Tongue Numbness: Possible Cardiovascular Issues Explained

Tongue numbness and blood pressure?

Hello, I would like to consult a doctor.
I have been experiencing tongue numbness for a year.
Since May of last year, I sometimes have unilateral tongue edge numbness and pain, and at other times, my entire tongue feels numb with a burning sensation.
There have been a few instances where small black spots appeared on my tongue, but they disappeared after a few days.
I found online that this could potentially be related to cardiovascular issues causing tongue numbness and tongue congestion.
I also experience numbness in my limbs, particularly in my legs, and I feel that the blood vessels in my hands and feet have become more prominent.
Additionally, I sometimes have chest tightness and the urge to burp, occasional dizziness, and left chest pain.
Occasionally, I experience night sweats after sleeping, have poor sleep quality, and can often feel my heartbeat.
In January, I had a blood test showing low-density lipoprotein (LDL) cholesterol at 121, high-density lipoprotein (HDL) cholesterol at 41, and total cholesterol at 191.
I also underwent a brain MRI and chest X-ray, both of which showed no abnormalities.
My blood pressure at that time was 131/77, and my BMI is 26.1.
I would like to know if there could be a problem with my cardiovascular system.
If I want to undergo further testing, what tests would you recommend? Thank you!

yoyo, 20~29 year old female. Ask Date: 2022/06/06

Dr. He Dongjin reply Cardiology

Hello, tongue numbness and limb numbness are issues related to sensory nerves and should not be associated with cardiovascular problems.
It is advisable to consult a neurologist for further examination.
Changhua Hospital cares about your well-being.

Reply Date: 2022/06/06

More Info

Hello! Thank you for reaching out with your concerns regarding your symptoms, particularly the numbness in your tongue and other associated sensations. Based on your description, it is understandable to be concerned about potential cardiovascular issues, especially given the complexity of your symptoms.

Tongue numbness can arise from various causes, and while it is not commonly associated directly with cardiovascular problems, it can be a symptom of underlying conditions that may involve the cardiovascular system. The symptoms you describe, such as unilateral tongue numbness, burning sensations, and the presence of small black spots on your tongue, could be indicative of several issues, including nerve compression, vitamin deficiencies, or even localized infections. However, the combination of tongue numbness with other symptoms like chest tightness, palpitations, and peripheral numbness raises the need for a thorough evaluation.

Your history of elevated cholesterol levels, particularly with low-density lipoprotein (LDL) levels at 121 mg/dL, suggests that you may be at risk for atherosclerosis, which can lead to cardiovascular diseases. Although your total cholesterol is within a reasonable range, the balance between LDL and high-density lipoprotein (HDL) is crucial. A low HDL level (41 mg/dL) can also be a risk factor for cardiovascular issues.
The symptoms of chest tightness, palpitations, and the feeling of your heart racing, along with the episodes of night sweats and sleep disturbances, could suggest an underlying cardiovascular condition, such as anxiety, which can manifest with physical symptoms, or more serious conditions like coronary artery disease or arrhythmias.
Given your symptoms and risk factors, it would be prudent to consider the following diagnostic tests:
1. Electrocardiogram (ECG): This test can help identify any irregular heart rhythms or signs of ischemia (reduced blood flow to the heart).

2. Echocardiogram: An ultrasound of the heart can assess its structure and function, helping to identify any abnormalities in heart function or valve issues.

3. Stress Test: A cardiac stress test, either through exercise or pharmacological means, can evaluate how your heart performs under stress and can help identify any ischemic changes.

4. Coronary Angiography: If there is a significant concern for coronary artery disease based on the results of the above tests, a coronary angiogram may be recommended to visualize the blood vessels supplying the heart.

5. Blood Tests: In addition to cholesterol levels, tests for inflammatory markers, blood glucose levels, and thyroid function can provide additional insights into your overall health.

6. Neurological Evaluation: Since you are experiencing numbness and tingling, a consultation with a neurologist may also be beneficial to rule out any neurological conditions.

In the meantime, managing your cholesterol levels through diet, exercise, and possibly medication is essential. Regular physical activity, maintaining a healthy weight, and avoiding smoking can significantly reduce cardiovascular risks.
If your symptoms persist or worsen, or if you experience new symptoms such as severe chest pain, shortness of breath, or fainting, seek immediate medical attention. It’s crucial to have a comprehensive evaluation by a healthcare provider who can assess your symptoms in the context of your overall health and risk factors.

Thank you for your inquiry, and I hope this information helps guide you in seeking the appropriate care. Please feel free to reach out if you have further questions or concerns.

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