Upper lip numbness, swelling, headache, smoking, coffee, BP
Thank You, XXXXXXX XXXXXXX
Your concern regarding the symptoms. Your father is having our understandable. There are a number of things which can cause some numbness of the lip from time to time. The most worrisome which I am sure you are concerned about would be if there is a problem with blood circulation to the brain. If a patient is having issues with blood circulation in the brain. It can cause what we know as a stroke. Sometimes patients may have a small stroke or transient stroke as well.
I can tell you it does not sound like your father is suffering from a type of stroke. This may be some type of hypersensitivity that he is experiencing. I would wonder if he is possibly allergic to something. This could include food or medication. A careful review of his diet will help us eliminate this.
Another thing which can causing numbness around the mouth is electrolyte abnormalities. The electrolyte which comes to mind that most commonly causes this is calcium. I would be interested to know what his most recent blood work has shown along the lines of his electrolytes. A low calcium level can search them because numbness around the mouth.You could try to give him a calcium supplementation which you can purchase over the counter for a week or so and see if this improves his symptoms.
I need to notify you and recommend that if his symptoms of numbness get worse or if he develops any significant weakness of the arms or legs or changes in his speech that you should take him to the emergency department for an evaluation. As I mentioned earlier I really don't think this symptoms that he is having represents a stroke but we need to be sure to be very cautious.
Once again thank you for your query. If you have follow-up questions I am available to answer them.
Thank You, XXXXXXX XXXXXXX
First of all I am very relieved to hear that you were able to take him for an evaluation. An allergy can certainly cause some swelling of the lip and can generally be treated successfully with anti-histamines such as benadryl or with low dose medical steroids such as the prednisolone which was given to him.
I agree with the management which has been recommended by his physician and yes - if the left side of the face was numb, that might indicate something like a nerve problem such as Bells palsy but this is not the case for him.
I would otherwise recommend healthy diet and good hydration as well for the next few days and the allergic phenomenon will slowly fade away with the assistance of the prednisolone.
Again, I thank you for your query and I wish you and your family all the best.
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