Anxiety and tension can cause bilateral facial discomfort near the mouth, presenting as tingling, numbness, tightness, and occasional twitching?
Recently, due to some issues at home, I often feel easily tense.
When I am tense, I experience symptoms such as rapid heartbeat, chest tightness, increased body temperature, slight dizziness, and tingling or numbness in my cheeks.
Occasionally, I also experience muscle twitching.
I have noticed that these symptoms disappear during exercise or while chewing gum, but they return shortly after stopping.
The symptoms seem to progress from tightness and numbness to tingling, and they worsen during periods of tension or anxiety.
I would like to know if this could be related to facial nerve issues or if there might be other causes.
Xiao Qiu, 10~19 year old female. Ask Date: 2021/08/13
Dr. Jiang Junyi reply Neurology
Dear Mr.
Chiu,
The symptoms you mentioned may be related to hyperventilation, which can lead to decreased carbon dioxide levels in the blood, resulting in an increased pH and systemic reactions and symptoms.
Common manifestations include vasoconstriction and decreased calcium levels in the blood.
The reduced blood flow to the brain due to vasoconstriction can cause dizziness, numbness (especially around the lips and upper limbs), and weakness.
Low carbon dioxide levels in the blood often make patients feel short of breath, and excessive breathing can lead to chest pain.
Mouth breathing can cause dry mouth, and sometimes air may enter the gastrointestinal tract, leading to symptoms such as bloating and belching.
If your symptoms persist or worsen, I recommend visiting a neurology clinic for further evaluation.
Please ensure to practice self-protection, maintain cleanliness and disinfection, and adhere to new pandemic prevention measures before and after your medical visit.
Thank you for your inquiry, and feel free to discuss any related questions further!
Wishing you good health and peace,
Dr.
Jiang Junyi
Department of Neurology, Taoyuan Hospital
Reply Date: 2021/08/13
More Info
Facial pain and tension can often be linked to anxiety and stress, which can manifest in various physical symptoms. Your description of experiencing increased heart rate, chest tightness, elevated body temperature, dizziness, and facial sensations such as tingling and tightness suggests that your body is responding to stress in a significant way. This is not uncommon, as anxiety can lead to a range of physical symptoms due to the body's fight-or-flight response.
When we experience anxiety, our body releases stress hormones like adrenaline and cortisol. These hormones prepare the body for a perceived threat, leading to physiological changes such as increased heart rate, muscle tension, and altered breathing patterns. This can result in sensations of tightness or pain in various parts of the body, including the face. The facial pain you describe, particularly the tingling and tightness, could be a result of muscle tension in the facial area, which is often exacerbated by stress.
The fact that your symptoms seem to alleviate during physical activity or while chewing gum indicates that movement and certain activities can help reduce muscle tension and promote relaxation. Exercise is known to release endorphins, which are natural pain relievers and mood enhancers. This could explain why you feel better during these activities. On the other hand, when you stop these activities, the tension may return, particularly if you are still experiencing anxiety.
It's also worth noting that hyperventilation, which can occur during periods of anxiety, can lead to a decrease in carbon dioxide levels in the blood. This can cause symptoms such as dizziness, tingling, and muscle spasms, which may contribute to the sensations you are experiencing in your face.
While it is possible that there could be an underlying neurological issue, such as a nerve compression or irritation, the symptoms you describe are more commonly associated with anxiety and stress. However, it is essential to rule out any potential medical conditions. Consulting with a healthcare professional, particularly a neurologist or a psychiatrist, would be a prudent step. They can conduct a thorough evaluation, including a physical examination and possibly imaging studies, to ensure that there are no underlying neurological issues contributing to your symptoms.
In the meantime, there are several strategies you can employ to help manage your anxiety and its physical manifestations:
1. Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, and progressive muscle relaxation can help reduce anxiety and alleviate physical tension.
2. Regular Exercise: Engaging in regular physical activity can help reduce stress levels and improve overall well-being.
3. Adequate Sleep: Ensuring you get enough restful sleep is crucial for managing anxiety and physical health.
4. Healthy Diet: A balanced diet can support overall health and help stabilize mood.
5. Professional Support: Consider seeking therapy or counseling to address the underlying anxiety. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety disorders.
6. Avoiding Stimulants: Reducing caffeine and other stimulants can help decrease anxiety symptoms.
In conclusion, while your symptoms may feel concerning, they are likely related to anxiety and stress rather than a specific nerve issue. However, it is essential to consult with a healthcare professional to rule out any other potential causes and to develop a comprehensive treatment plan tailored to your needs.
Similar Q&A
Understanding Your Symptoms: Navigating Anxiety and Health Concerns
Hello Doctor, five days ago I experienced pain when pressing on the bone above my right eyebrow, which occasionally persists. Recently, the pain has lessened when I press on it, but there is still a continuous ache that has become more pronounced over the last three days, especia...
Dr. Liang Sunyuan reply Psychiatry
Hello, thank you for your hard work. Since the examination has already been scheduled, I recommend being patient and waiting. The body actually has a certain capacity for self-repair, and in a relaxed environment, many physical symptoms can gradually improve. It is advisable to s...[Read More] Understanding Your Symptoms: Navigating Anxiety and Health Concerns
Overcoming Sleep Issues Linked to Anxiety and Jaw Tension
Hello, doctor. About 20 years ago, before I graduated from graduate school, I experienced extreme panic due to concerns about completing my thesis. To muster the courage to finish it, I took deep breaths to overcome my fear. However, due to excessive inhalation, I developed an ab...
Dr. Wu Enliang reply Psychiatry
Have you visited a large hospital for dental care? Gum tightness is often caused by periodontal disease or malocclusion. Are your teeth indeed fine? If there are no issues, you might consider discussing with your prescribing physician about arranging biofeedback training or addin...[Read More] Overcoming Sleep Issues Linked to Anxiety and Jaw Tension
Facial Numbness: Is It a Neurological Issue or Stress-Related?
Hello, I have been experiencing facial numbness for almost six months, sometimes on the right side and sometimes on the left. The symptoms occur when I feel startled or anxious. I have seen a neurologist twice and also went to a large hospital for examinations, but the results sh...
Dr. Gao Chunde reply Neurology
Sometimes, excessive nervousness or high levels of stress can lead to abnormal sensory sensations. It can be helpful to practice relaxation techniques and redirect your attention. Engaging in outdoor activities and spending time in nature regularly can also improve the situation.[Read More] Facial Numbness: Is It a Neurological Issue or Stress-Related?
Overcoming Fear: Seeking Help for Anxiety and Mental Health Issues
I often feel a sense of fear when looking at others, which leads to exaggerated emotional outbursts and facial spasms. I tend to zone out for a long time in the morning and sometimes experience excessive fatigue, often yawning. This has negatively impacted my work performance and...
Dr. Cai Yunlin reply Psychiatry
Hello, Xiao Liang. Your current physical and mental discomfort is clearly causing difficulties in your work and interpersonal relationships. Stress-related issues or certain emotional disorders may present with similar symptoms. However, since your discomfort has significantly in...[Read More] Overcoming Fear: Seeking Help for Anxiety and Mental Health Issues
Related FAQ
(Neurology)
Facial And Hand Numbness(Neurology)
Trigeminal Neuralgia(Neurology)
Facial Twitching(Neurology)
Muscle Pain(Neurology)
Nerve Compression(Neurology)
Psychoneurosis(Neurology)
Headache(Neurology)
Foot Pain(Neurology)
Arm Soreness(Neurology)