Tongue Numbness: Causes and When to Seek Help - Rare Disease

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Numbness of the tongue?


Hello Doctor: I am a senior in high school this year! A few days before the university entrance exam, I experienced numbness in my tongue and the right side of my scalp.
The day before the exam, the right side of my cheek also started to feel numb.
The numbness is not constant; it comes and goes suddenly.
My family thinks it might be due to nervousness and excessive stress, but I personally do not feel anxious or stressed! After the exam on Saturday, the numbness in my tongue continued intermittently on Sunday, but the numbness in my cheek and scalp had resolved.
On Monday, I felt persistent numbness in my tongue, particularly near the throat area.
I would appreciate your insights and recommendations.
Thank you!

Xiao Yi, 10~19 year old female. Ask Date: 2007/02/05

Dr. Chen Shunsheng reply Rare Disease


Persistent tongue numbness may be due to: 1.
Glossitis: such as vitamin B12 deficiency, medications, or specific food reactions.
2.
Polyneuropathy: such as B12 deficiency or certain toxic or metabolic neuropathies.
3.
Cranial nerve disorders: including certain trigeminal nerve disorders or functional disorders.
What you should do is consult a neurologist to confirm the diagnosis.

Reply Date: 2007/02/05

More Info


Tongue numbness, especially when accompanied by sensations in other areas of the face and scalp, can be concerning and warrants careful consideration of potential causes. Given your situation as a high school senior preparing for exams, it’s understandable that stress and anxiety could be contributing factors. However, it’s essential to explore other possible medical explanations for your symptoms.


Potential Causes of Tongue Numbness
1. Anxiety and Stress: Although you mentioned not feeling particularly anxious, the pressure of exams can manifest physically in various ways, including numbness or tingling sensations. This is often due to hyperventilation or muscle tension, which can affect blood flow and nerve function.

2. Nerve Compression or Irritation: Conditions such as cervical radiculopathy, where a nerve in the neck is compressed or irritated, can lead to numbness in the tongue and face. This could occur due to poor posture, especially if you’ve been studying or sitting for long periods.

3. Vitamin Deficiencies: Deficiencies in certain vitamins, particularly B12, can lead to neurological symptoms, including numbness and tingling. If your diet has been lacking in essential nutrients, this could be a contributing factor.

4. Migraines: Some individuals experience a type of migraine known as a "silent migraine," which can include aura symptoms like numbness or tingling in the face and tongue without a headache.

5. Multiple Sclerosis (MS): While less common, MS can present with numbness and tingling in various parts of the body, including the tongue. This is due to demyelination of nerves in the central nervous system.

6. Transient Ischemic Attack (TIA): A TIA, often referred to as a "mini-stroke," can cause sudden numbness or weakness, particularly on one side of the body. This is a medical emergency and requires immediate attention.


When to Seek Help
Given that your symptoms have persisted for several days and are localized to the tongue and face, it is advisable to seek medical attention. Here are some guidelines on when to consult a healthcare professional:
- Persistent Symptoms: If the numbness in your tongue continues or worsens, it’s important to get evaluated.


- Accompanying Symptoms: If you experience additional symptoms such as weakness, difficulty speaking, vision changes, or severe headaches, seek immediate medical attention.

- Impact on Daily Life: If the numbness is affecting your ability to eat, speak, or concentrate, it’s essential to discuss this with a doctor.


What to Expect During a Medical Evaluation
When you visit a healthcare provider, they will likely conduct a thorough history and physical examination. They may ask about:
- The onset and duration of your symptoms.

- Any recent changes in your diet or lifestyle.

- Family history of neurological conditions.

- Any other symptoms you may have experienced.

Depending on your evaluation, further tests may be recommended, such as blood tests to check for vitamin deficiencies or imaging studies like an MRI to assess for any neurological issues.


Conclusion
While it’s possible that your symptoms are related to stress or anxiety, it’s crucial to rule out other medical conditions that could be causing your tongue numbness. Don’t hesitate to reach out to a healthcare professional for a comprehensive evaluation. Early diagnosis and treatment can significantly improve outcomes and provide peace of mind. Remember, your health is paramount, especially during such a critical time in your academic life.

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