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What Causes Tingling Sensation In The Hands, Feet And Lips With Swollen Tongue?

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Posted on Tue, 22 Nov 2016
Question: Tingling and burning sensation in hands, feet and lips. Pounding heart and sometimes feels like swollen tongue and throat. Happens worse at night, laying down. Hard to swallow sometimes
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Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would recommend performing some tests:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I carefully passed through your question and would explain that it is important performing a comprehensive differential diagnosis of different causes that may lead to this symptomatology:

- an electrolyte imbalance
- vitamin B12 or Vitamin D deficiency
- thyroid dysfunction
- an allergic reaction
- an inflammatory disorder.

Coming to this point, I would recommend consulting with your attending physician for a physical exam and some tests:

- a resting ECG
- a chest X ray study and respiratory function tests
- complete blood count
- thyroid hormone levels
- blood electrolytes
- vitamin B12 and Vitamin D plasma levels
- PCR and sedimentation rate for inflammation.

Allergy tests may be needed, especially if all the above tests result normal.

You should discuss with your doctor on the above issues.

Meanwhile, I would recommend you to closely monitor your blood pressure values (usually in sitting position after 10 minutes of total relax) and refer those values to your doctor. Changes in blood pressure could also mimic this clinical scenario.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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What Causes Tingling Sensation In The Hands, Feet And Lips With Swollen Tongue?

Brief Answer: I would recommend performing some tests: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I carefully passed through your question and would explain that it is important performing a comprehensive differential diagnosis of different causes that may lead to this symptomatology: - an electrolyte imbalance - vitamin B12 or Vitamin D deficiency - thyroid dysfunction - an allergic reaction - an inflammatory disorder. Coming to this point, I would recommend consulting with your attending physician for a physical exam and some tests: - a resting ECG - a chest X ray study and respiratory function tests - complete blood count - thyroid hormone levels - blood electrolytes - vitamin B12 and Vitamin D plasma levels - PCR and sedimentation rate for inflammation. Allergy tests may be needed, especially if all the above tests result normal. You should discuss with your doctor on the above issues. Meanwhile, I would recommend you to closely monitor your blood pressure values (usually in sitting position after 10 minutes of total relax) and refer those values to your doctor. Changes in blood pressure could also mimic this clinical scenario. Hope you will find this answer helpful! Kind regards, Dr. Iliri