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Diseases and Conditions Encyclopedia

 

numbness

 

Overview

Numbness is a term used to describe a lack of ability to feel touch, temperature, or pain at some place or places in the body.

 

What is going on in the body?

Different people mean different things when they use the word numb. As related to a physical complaint, most people use the term to describe a lack of ability to feel touch or pain on the surface of their bodies. In most cases, numbness is related to nerve damage, either temporary or permanent.

 

What are the signs and symptoms of the condition?

When someone complains of numbness, the healthcare professional will need to know:

 what the person means by the term numbness. This term may be used to describe a total lack of ability to feel, decreased ability to feel, weakness, or even an altered sensation.
 where the numbness is located
 when the numbness started
 whether the numbness is constant or only happens at certain times
 what medications or drugs a person takes, if any
 what other medical conditions or symptoms a person has, if any
 whether the numbness is associated with any other symptoms, such as weakness, burning sensation, weight loss, or nausea
 whether the numbness has changed over time
 whether there is any history of injury to the numb area

 

Other questions may be asked depending on the history and physical findings.

 

What are the causes and risks of the condition?

There are many conditions that can cause numbness, including: diabetes mellitus, a condition in which the level of sugar in the blood is too high. This slowly damages nerves over time. Diabetic neuropathy, that is, nerve damage from diabetes, is one of the most common causes of numbness.toxins and drugs, such as alcohol, arsenic, and certain chemotherapy medications used to treat cancer injury or trauma to an area, including previous surgerycarpal tunnel syndrome, which can cause numbness in the hand from pressure on a nervevitamin deficiencies, such as lack of vitamin B12, vitamin B6, and thiamine brain damage, such as from a stroke or brain tumor cancer, especially lung cancer and breast cancer in the later stages, and blood cancers, such as multiple myeloma or lymphomainfections, such as HIV, Lyme disease, and herpes zoster hormone imbalances, such as low thyroid hormone levels called hypothyroidism, or high levels of growth hormone, sometimes called acromegaly severe liver disease, such as cirrhosis severe kidney disease, such as chronic renal failure autoimmune disorders, conditions in which a person's immune system attacks his or her own body, such as lupus, multiple sclerosis or Guillain-Barré syndrome anxiety, including a condition known as conversion disorder inherited conditions, such as a rare condition called hereditary sensory neuropathy

What can be done to prevent the condition?

Prevention is related to the cause. For instance, avoiding alcohol can prevent cases due to alcohol abuse. Safer sex practices can reduce, but not eliminate, the risk of HIV infection. Many cases cannot be prevented.

How is the condition diagnosed?

In some cases, the reason for the numbness may be obvious from the history and physical exam. In other cases, further testing is needed. Blood tests can help diagnose hormone imbalances, HIV, diabetes, and other conditions. If multiple sclerosis is suspected, a special x-ray test of the brain, called a cranial MRI, may be ordered.
 
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