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Are Numb Lips a Sign of Stroke? Evaluating the Warning Signs

By Dr. Shubham Pandey +2 more

Key Highlights: 

  • Numb lips can have multiple causes, ranging from allergies to neurological issues. 
  • Some causes of numb lips, such as vitamin deficiencies or hypoglycemia, can be addressed through lifestyle changes or medications.  
  • Recognizing stroke symptoms, which could include numb lips, is critical for timely management and recovery. 
  • Other medical conditions can manifest with numb lips as well, and it’s important to consult a healthcare professional for proper diagnosis and  management.  
  • Prompt medical attention is essential in cases where numb lips are accompanied by severe or unusual symptoms. 
     

Introduction 

We’ve all experienced numb lips at some point in our lives. But what causes this sensation, and when you should be concerned are essential pieces of information that we need to know. In this article, we will take an in-depth look at various causes of numb lips, symptoms to watch for, and when to consult a doctor. Next, we will explore the possible link between numb lips and strokes, discussing the importance of recognising warning signs and seeking immediate medical attention if necessary. Lastly, we will answer some frequently asked questions about numb lips.  

Did you know?

are numb lips a sign of stroke

  • Numbness of the lower lip can occur as a complication after urological surgery under general anesthesia. source: PMC8107244
  • High blood pressure, high cholesterol, smoking, obesity, and diabetes are leading causes of stroke. source: CDC
  • Numbness of the lips and slurred speech can be symptoms of levodopa wearing-off in Parkinson’s disease. source: PMC

Understanding Numb Lips 

Causes of Numb Lips 

1. Allergic Reactions 

Some foods, drugs, or chemicals can cause lip tingling or swelling. Watch for itchiness, breathing trouble, and hives. If it’s severe and affects the mouth or throat, get immediate help, it’s a life-threatening condition called anaphylaxis.  

2. Food Poisoning 

Eating bad food can cause mouth numbness or a tingling feeling. You may also feel sick, vomit, and have diarrhea. With seafood, be extra careful.  Fish-related ciguatera poisoning can cause numb lips. 

3. Vitamin or Mineral Deficiency 

Not getting enough nutrients like vitamin B-12 or folic acid may cause lip tingling and numbness. You might also feel tired, dizzy, and have muscle cramps. Eating a balanced diet helps tackle these problems. 

4. Cold Sores 

The HSV infection triggers cold sores around the mouth area. It starts with a tingling or itching feeling, followed by a blister forming. 

5. Hypoglycaemia and Hyperventilation 

If your blood sugar levels are low, you might get symptoms like tingling lips. Very rapid, deep breathing can cause a similar feeling. 

6. Shingles 

Although rare, shingles can affect nerves in your face, causing mouth and lip numbness. 

7. Multiple Sclerosis 

MS, an autoimmune disease, may cause lip tingling or loss of feeling. Look out for other signs like feeling tired, weak, and having balance issues. 

8. Lupus 

This long-term sickness might damage the nervous system, causing numb lips. Watch out for fever, vision problems, and swelling as well. 

9. Guillain-Barré Syndrome (GBS) 

This rare disorder attacks the nerves, causing tingling in limbs and face, which might affect lips as well. 

Numb Lips and Stroke 

Stroke is a serious health problem that cuts off blood flow to the brain. It could make your lips numb; among other signs we have discussed. In this section, we will discuss how to tell stroke signs apart from other causes of numb lips. 

Differentiating Stroke Symptoms from Numb Lips Causes 

The following signs are important to keep an eye on.  

1. Facial Palsy 

A stroke might cause your face or mouth to go weak or droop all of a sudden. If one side droops while smiling, it could mean a stroke. 

2. Sudden Numbness or Weakness 

Sudden numbness, felt only on one side of the body or with a face droop, could signal a stroke. This sets it apart from other causes of numb lips. 

3. Speech Difficulties 

If your numb lips come with confused speech, it could mean you’re having a stroke. 

4. Vision Problems 

Any sudden vision trouble, blurry eyesight, or total loss of sight could be a stroke sign. 

5. Severe Headache 

A sudden, severe headache, without a clear cause, might signal a stroke. 

But as discussed before, allergies, food poisoning, or vitamin deficiencies would rarely cause the symptoms above. If you think a stroke is causing your numb lips, rush to get medical help right away. 

Evaluating Other Conditions and Factors 

We have other causes of numb lips, besides those we have looked at so far which are as follows.  

1. Oral Cancer 

In rare cases, numb lips may mean oral cancer. The disease affects the nerves or blood vessels in the face and mouth. Look for irritation, mouth ulcers, red or white patches, and thickened skin. If these last over two weeks, seek medical advice. 

2. Brain and Nervous System Conditions 

Damaged nerves or cranial nerves may cause face and lip numbness. Sometimes, epilepsy or brain tumors cause a blood-brain barrier breakdown. This triggers seizures and might indirectly lead to numb lips. 

3. Trauma or Overuse Injuries 

Environmental factors like dry lips, biting your lips, or burns from hot or spicy foods can make your lips feel numb. In most cases, there is no need for medical help; the numbness should go away. 

4. Chronic Conditions 

Long-term health issues like burning mouth syndrome and Raynaud’s disease can also cause tingling or numbing sensations in the lips. 

5. Infectious Diseases 

Cold sores from HSV, shingles complications, or a panic attack may all cause numb lips due to heavy breathing. 

6. Therapy Side Effects 

Cancer  management, dental surgery, or some drugs might have a side effect causing lip numbness. 

Seeking Medical Attention 

In most cases, numb lips will resolve on their own. However, you should seek medical assistance in the following scenarios. 

When to Seek Immediate Medical Help? 

If your numb lips come with severe sudden symptoms like trouble speaking, vision problems, feeling lost, paralysis, or strong headaches, seek immediate medical help. This is especially true if they point to a stroke since delaying management could cause long-term harm. 

  • Symptoms with a Numb Mouth 

But if your numb lips come with mild, slow, or isolated symptoms, keep monitoring them. If the feeling stays or gets worse, consult your doctor for a checkup and advice on  management. 

  • Doctor’s Examination 

Your healthcare professional will probably examine the affected area in detail, ask you about recent events, and request blood tests, imaging, or a biopsy if necessary to find out why your lips are numb. 

Conclusion 

Numb lips can confuse and even scare you. As we’ve covered, countless factors can cause this – from mild everyday causes to severe health problems. It’s crucial to identify the symptoms that come with numb lips as they could point to serious conditions like stroke that need quick medical help to avoid long-term harm. 

In most cases, lip numbness isn’t a serious sign and often goes away on its own. Still, it’s essential to watch out for changes, get healthcare advice when needed, and live healthily to reduce the risk of health problems.  

Frequently Asked Questions (FAQs) 

When should I be worried about numbness in my lips? 

Keep an eye on other signs and rush to get medical help if you have sudden, strong, or increasing concerns like trouble speaking, vision problems, feeling lost, paralysis, or strong headaches. As a rule, numb lips aren’t serious and should clear up on their own. 

How can I get rid of numb lips? 

Depending on what’s causing it, numb lips could go away by itself or require therapies like allergic drugs, vitamin supplements, or life changes. Consult a healthcare professional for advice that suits you. 

Which hand goes numb before a stroke? 

Stroke often causes one arm to go numb – this usually happens on the same side as the face droop or weak leg. Get emergency medical help if you think you’re having a stroke. 

Can anxiety cause tingly lips? 

Yes, worry can cause hyperventilation or panic attacks, which might result in numb lips or mouth. Knowing calming methods and getting the right mental health support may help ease these symptoms. 

How long do numb lips last in different conditions? 

Depending on the cause, lip numbness may last a few hours or days for allergies or small injuries. For stroke or vitamin  deficiencies, you might need longer therapy and time to recover. Always consult a healthcare professional for an accurate check of your symptoms. 

References: 

  1. American College of Rheumatology. Raynaud’s Phenomenon [Internet]. [cited 2024 Jun 20]. Available from: https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Raynauds-Phenomenon 
  1. National Center for Biotechnology Information (NCBI). Burning mouth syndrome: a review and update [Internet]. [cited 2024 Jun 20]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/23772971 
  1. National Health Service (NHS). Symptoms – Vitamin B12 or folate deficiency anaemia [Internet]. [cited 2024 Jun 20]. Available from: https://www.nhs.uk/conditions/vitamin-b12-or-folate-deficiency-anaemia/symptoms 
  1. National Health Service (NHS). Angioedema [Internet]. [cited 2024 Jun 20]. Available from: https://www.nhs.uk/conditions/angioedema 
  1. American Academy of Dermatology. Dry skin: Who gets and causes [Internet]. [cited 2024 Jun 20]. Available from: https://www.aad.org/public/diseases/a-z/dry-skin-causes 
  1. National Health Service (NHS). Cold sores [Internet]. [cited 2024 Jun 20]. Available from: https://www.nhs.uk/conditions/cold-sore 
  1. National Center for Biotechnology Information (NCBI). The Trigeminal (V) and Facial (VII) Cranial Nerves – PMC [Internet]. [cited 2024 Jun 20]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2848459 
  1. National Health Service (NHS). Panic disorder [Internet]. [cited 2024 Jun 20]. Available from: https://www.nhs.uk/mental-health/conditions/panic-disorder 
  1. American Academy of Dermatology. Dry skin: Diagnosis and treatment [Internet]. [cited 2024 Jun 20]. Available from: https://www.aad.org/public/diseases/dry-sweaty-skin/dry-skin#symptoms 
  1. National Health Service (NHS). Panic disorder [Internet]. [cited 2024 Jun 20]. Available from: https://www.nhs.uk/conditions/panic-disorder 
  1. Centers for Disease Control and Prevention (CDC). Shingles (Herpes Zoster) [Internet]. [cited 2024 Jun 20]. Available from: https://www.cdc.gov/shingles/index.html 
  1. National Health Service (NHS). Symptoms – Transient ischaemic attack (TIA) [Internet]. [cited 2024 Jun 20]. Available from: https://www.nhs.uk/conditions/transient-ischaemic-attack-tia/symptoms 
  1. National Center for Biotechnology Information (NCBI). Differences in the role of black race and stroke risk factors for first vs recurrent stroke – PMC [Internet]. [cited 2024 Jun 20]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4762422 

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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