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What causes tingling and numbness on tongue and lips?

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Orthopaedic Surgeon
Practicing since : 1998
Answered : 4917 Questions
For two years now I have been dealing with on and off tingling, numbness - little shock-like sensations in hands, sometimes in my feet. Peripheral neuropathy seems to be a favorite buzz word that is a catch all for nothing that can be diagnosed or done about it. I have had the EMG and it is negative. I have had various chiropractic work done on my legs and feet with laser and massage with some benefit, however it is very minor improvement for a lot of money. I believe there is more to this. My muscles seem to be difficult to stretch and they constantly feel like they need stretching, and I do stretch daily. No mastter how much I stretch it doesn't ever alleviate the feeling that I need to stretch because it doesn't seem to benefit. My sensations are often that feeling as your leg or arm fall asleep. This happens very easily for me. If I hold a phone up to my ear my arm will go to sleep very quickly so I have to move to the other ear or just tolerate a sensation that my hand is going to sleep. I also get sensations at times of cold feet or hands - even cold feet when I am wearing slippers, but when I feel my feet they are not cold even though they feel that way. I have been checked for diabetes, lymes and several blood workups for deficiences. Do you have some ideas?Asked by Me , Thu, 23 XXXXXXX 2014 Doctor's reply to your question above... Brief Answer:Vascular obstruction can lead to numbness and coldDetailed Answer:Hello, I have studied your case. Hormonal imbalance like hypothyroidism leads to similar symptoms of numbness. So checks your thyroid hormone level.Vascular obstruction can lead to numbness and cold feeling. Peripheral colour Doppler will help to diagnose any vascular obstruction.I will advice for MRI spine to see for any nerve compression leading to numbness, you may need screening of whole spine.Till time some medication like methylcobalamine and other neurotropic medication.You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case.Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate the condition. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetablesHope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take careReplied by Dr. XXXXXXX XXXXXXX , Fri, 24 XXXXXXX 2014 I HAVE AN APPT. NEXT WEEK TO CHECK MY THYROID. SINCE RECEIVING THIS INFORMATION ABOVE I HAVE CHANGED MY DIET. SO FAR NO NOTICEABLE CHANGE. MY CONCERN TODAY IS THAT IN ADDITION TO THE SYMTOMS ABOVE I AM HAVING WEIRD SENSATIONS ON MY TONGUE AND LIPS. MY LIPS FEEL TINGLING OR MILDLY NUMB AND MY TONGUE HAS A TINGLING SENSATION TOO - OFF AND ON, MAINLY ON. IT IS NOT PAINFUL BUT VERY ANNOYING. I CAN ONLY ASSUME IT IS ALL RELATED TO MY OTHER CONDITIONS MENTIONED ABOVE. PLEASE LET ME KNOW WHAT I SHOULD DO.
Posted Thu, 27 Feb 2014 in Medicines and Side Effects
Answered by Dr. Vaibhav Gandhi 12 hours later
Brief Answer: Suggest cortical/cranial nerve involvement. Detailed Answer: Hello again, Symptoms of your tongue and lip suggest cortical/cranial nerve involvement. I will advise MRI brain with MRI spine to see for neurological involvement. It can be related to your previous symptoms. Till time start methylcobalamine and other neurotropic medication. Have you checked your blood sugar levels? , are they normal? Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.
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