Suggest treatment for ear paresthesia in a diabetic
Hitselberger Sign needs to be ruled out.
Thank you for your query.
1. The most likely cause for this paresthesia in your case will a be local cause, either diabetic neuropathy or from the pressure of the hearing aid mould.
2. A rare sign known as Hitselberger's Sign needs to be ruled out. This can be due to pressure on the nerves in the brain. (Arnold's Nerve/ Alderman's nerve/ Auricular branch of the Vagus Nerve).
3. The third possibility is a referred sensation due to gastritis or throat reflux/ irritation.
4. Hence you should see an ENT Specialist and a Neurologist to get all these areas checked.
5. Kindly let me know the outcome of these investigations.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
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