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What Causes Numbness In The Left Cheek And Nausea?

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Posted on Mon, 19 Jun 2017
Question: i have numbness in my left cheek, nausea, numbness in fingertips and pain in my lower back / pelvic region, also dizziness upon standing

dehydration
doctor
Answered by Dr. Olsi Taka (1 hour later)
Brief Answer:
Some more information might be useful.

Detailed Answer:
I read your question carefully and I understand your concern.

However some more details would be useful. You do not mention when did the symptoms start and their evolution in time. Also you close out with saying dehydration but it is unclear why do you say that.
Dehydration with the electrolyte alterations it is commonly associated with can well justify most of those symptoms, it can cause dizziness, nausea, numbness or tingling sensations. So if that is the case it should be corrected either by taking liquids by mouth or by intravenous fluids in the ER.
As for pain in the back and pelvic region it can be due to many causes such as urinary infection, sacroileitis etc. I would start apart from a local physical exam by your primary physician with some routine blood and urine tests for infection.

I remain at your disposal for other questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (47 hours later)
Thank you Dr. Taka.

I was having trouble typing as my fingertips were numb and tingling, as well as my right cheek, lips and top of my head.

The symptoms all came on very quickly that morning. It started with the lower back pain. There was no trauma; however I've had kidney stones one time (1984 when I was 6 months pregnant) and have had sciatica issues.

I tried taking a warm bath to ease the lower back pain but when I got out of the bathtub, I was very lightheaded. I toweled off and sat in a chair. When I would try to stand, I had the same lightheadedness. That is when the tingling and numbness started. It was all very strange.

After about 4 hours ... all symptoms subsided.

Thank you for your response.
doctor
Answered by Dr. Olsi Taka (33 minutes later)
Brief Answer:
Read below

Detailed Answer:
Thank you for the additional information. I must say it makes the picture much more clear.

I do not think the lower back pain is directly related to the tingling. Lumbar spine issues produce symptoms from that level downwards, not upwards, that is how the nervous system is anatomically organized.

I think the episode is simply due to the low blood pressure. When one has a warm bath there is dilation of the blood vessels in the skin. That may lead to lower blood pressure as more blood is pooled in the limbs. In addition to that when you got up there is a further drop in blood pressure as one changes to a vertical position. Of course our body is supposed to react and compensate for all that, but it may happen at times for that to happen a little late. If you were dehydrated that might contribute as well as the pain. The tingling and numbness are common phenomena as well.

If that was the only episode I do not think there is a reason for worry, as I said it is a common occurrence and doesn't need further investigations.

Only if the episodes are repeated would some more attention be needed with some tests for heart related causes such as heart arrhythmia.

Let me know if I can further assist you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (3 minutes later)
Thank you so much.

You have been very helpful. I forgot to mention that I'm also diabetic, controlled by diet after having gastric bypass surgery in 2015. I did check my blood sugar and that was not it either as I was at 102.

I appreciate your responses.

Please have a great day.

XXXX
doctor
Answered by Dr. Olsi Taka (5 minutes later)
Brief Answer:
You're welcome

Detailed Answer:
At that value diabetes blood glucose level shouldn't be the cause.

It may raise the question of orthostatic hypotension, a failure to adapt blood pressure when changing position from supine to standing, which among other causes may be due to damage to the autonomic nervous system from diabetes. However before scaring you further, that again is not diagnosed by a single episode which may happen to anybody, should be considered only when there are repeated episodes.

Thank you for your appreciative words and hope you have a great day too.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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What Causes Numbness In The Left Cheek And Nausea?

Brief Answer: Some more information might be useful. Detailed Answer: I read your question carefully and I understand your concern. However some more details would be useful. You do not mention when did the symptoms start and their evolution in time. Also you close out with saying dehydration but it is unclear why do you say that. Dehydration with the electrolyte alterations it is commonly associated with can well justify most of those symptoms, it can cause dizziness, nausea, numbness or tingling sensations. So if that is the case it should be corrected either by taking liquids by mouth or by intravenous fluids in the ER. As for pain in the back and pelvic region it can be due to many causes such as urinary infection, sacroileitis etc. I would start apart from a local physical exam by your primary physician with some routine blood and urine tests for infection. I remain at your disposal for other questions.