What causes oral abrasions, dysarthria and dysphagia after taking Lidocaine and Epinephrine injections?
seems unlikely to be related to the lidocaine.
These are local anesthetics that are generally given. Lidocaine is metabolized rapidly--in seconds--so it is HARD to get enough of it to do anything unless you are literally pumping in a lot of it continually directly intravenous. It does not have long term effects.
On the other hand, epinephrine is a stress hormone. It can elevate blood pressure. It constricts vessels. Remember how I said lidocaine gets IMMEDIATELY metabolized ? the way you prevent that is give a vessel constrictor (EPINEPHRINE) and then the vessels are effectively locally blocked from carrying away the lidocaine. The epinephrine is a low dose and would be diluted a lot to get into the general circulation.....but maybe it didn't have to get into the general circulation. Feel the pulse in the neck? that is the artery that goes to the brain. If it is constricted, blood doesn't get to the brain and people have strokes.
Cannot say what happened in your particular condition without examining you. While this certainly makes a consistent story for stroke from epinephrine, I have half the people who are coming into the office claim good stories on pain syndromes and not actually have anything wrong (and are seeking narcotics). Obviously this is not the case here. But, I can give general information on why the drugs are used, what complications can occur, how likely that is, and what symptoms would occur (from a stroke..... dysarthria, dysphagia, apraxia and usually one sided weakness and sensation alterations). Having dyscoordination of the tongue/mouth from a stroke makes people bite themselves and causes abrasions.
well.. can't know everything....
I feel bad about this, what is PPA ?
In answer to the other questions. Epinephrine as a stress hormone in theory could cause elevated heart rate but it just isn't seen. And there are many other reasons for sinus tachycardia. Anything that lowers blood pressure would do it. This includes slight dehydration, allergic reaction (a very mild one), vasodilation which can occur from just the anesthesia alone or any medication including any narcotic. Also, the medicines used to lower secretions elevate heart rate.
A rapid heart rate OR low blood pressure, OR constriction of the vessels in the neck (which are quite close to the shoulder) will lower blood flow to the brain.
The User accepted the expert's answer
Get personalised answers from verified doctor in minutes across 80+ specialties
- Is there any interaction between Morphine and Gabapentin?
- Can the presence of Oxycontin be detected in urine?
- Can Oxycodone be taken for wrist and back pain?
- What causes spitting of black mucus?
- How can Meth be flushed out of the system?
- Would Adderall show up in a urine test?
- What is the differece between Oxycontin and Oxycodone?
- What causes pain after knee replacement surgery?
- How long can i take Xanax for anxiety?
- Are Omega 3 supplements effective in helping muscle recovery after a...