I'm not sure what's wrong with me?
Hello, this winter I noticed that when I touch my face with my hands or lick my lips to check if there's anything on them (after eating), I feel like I can't really sense my touch, but my fingertips aren't numb.
Which specialist should I see, or should I get a full body check-up?
Buding, 10~19 year old female. Ask Date: 2015/12/31
Dr. Gao Qingyun reply Family Medicine
Hello: Based on your question alone, it is difficult to determine the actual cause.
I recommend that you visit a Family Medicine outpatient clinic for evaluation by a specialist.
Thank you! Wishing you safety and health.
Director of Family Medicine, Taoyuan Hospital, Ministry of Health and Welfare, Gao Qingyun.
Reply Date: 2015/12/31
More Info
When experiencing sensory changes, such as a diminished sense of touch, it is important to understand the potential underlying causes and when to seek medical advice. The symptoms you describe—difficulty sensing touch on your face and lips—could be indicative of several conditions, ranging from benign to more serious issues.
Firstly, it is essential to consider the context of your symptoms. If this change in sensation is sudden or accompanied by other symptoms such as weakness, numbness, or tingling in other areas, it may warrant immediate medical attention. These could be signs of neurological issues, such as a transient ischemic attack (TIA) or stroke, which require urgent evaluation.
If your sensory changes are isolated to your face and lips and have developed gradually, it may be less urgent but still important to seek medical advice. The appropriate specialist to consult would typically be a neurologist, as they specialize in conditions affecting the nervous system, including sensory disorders. A neurologist can perform a thorough evaluation, which may include a neurological examination, imaging studies (like an MRI or CT scan), and possibly nerve conduction studies to assess the function of your nerves.
In addition to neurological causes, sensory changes can also be related to other factors such as vitamin deficiencies (e.g., Vitamin B12 deficiency), diabetes (which can lead to peripheral neuropathy), or even anxiety and stress, which can manifest physically. A comprehensive evaluation by a healthcare provider can help rule out these conditions.
Regarding whether you should undergo a full-body check-up, it depends on your overall health and any other symptoms you may be experiencing. If you have a history of chronic health issues, such as diabetes or vitamin deficiencies, or if you are experiencing other concerning symptoms, a full evaluation may be beneficial. This could include blood tests to check for vitamin levels, blood sugar levels, and other relevant markers.
In summary, if you are experiencing changes in your sense of touch, especially if they are new or worsening, it is advisable to consult a healthcare professional. Start with a visit to a neurologist, who can assess your symptoms in detail and determine if further testing or referrals to other specialists are necessary. Early intervention can be crucial in managing any underlying conditions effectively. Remember, it is always better to err on the side of caution when it comes to changes in your health.
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