The hearing loss may be noticed as a diminished ability to understand spoken words, particularly in difficult listening conditions as with telephone use. Although hearing loss with diminished speech understanding is relatively common in older individuals with both ears affected, the hearing loss and reduced clarity that is more pronounced in one ear should prompt an evaluation by your doctor. With acoustic neuroma, hearing loss is often accompanied by ringing in on ear-- "tinnitus". The hearing loss is usually subtle and worsens very slowly over a period of time. Some patients may experience a sense of fullness in the affected ear. Unfortunately, since hearing loss is often mild and there is no pain, there may be a delay in seeking medical attention.
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While many people with MS experience numbness and tingling at some point, you may or may not have heard of or experienced numbness and tingling of the mouth—a particularly unpleasant sensation. In multiple sclerosis , mouth numbness, like other sensory disturbances, is associated with a damaged or destroyed myelin, the fatty sheath that insulates nerve fibers. It generally occurs from a lesion in the brainstem and may affect the face as well. One study suggests also using trigeminal somatosensory evoked potentials as a diagnostic tool. Due to the numbness, some people may begin chewing and holding food on the unaffected or less affected side of their mouths. Others may lose their appetite due to the unpleasant experience of eating—it's especially important to talk to your doctor if this is the case. There is no specific medication to treat mouth numbness.
Paresthesia or paraesthesia is an abnormal dermal sensation e. The most familiar kind of paresthesia is the sensation known as " pins and needles " or of a limb " falling asleep ". A less well-known and uncommon but important paresthesia is formication , the sensation of bugs crawling underneath the skin. Paresthesias of the hands, feet, legs and arms are common, transient symptoms.
In general, tingling lips are nothing to worry about and will usually clear up on their own. No medication or urgent care is needed. Blood flow to the body, especially the hands and feet, is often affected.