[22F] With partial numbness and tingling in face and tongue

Patient Description

A 22-year-old female reports experiencing partial numbness and tingling in the face, gums, and tongue on the lower left side. The symptoms started a few days ago and have been constant since then. The patient notes that drinking any liquid, especially water, causes a burning sensation. There are no known factors that relieve the numbness and tingling.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Trigeminal Neuralgia: This condition involves the trigeminal nerve, which can cause intense facial pain, numbness, and tingling. It often affects one side of the face and can be triggered by activities like talking or drinking.

    • Treatment typically involves medications to manage pain and nerve function. In some cases, surgical options may be considered.
  • Bell's Palsy: This condition causes sudden weakness or paralysis on one side of the face, which can lead to numbness and tingling. It can also affect the tongue and gums.

    • Treatment often includes corticosteroids to reduce inflammation and antiviral medications if a viral infection is suspected.
  • Oral or Dental Issues: Problems such as infections, abscesses, or nerve damage in the mouth can cause numbness and tingling in the face, gums, and tongue.

    • Treatment would involve addressing the underlying dental issue, which may include antibiotics or dental procedures.
  • Multiple Sclerosis (MS): This is a neurological condition that can cause numbness and tingling in various parts of the body, including the face.

    • Treatment involves managing symptoms and slowing disease progression with medications.

What you can do

While you should consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Avoid Triggers: Since talking and drinking liquids worsen your symptoms, try to minimize these activities until you can see a doctor.
  2. Maintain Oral Hygiene: Ensure you are keeping your mouth clean to avoid any potential infections that could exacerbate your symptoms.
  3. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen may help manage any discomfort.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Sudden onset of severe pain or worsening symptoms
  • Difficulty swallowing or speaking
  • Weakness or paralysis in other parts of your body
  • Vision changes or severe headaches

Remember, while this information can help you understand what might be happening, it is crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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7 mo ago


People Also Ask


What is trigeminal neuralgia and how is it treated?

Trigeminal neuralgia is a condition that affects the trigeminal nerve, causing intense facial pain, numbness, and tingling, often on one side of the face. Treatment typically involves medications to manage pain and nerve function, and in some cases, surgical options may be considered.


Can Bell's Palsy cause numbness and tingling in the face?

Yes, Bell's Palsy can cause sudden weakness or paralysis on one side of the face, leading to numbness and tingling. It can also affect the tongue and gums. Treatment often includes corticosteroids to reduce inflammation and antiviral medications if a viral infection is suspected.


What dental issues could lead to facial numbness and tingling?

Dental issues such as infections, abscesses, or nerve damage in the mouth can cause numbness and tingling in the face, gums, and tongue. Treatment would involve addressing the underlying dental issue, which may include antibiotics or dental procedures.


How does multiple sclerosis cause facial numbness and what are the treatment options?

Multiple sclerosis (MS) is a neurological condition that can cause numbness and tingling in various parts of the body, including the face. Treatment involves managing symptoms and slowing disease progression with medications.


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