Why Do I Feel Tingling When Sneezing or Coughing? - Neurology

More Info

---

Experiencing tingling sensations in various parts of the body, such as the scalp, face, and limbs, during sneezing or coughing can be concerning and may indicate several underlying issues. This phenomenon, often described as a "pins and needles" sensation, can be attributed to a variety of factors, including nerve compression, changes in blood flow, or even heightened sensitivity of the nervous system.


Possible Causes
1. Nerve Compression: When you sneeze or cough, the sudden increase in pressure in your chest and abdomen can lead to temporary compression of nerves in the neck or upper back. This compression can result in tingling sensations in the areas supplied by those nerves. For example, if the phrenic nerve or cervical nerves are affected, you might feel tingling in the scalp or face.

2. Vasoconstriction: Sneezing and coughing can cause a reflexive constriction of blood vessels, which may temporarily reduce blood flow to certain areas of the body. This can lead to sensations of tingling or numbness, particularly in the extremities.

3. Hyperventilation: If you tend to hyperventilate while sneezing or coughing, this can lead to a decrease in carbon dioxide levels in the blood, resulting in tingling sensations, particularly around the mouth, fingers, and toes.

4. Allergic Reactions or Infections: If you have underlying allergies or respiratory infections, the inflammation and irritation in your airways can lead to increased sensitivity of the nerves, causing tingling sensations during coughing or sneezing.

5. Anxiety or Stress: Psychological factors can also play a role. If you are anxious about your health or the symptoms you are experiencing, this can heighten your awareness of bodily sensations, leading to feelings of tingling or discomfort.


When to Seek Medical Attention
Given that this is a new symptom for you, it is advisable to consult a healthcare professional. You may want to consider seeing a neurologist, as they specialize in conditions related to the nervous system. They can perform a thorough evaluation, which may include:
- Neurological Examination: To assess your reflexes, muscle strength, and sensory function.

- Imaging Studies: Such as MRI or CT scans, to rule out any structural issues in the spine or brain.

- Blood Tests: To check for underlying conditions such as vitamin deficiencies, diabetes, or thyroid issues that could contribute to nerve problems.


Additional Considerations
- Cold Sensitivity: You mentioned experiencing cold hands and feet during winter. This could indicate poor circulation or a condition like Raynaud's phenomenon, which can also contribute to tingling sensations. Discussing this with your doctor may provide insights into whether these symptoms are related.

- Lifestyle Modifications: In the meantime, consider maintaining good hydration, practicing stress management techniques, and ensuring you are warm enough during colder months to help alleviate some symptoms.

In conclusion, while tingling during sneezing or coughing can be benign, it is essential to investigate new or concerning symptoms, especially if they persist or worsen. A thorough evaluation by a healthcare provider will help determine the underlying cause and appropriate treatment.