What Does Numbness On The Face And Tongue Indicate?

** Thanks for contacting with your health concern 1. As there was a history of having numbness and tingling and because a visit to ER didn t deduce any diagnosis thus, consult a neurologist for relevant examination and blood work with CT- scan to confirm or exclude: - TIA [transient ischemic attack/mini stroke] - bell s palsy - Sarcoidosis. - Parotid Tumor. - Herpes zoster infection. - Middle ear disease - exposure to cold or chill PS. One can have a stroke and yet don t know it since symptoms caused by mini-stroke can be undetectable if the tissue damaged by it does not serve a critical function, you should seek medical attention at once. 2. apart from medical examination, one has to look out for any associated risk factor, like: . blood pressure, blood sugar. . lipid profile, overweight. 3. The only way to tell the difference as to what has happened is to get a Neurologist opinion along with necessary investigation like C.T or M.R.I. scan, who may also check with - carotid ultrasound. - echocardiogram [for any blood clots]. - EKG & Chest X-ray. 4. Only after exhaustive examination and investigation, treatment will be initiated by starting or adjusting medications that improve blood flow to the brain [antiplatelets/anticoagulants], along with lifestyle modifications like: - maintain ideal body weight - regular exercise, low salt intake - eating fresh fruits & vegetables - reducing undue physical/mental stress. - routine blood investigations and keeping the level within normal limits. - proper and adequate sleep. 5. If the causes mentioned are excluded then management followed is: - proper mouthwash is advised after each meal. - gentle massage over the face is advised. - Facial exercise is advised. [one may consult a Physiohterapist] - parenteral vitamin B1, B6, and B12 may be given.