongue, does the tingling occur anywhere else?
User:I feel like my symptoms are residual from my attack a month ago.
User:the tingling doesn't happen anywhere else.
Doctor:Have you ever experienced limb weakness before?
Doctor:Do you have history of diabetes, high blood pressure?
User:Just the lips that one time. My hands sometimes but I type all day so I think it's just carpal tunnel
User:Blood pressure is fine. Got it checked today. No diabetes that I know of
Doctor:I am sorry for asking too many questions. Its just that your symptoms are non specific. I am trying to relate them.
User:No problem. I appreciate it
Doctor:Do you take illicit drugs? (Apologies if I offended you)
User:No, I don't
Doctor:Are you stressed out?
User:Well, I have a stressful job but I don't really feel too stressed. I don't feel like I dwell on things or let thing get to me but I'm wondering if I could have anxiety with knowing it? I was having a nice dinner with my friend when the attack happened...I was not stressed during that time. But job and my employees sometimes drive me nuts but I just don't feel panicky
Doctor:Thanks for providing the necessary details.
Doctor:Let me brief you.
Doctor:Your symptoms are spread across multiple body systems. However I do not find specific problems to related them to serious organic medical pathology.
Doctor:In my opinion, I think all these complaints are related to anxiety.
Doctor:However before we arrive at this conclusion, I generally evaluate for metabolic and hematological conditions.
User:Can I have anxiety without really consciously knowing I'm stressing over something? Can it happen subconsciously?
Doctor:I am not sure what tests have been done yet. But you should discuss about the role of low hemoglobin, calcium, magnesium and vitamin deficiencies here.
Doctor:Anxiety is a syndrome of symptoms. One can have varied symptoms and can have very less nervousness.
User:They said I was very low in vitamin D. B12 was fine. That's all I know but I will ask.
User:do you think it could be MS or an aneurysm ?
Doctor:Since most of your tests are normal, I would not be very worried about the complaints.
Doctor:No, it is definitely not related to MS or aneurysm.
Doctor:If vitamin D is significantly low, it may be causing minor peripheral nerve disturbance that can be easily corrected. I will ask about the tests you said. Do you feel I should run an MRI?
Doctor:At this instance, I would not be overtly concerned about your symptoms.
Doctor:I would work on correcting the deficiencies and if symptoms continue to trouble you, I would seek help of psychiatrist.
Doctor:I don't think MRI will help us any more.
User:that's sounds so weird to me. I feel like I am such a calm passive person. Maybe I internalize my stress...
Doctor:I understand that. That's why I wouldn't label the diagnose yet.
Doctor:I would first consider correcting the found deficiency.
User:I agree with what you said. I guess I just get nervous starting small if there really is something big happening
Doctor:Perhaps you can work on those stressors via physical exercise, meditation, yoga and other relaxations techniques.
Doctor:And if things don't improve I would seek help of psychiatrist.'
User:I will try that. I do agree the more I think about it. Thank you.
Doctor:Do not be concerned. It is easy to tackle when symptoms are recent in onset and there are no serious deficits. It's chronic complaints that challenges physicians.
Doctor:Thanks for visiting me.
Doctor:wish you good health
Doctor:Bye for now.
User:Thank you! I hope you have a nice night
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