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Numb lips Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Numb lips. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you noticed that you have numb lips?

    Why: to determine if acute or chronic.

  2. Is it intermittent or constant?

    Why: e.g. the lips in cold weather can often feel numb (paresthesia).

  3. Is numbness limited to lips?

    Why: e.g. Raynaud's phenomenon also causes sequential discoloration of the digits from pallor to blueness to redness upon exposure to cold. When fingers and toes become red they are painful and sometimes feel numb.

  4. Current stressors?

    Why: e.g. interpersonal relationships, physical health, occupational stressors or financial worries - anxiety states are usually in some understandable relationship to stressful life events.

  5. Past history of cold sores (Herpes simples type 1 lesions) on the lips?

    Why: Herpes simplex type 1 causes a prodrome of tingling, itching or burning sensation on the lips which usually precede any visible skin changes by 24 hrs. Prodrome is followed by development of fluid filled vesicles which erode to become ulcers on the lips.

  6. Past psychiatric history?

    Why: e.g. anxiety, panic attacks.

  7. Past medical history?

    Why: e.g. hypocalcemia may be caused by acute pancreatitis, chronic renal failure, DiGeorge's syndrome, hypoparathyroidism; possible causes of Raynaud's phenomenon include rheumatoid arthritis, lupus erythematosus, systemic sclerosis, polyarteritis nodosa, Buerger's disease, polycythaemia, leukemia, polymyositis , dermatomyositis; hypoparathyroidism is associated with pernicious anemia, Addison's disease, hypothyroidism.

  8. Past surgical history?

    Why: e.g. immediately following removal of thyroid or parathyroid low calcium levels are usually transient.

  9. Medications?

    Why: some medications may cause low calcium levels including calcitonin and diphosphonates; beta-blocker blood pressure medications and ergotamine can aggravate Raynaud's phenomenon.

  10. Symptoms of Raynaud's phenomenon?

    Why: e.g. sequential discoloration of the digits from pallor to blueness to redness upon exposure to cold. When fingers become red they are painful and sometimes feel numb.

  11. Symptoms of low calcium?

    Why: e.g. pins and needles, numbness around the mouth, cramps, anxiety, muscular contractions (tetany). The symptoms may be followed by seizures, stridor and psychosis.

  12. Symptoms of hypoparathyroidism ?

    Why: e.g. as for hypocalcemia.

  13. Symptoms of herpes simplex labialis (cold sores)?

    Why: e.g. prodrome of tingling, itching or burning sensation on the lips which usually precede any visible skin changes by 24 hrs. Prodrome is followed by development of fluid filled vesicles which erode to become ulcers on the lips.

  14. Symptoms of anxiety?

    Why: e.g. nervousness, shakiness, tremor, restlessness, irritability, insomnia, poor concentration, heart palpitations, racing heart, sweating, dizziness, diarrhea, lump in throat and frequency of urination. May also experience rapid breathing (hyperventilation) which can cause numbness around the lips, lightheadedness and tingling in the extremities.

  15. Symptoms of panic attacks or panic disorder?

    Why: e.g. sudden, unexpected, short-lived episodes of intense anxiety. Intense anxiety episodes usually include rapid breathing (hyperventilation) which can cause numbness around the lips, lightheadedness and tingling in the extremities.

  16. Phobias?

    Why: persistent, irrational fear with a compelling desire to avoid the object or situation occurs in Phobia disorders and may be confused with generalized anxiety disorder or be associated with anxiety.

Conditions listing medical symptoms: Numb lips:

The following list of conditions have 'Numb lips' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Numb lips or choose View All.

 

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