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What Causes A Tingling Sensation On The Nose?

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Posted on Thu, 11 Aug 2016
Question: Hello dr. XXXXXXX thank you for answering my question you hit it on the nose it is like a pinch throbbing tingling feeling I've had for months I've had a scan done last April like I said they said there was nothing there, that it was anxiety I still for months know every day I go threw this with my head what should I do is this life theatning I had blood work done on all vitamins and they came back in range so know what, I hate this with my head it's every day it comes no goes please help me
doctor
Answered by Dr. Dariush Saghafi (14 hours later)
Brief Answer:
Not likely to be anything life threatening if CT is negative

Detailed Answer:
Thank you for your return question and kind comments of my identifying your symptoms with some accuracy.

Given the fact that the CT scan is negative then, there are no masses, tumors, aneurysms, etc. that are causing these symptoms. Therefore, I would say the chance of this being life threatening in any way is very very small.

I believe that your best move (as I stated in my other response) is to see a neurologist who can perform a good CRANIAL NERVES examination and determine whether this constant and now seemingly chronic pain which we might refer to as a PARESTHESIA of some sort could be due to a peripheral cranial neuropathy or if something in the brain could still be responsible. For that I would likely want to send you for an MRI with gadolinium contrast. Recall that MRI images are about 10x more sensitive for abnormalities than CT scans.

The neurologist can also review the labs you had done to check that indeed the numbers are satisfactory and the types of testing obtained sufficient for your condition.

The neurologist could then, decide to treat you either with medication or something else such as alternative non-pharmacological treatment options if appropriate. Options I consider in my patients who have chronic paresthetic pains in the face or head which are not due to identifiable organic causes would be things such as acupuncture, biofeedback, Transcutaneous nerve stimulation, THERMAZONE therapy, etc.

Medications that may help to reduce your symptoms could be things such as gabapentin, pregabalin, carbamazepine, baclofen, lamotrigine, nortriptyline, and others. Again, choice of drug and dosing are highly dependent upon what is found during the examination and also seen on any further imaging studies obtained and any further laboratory studies that may be obtained.

Cheers!

If I've satisfactorily addressed your question then, could you do me the kindest of favors by CLOSING THIS QUERY and be sure to include some fine words of feedback and a 5 STAR rating to our transaction if you feel the response has helped you? I would also appreciate a high star rating and comments on the first question that was closed. Again, many thanks for posing your question.

Do not forget to recontact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 20 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 2473 Questions

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What Causes A Tingling Sensation On The Nose?

Brief Answer: Not likely to be anything life threatening if CT is negative Detailed Answer: Thank you for your return question and kind comments of my identifying your symptoms with some accuracy. Given the fact that the CT scan is negative then, there are no masses, tumors, aneurysms, etc. that are causing these symptoms. Therefore, I would say the chance of this being life threatening in any way is very very small. I believe that your best move (as I stated in my other response) is to see a neurologist who can perform a good CRANIAL NERVES examination and determine whether this constant and now seemingly chronic pain which we might refer to as a PARESTHESIA of some sort could be due to a peripheral cranial neuropathy or if something in the brain could still be responsible. For that I would likely want to send you for an MRI with gadolinium contrast. Recall that MRI images are about 10x more sensitive for abnormalities than CT scans. The neurologist can also review the labs you had done to check that indeed the numbers are satisfactory and the types of testing obtained sufficient for your condition. The neurologist could then, decide to treat you either with medication or something else such as alternative non-pharmacological treatment options if appropriate. Options I consider in my patients who have chronic paresthetic pains in the face or head which are not due to identifiable organic causes would be things such as acupuncture, biofeedback, Transcutaneous nerve stimulation, THERMAZONE therapy, etc. Medications that may help to reduce your symptoms could be things such as gabapentin, pregabalin, carbamazepine, baclofen, lamotrigine, nortriptyline, and others. Again, choice of drug and dosing are highly dependent upon what is found during the examination and also seen on any further imaging studies obtained and any further laboratory studies that may be obtained. Cheers! If I've satisfactorily addressed your question then, could you do me the kindest of favors by CLOSING THIS QUERY and be sure to include some fine words of feedback and a 5 STAR rating to our transaction if you feel the response has helped you? I would also appreciate a high star rating and comments on the first question that was closed. Again, many thanks for posing your question. Do not forget to recontact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. This query has utilized a total of 20 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.