[40F] Experiencing numbness and extreme cold sensations

Patient Description

A 40-year-old female reports sudden onset of extreme cold sensations in the hands and face, accompanied by a strange taste and numbness in the lips and tongue. The symptoms have persisted for approximately 15-20 minutes. The patient describes the numbness as more pronounced in the lips than the tongue, with an almost metallic taste at the front of the mouth. This numbness and altered taste sensation have occurred without recent food or drink intake. Additionally, the patient reports a feeling of weakness throughout the body, describing a desire to curl up, and notes that the coldness in the hands is painful. The numbness has now spread to the face, intensifying since the onset of symptoms. There has been no recent trauma or injury, and the patient rates the weakness as severe (8/10) but states it primarily stems from the intense cold feeling. The weakness slightly impacts daily activities, making the patient hesitant to perform tasks that require strength. No chest pain or shortness of breath has been reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are several possibilities:

  • Hypothermia: This is a medical emergency that occurs when your body loses heat faster than it can produce heat, causing a dangerously low body temperature. Symptoms can include intense cold, numbness, weakness, and confusion.

    • Treatment typically involves rewarming the body to a normal temperature.
  • Hypoglycemia: This is a condition characterized by an abnormally low level of blood sugar (glucose), your body's main energy source. Symptoms can include feeling weak, cold, and experiencing numbness or tingling.

    • Treatment generally involves consuming a fast-acting source of sugar.
  • Anxiety or Panic Disorder: These conditions can cause physical symptoms like the ones you're experiencing, including numbness or tingling, feeling cold, and feeling weak or detached from reality.

    • Treatment often involves a combination of therapy and medication.
  • Circulation problems: Conditions such as peripheral artery disease or Raynaud's disease can cause cold hands and feet, numbness, and tingling.

    • Treatment typically involves lifestyle changes and sometimes medication.

What you can do

Given the severity and sudden onset of your symptoms, it's important to seek immediate medical attention. Call your local emergency number or have someone drive you to the emergency room.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • Difficulty breathing or shortness of breath
  • Chest pain
  • Confusion or difficulty staying awake
  • Blue lips or face
  • Loss of consciousness

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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9 mo ago

People Also Ask


What are the common symptoms of hypothermia and how is it treated?

Common symptoms of hypothermia include intense cold, shivering, numbness, weakness, confusion, and fatigue. Treatment involves rewarming the body using warm blankets, warm drinks, and in severe cases, medical intervention.


How can hypoglycemia cause numbness and what should be done if it occurs?

Hypoglycemia can cause numbness, tingling, weakness, and cold sensations due to low blood sugar levels affecting nerve function. It is treated by consuming fast-acting carbohydrates like glucose tablets, fruit juice, or candy to quickly raise blood sugar levels.


Can anxiety or panic disorders cause physical symptoms like numbness and cold sensations?

Yes, anxiety or panic disorders can cause physical symptoms such as numbness, tingling, cold sensations, and weakness due to the body's stress response. Treatment often includes therapy, medication, and stress management techniques.


What are circulation problems like Raynaud's disease and how do they affect the body?

Circulation problems like Raynaud's disease cause blood vessels to narrow, leading to reduced blood flow to extremities, resulting in cold hands and feet, numbness, and tingling. Treatment involves lifestyle changes, avoiding cold exposure, and sometimes medication to improve circulation.


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1 Comments


Archie#3960

9 mo ago

Sounds like could be hypoglycemia. Do you have diabetes/have you measured your blood glucose or A1c?

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