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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Numbness On The Lips Along With Pain In The Head And Face?

Hi there for about 3 months now I have been suffering with numb lip on right side and facial pain / headaches. I have had Mir and this come back normal, neurologist diagnosed as viral infection. At the time that it started I was taking progesterone only pill. The numbness has continued bit gradually was getting better, I also suffer with frequent migraines which I have been taking amitriptyline which has not really prevented migraines as I still have 1/2 per week. Last Thursday I had an implant (implanting) and in the last 3 days gradually again my lip is more numb and tingling and I have started again with facial pain. Is it possible to have too much progesterone which would cause these symptoms?
Mon, 20 Jan 2020
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General Surgeon,  's  Response
Hi,

Numbness of the face could be due to involvement of the Trigeminal (Fifth Cranial Nerve) like Trigeminal neuralgia or Temporal arteritis. Another important point is that neuralgias and migraine do not respond to usual painkilers and requires different group of drugs. This mix of symptoms makes it difficult to pinpoint the cause without detailed history, examination and investigations. It would be better to see a neurologist and an ENT specialist. Blood tests should include a hemogram, ESR, c-reactive protein, liver function tests, homocyteine levels and urine analysis. Detailed investigations such as EEG, 3 Tesla MRI can wait.

Please reply to the above questions as this will help me in suggesting you better. Anticipating your reply.

Regards,
Dr. Iven Romic Rommstein, General Surgeon
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What Causes Numbness On The Lips Along With Pain In The Head And Face?

Hi, Numbness of the face could be due to involvement of the Trigeminal (Fifth Cranial Nerve) like Trigeminal neuralgia or Temporal arteritis. Another important point is that neuralgias and migraine do not respond to usual painkilers and requires different group of drugs. This mix of symptoms makes it difficult to pinpoint the cause without detailed history, examination and investigations. It would be better to see a neurologist and an ENT specialist. Blood tests should include a hemogram, ESR, c-reactive protein, liver function tests, homocyteine levels and urine analysis. Detailed investigations such as EEG, 3 Tesla MRI can wait. Please reply to the above questions as this will help me in suggesting you better. Anticipating your reply. Regards, Dr. Iven Romic Rommstein, General Surgeon