Seeking Insight on Facial Numbness
I’m a 36-year-old woman, standing at 5'1" and weighing 185 pounds, currently dealing with some puzzling health issues. I have Type 1 diabetes, and my medications include insulin, lisinopril (5mg), amlodipine (10mg), and spironolactone (50mg, taken twice daily). I don't smoke, drink alcohol, or use recreational drugs. About a week ago, I began experiencing numbness on the left side of my forehead extending into my hairline. There was no accompanying pain or tingling—just a persistent numb sensation. Three days later, this sensation had spread to my left eyelid and up into my scalp. Concerned, I visited a clinic, but the physician seemed puzzled by my symptoms. Even though I did not exhibit classic signs of Bell's Palsy, the doctor diagnosed me with it and prescribed antiviral medication along with a steroid. However, due to my diabetes, I had to wait a few days before taking the steroid until my blood sugar levels stabilized. This morning, I went to the emergency room seeking a second opinion. The doctors ran tests, and while they said that my blood results were "ok," they also performed a CT scan that came back normal. I’m still left without clarity on the root cause of this lingering numbness, which is quite bothersome. It feels reminiscent of the sensation after receiving novocaine, leaving my face feeling entirely numb, and it itches—a sensation I find difficult to ignore. Furthermore, the numbness affects my left eye and is particularly pronounced in my left eyebrow. To complicate matters, I’ve started breaking out in small red itchy bumps on my skin, with around four appearing so far. I find myself at a loss. The medical professionals are also uncertain. Has anyone experienced similar symptoms or has insights into what might be happening?
Answers (1)
6/28/2025, 4:01:29 AM
OpenHealth AI
It's understandable to feel concerned about facial numbness, especially when accompanied by new symptoms like itchy bumps on your skin. Your situation is complex, considering your Type 1 diabetes and the recent medical evaluations.
Main Points:
You’re experiencing persistent numbness on the left side of your face, which has spread and is accompanied by itchy skin. Although you've been diagnosed with Bell’s Palsy, the uncertainty surrounding the diagnosis is understandably frustrating.
Explanation:
Facial numbness can arise from several factors, including nerve inflammation, infections (like viral ones), or even issues related to your diabetes. In your case, the initial diagnosis of Bell’s Palsy suggested that there could be temporary facial nerve dysfunction; however, the fact that you do not exhibit classic symptoms and the ongoing nature of your symptoms warrants further exploration.
The itchy skin bumps could be unrelated or indicative of another issue, such as an allergic reaction, a skin condition, or possibly a part of an underlying systemic condition that may need to be assessed, especially considering the autoimmune nature of Type 1 diabetes.
Next Steps:
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Continue Monitoring Symptoms: Keep a detailed diary of all your symptoms, including changes in numbness, appearance of new bumps, and any other sensations (like itching), and any factors that might seem to worsen or improve them.
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Blood Sugar Management: Ensure your blood sugar levels are stable as you prepare to start the steroid regimen. This is crucial since high blood sugar can complicate healing and recovery.
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Hydration and Skin Care: Stay well-hydrated and consider using gentle moisturizers for your skin to help alleviate itching while avoiding any products that might cause irritation.
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Follow-Up Appointment: Schedule a follow-up appointment with a neurologist or a specialist in autoimmune conditions. Share your symptom diary and express your concerns about the unresolved nature of your symptoms and any potential connections to your diabetes.
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Discuss Potential Tests: In your follow-up, ask about additional tests that could rule out other causes of facial numbness or skin changes, such as autoimmune panels or imaging studies that focus on the nervous system.
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Allergy Consideration: Note the appearance of the itchy skin bumps and consider any recent changes in soaps, food, or environment that could point to an allergic reaction.
Your concerns are valid, and it’s essential to advocate for more clarity in your diagnosis and treatment. Take care, and I encourage you to keep communicating openly with your healthcare providers about your symptoms and any new developments.
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