Tongue Numbness and Facial Redness After Exercise - Internal Medicine

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Numbness of the tongue accompanied by facial flushing?


Hello, Doctor.
A few days ago, after dinner, I rested for about an hour and then did aerobic exercise at home for about 20 minutes.
I started to feel numbness in my tongue and my face became flushed and swollen.
I was unsure of the cause, so I immediately stopped and sat on the sofa to rest for about an hour.
The redness and swelling subsided slightly, but my tongue remained numb, making it difficult to speak.
After drinking some warm water, I felt a bit better.
It wasn't until the next morning that I returned to normal.
I am unsure of the cause.
I usually have a regular routine, do not smoke or drink alcohol, and have been consistently doing aerobic exercise for over six months.
This sudden occurrence has never happened before.
Could you please advise me on the possible cause? Thank you.

Lin Sang, 60~69 year old female. Ask Date: 2021/12/18

Dr. He Yonghe reply Internal Medicine


Hello, it is advisable to wait 3-4 hours after eating before exercising.
Exercising before meals is also acceptable, and make sure to drink plenty of water.
Since you are 63 years old, you should have an annual health check-up to monitor for any potential issues.

Reply Date: 2021/12/18

More Info


Tongue numbness and facial redness after exercise can be concerning symptoms, and it's important to understand the potential causes and implications. Based on your description, it seems that you experienced these symptoms following a period of aerobic exercise, which is unusual for you since you have been consistently active for over six months without any prior incidents.


Possible Causes
1. Hyperventilation: During intense physical activity, some individuals may hyperventilate, which can lead to a decrease in carbon dioxide levels in the blood. This can cause symptoms such as tingling or numbness in the extremities, including the tongue, as well as facial flushing or redness. Hyperventilation can also lead to feelings of lightheadedness or difficulty speaking, which aligns with your experience.

2. Dehydration: If you were not adequately hydrated before or during your workout, dehydration could contribute to feelings of dizziness and facial flushing. Dehydration can also affect muscle function and lead to cramping or spasms, which might explain the numbness.

3. Allergic Reaction: Although less common, it’s possible that you could have had a mild allergic reaction to something you consumed during dinner, which could manifest as facial swelling or redness. This could also explain the numbness if it affected your oral cavity.

4. Vasodilation: Exercise increases blood flow to the muscles, which can cause blood vessels to dilate. This vasodilation can lead to facial redness and a feeling of warmth, especially if you were exercising in a warm environment.

5. Nerve Compression: Certain positions during exercise may compress nerves, leading to temporary numbness or tingling sensations. If you were in a position that put pressure on your neck or jaw, this could potentially lead to the symptoms you experienced.


Recommendations
1. Monitor Symptoms: Keep track of any future occurrences of these symptoms. If they happen again, note the circumstances, including what you ate, how long you exercised, and any other relevant factors.

2. Hydration: Ensure you are well-hydrated before, during, and after exercise. Dehydration can exacerbate many symptoms, including those related to exercise.

3. Breathing Techniques: Practice controlled breathing during exercise to avoid hyperventilation. Inhale deeply through your nose and exhale slowly through your mouth, especially during intense activities.

4. Consult a Healthcare Professional: Given that this was a new experience for you, it would be wise to consult with a healthcare provider, especially if the symptoms recur. They may recommend tests to rule out any underlying conditions, such as cardiovascular issues or neurological concerns.

5. Gradual Warm-Up and Cool Down: Ensure you are properly warming up before exercise and cooling down afterward. This can help your body adjust to the physical demands and reduce the risk of sudden symptoms.

6. Avoid Intense Exercise After Meals: If you notice that your symptoms tend to occur after eating, consider waiting longer after meals before engaging in vigorous exercise.


Conclusion
While the symptoms you experienced could be benign and related to exercise-induced changes in your body, it is essential to remain vigilant. If you continue to experience tongue numbness, facial redness, or any other unusual symptoms, seek medical advice to ensure there are no underlying health issues. Regular check-ups and open communication with your healthcare provider can help you maintain your health and fitness safely.

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