How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr Basu Your Own Question
Dr Basu
Dr Basu, Board Certified MD
Category: Neurology
Satisfied Customers: 28194
Experience:  15 years' clinical experience
23744323
Type Your Neurology Question Here...
Dr Basu is online now
A new question is answered every 9 seconds

I am on this page as I am trying to understand what I am

Customer Question

I am on this page as I am trying to understand what I am dealing with. For past 3 weeks, paresthesia in lower lip- tingling esp when eating or speaking. Not pain though. Lips and tongue feel tingly and "burnt"- as if I've eaten a jalapeno. Had MRI and MRA- normal. Vit B bloodwork low normal. No dental work. 2 years ago mild case of shingles, but affected jaw area. This time- this constant tingling and spasming of lower lip. No telltale shingles or herpes lesions. No stabbling pain or numbness. Really just in despair at this point. Starting acupuncture, but not too hopeful. It doesn't fit TGN 1 and not quite ? for TGN 2. Burning mouth syndrome? Have not had dental exam yet-- but no teeth hurting. Help?
Submitted: 1 year ago.
Category: Neurology
Expert:  Dr Basu replied 1 year ago.

Hi there,

I understand your frustration.

No this is not typical trigeminal neuragia.

Since no oral lesion, herpes or shingles unlikely.

You do have low normal b12 which can be a cause.

Also deficiency or iron, zinc, folate, vitamin b6 should be ruled out.

Otherwise, this is likely burning mouth syndrome.

You meet the diagnostic criteria.

Can be caused by the small sensory fiber neuropathy.

Treatment can be achieved by clonazepam, or gabapentin or pregabalin.

Best wishes,
It was my pleasure to help you today.
If I have answered all your questions, Please rate my response Excellent (click on the smiley faces) under this chat box only.
Please bookmark my profile for asking further questions!
This is the link to my profile:
http://www.justanswer.com/medical/expert-mysticdoc/

Related Neurology Questions