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Hello. There Is Something Crawling In My Mouth, Nose, Ears,

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Posted on Sun, 9 Jun 2019
Question: Hello. there is something crawling in my mouth, nose, ears, beard, and hair. I have had this feeling for a year now. feels like a piece of stringy hair in my mouth and when I try to spit it out I can feel it coming right back in my mouth or my face. it moves very quickly. I have stood in the mirror for 10 minutes trying to see if I could see it and I don't. everywhere I feel it move, I look and it leaves a white Speck. it feels kind of gummy but I can never catch it. I have felt it crawl on my arm and I will look exactly where is crawling and I don't see a thing. it's scary. please help
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Follow up: Dr. Dariush Saghafi (0 minute later)
Hello. there is something crawling in my mouth, nose, ears, beard, and hair. I have had this feeling for a year now. feels like a piece of stringy hair in my mouth and when I try to spit it out I can feel it coming right back in my mouth or my face. it moves very quickly. I have stood in the mirror for 10 minutes trying to see if I could see it and I don't. everywhere I feel it move, I look and it leaves a white Speck. it feels kind of gummy but I can never catch it. I have felt it crawl on my arm and I will look exactly where is crawling and I don't see a thing. it's scary. please help
doctor
Answered by Dr. Dariush Saghafi (2 hours later)
Brief Answer:
FORMICATION is a heckuva medical term....but it is likely what you describe

Detailed Answer:
Good evening.....sorry that you're having these feelings. What you're describing comes under the medical heading of FORMICATION which is the feeling of something traversing or moving upon the surface of the body but which actually does not exist. Most people will describe it as small bugs, insects, or other "critters" which give one a very real sensation of something on the skin and in motion but then, when the person looks or otherwise, tries to localize the object or critter....it is either not there or the sensation stops or changes to something.

It is an annoying, frustrating, and altogether exhausting symptom to have to deal with on an ongoing basis. Therefore, here's what I believe you need to do. Since you've not described of treatment or what you've DONE for the problem in the past year that it's been present you absolutely need to see a physician and get both a thorough MEDICAL EXAMINATION as well as potential laboratory and/or imaging studies done in order to rule certain ORGANIC CAUSES out.

You say this has been going on for a year.....I don't know your age but I think it's safe to say that you're a bit older than 1 or 2 years old, right? LOL......Therefore, I'm willing to bet that there was a time...not too long ago...maybe 1 year or 2 when you this type of thing wasn't happening...and you probably didn't even know such a thing could possibly exist, right? So, that's where we have to focus on getting you back to as soon as possible.

So, what has changed in the last year or so that could have lead to this type of clinical picture? Was there any type of injury? Did you start taking medications that you'd never taken before? How illicit drugs or excessive alcohol? Is that something that has been going on either just as a few years ago or sooner....could you be reacting either to a prescription medication, an interaction between different prescription medications, or can these be a symptom of some kind of consequence or effect by illicit drugs/alcohol such as withdrawal? If the answer is, MAYBE or POSSIBLY, Then, tell me a bit more about that answer. If your answer is ABSOLUTELY NOT.....then, read on.....

Have you been exposed or do you work in an environment with heavy metals or toxic substances? Again, this could be recreationally or for your job, whatever....heavy metals intoxication can give these types of symptoms as well.....so this is something that must be considered. Have you been under any type of treatments for cancers, autoimmune diseases, or have you been undergoing radiation treatments for any reason such as a skin cancer, etc.? Any significant losses of weight over the past 1 year UNINTENTIONALLY? In other words, not dieting for any particular reason, but losing a fair or even a lot of weight?

And so, these are some of the more common sets of questions we ask anybody who comes to us for a condition of unexplained or annoying sensations of movement upon the body...or within the skin or even within deeper spaces and orifices. These sensations or FORMICATIONS must be analyzed and separated into ORGANIC causes referable to deficiecies or abnormalities of the blood or other organs with respect to chemical or biochemical processes, effects of drugs, interactions between drugs etc. AND NON-ORGANIC or psychological symptoms that could be due to causes of lifestyle, stress, fears, paranoia, PTSD, major depressive episodes or mood.

I would strongly recommend you see a good solid INTERNIST or FAMILY PRACTITIONER initially in order to run metabolic testing that could reveal some organic reason for the symptoms. The doctor may want you to see a NEUROLOGIST. They should test you for things such as: urine testing, CBC and electrolytes, thyroid and adrenal hormones, Vitamin D, B12, riboflavin, thiamine, folate, and liver as well as kidney enzymes. In addition there could be heavy metal testing, CRP, ESR testing, ANA testing, and depending upon your examination there could be imaging studies of the abdomen, head, or neck. This would be to the discretion of the examining physician.

Treating this condition will entirely depend on what is found through examination and could involve the use of hormones, antineuropathic agents, medications used to stabilize certain electrical channels of the cellular membrane, or medications to treat mood disorders, or other similar disorders, again depending on the physical and psychological screens.

Check this website out which gets a very good summary of what I've said as well as some other specifics which may interest you:

https://www.buoyhealth.com/symptoms-a-z/feeling-something-crawling-head/


If I've provided useful or helpful information to your questions could you do me the utmost of favors by CLOSING THE QUERY along with a few positive words of feedback and maybe even a 5-star rating if you feel it is deserving? I am definitely interested in getting updated information on your condition if you'd care to drop me a line at www.bit.ly/drdariushsaghafi and let me know how things turned out.

You can always reach me at the above address for this and other questions. I wish you the best with everything and hope our discussion has aided in your understanding of a few concepts related to your concerns.

CHEERS!

This query required 60 minutes of professional time to research, assimilate, and file a response.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Dariush Saghafi (0 minute later)
Brief Answer:
FORMICATION is a heckuva medical term....but it is likely what you describe

Detailed Answer:
Good evening.....sorry that you're having these feelings. What you're describing comes under the medical heading of FORMICATION which is the feeling of something traversing or moving upon the surface of the body but which actually does not exist. Most people will describe it as small bugs, insects, or other "critters" which give one a very real sensation of something on the skin and in motion but then, when the person looks or otherwise, tries to localize the object or critter....it is either not there or the sensation stops or changes to something.

It is an annoying, frustrating, and altogether exhausting symptom to have to deal with on an ongoing basis. Therefore, here's what I believe you need to do. Since you've not described of treatment or what you've DONE for the problem in the past year that it's been present you absolutely need to see a physician and get both a thorough MEDICAL EXAMINATION as well as potential laboratory and/or imaging studies done in order to rule certain ORGANIC CAUSES out.

You say this has been going on for a year.....I don't know your age but I think it's safe to say that you're a bit older than 1 or 2 years old, right? LOL......Therefore, I'm willing to bet that there was a time...not too long ago...maybe 1 year or 2 when you this type of thing wasn't happening...and you probably didn't even know such a thing could possibly exist, right? So, that's where we have to focus on getting you back to as soon as possible.

So, what has changed in the last year or so that could have lead to this type of clinical picture? Was there any type of injury? Did you start taking medications that you'd never taken before? How illicit drugs or excessive alcohol? Is that something that has been going on either just as a few years ago or sooner....could you be reacting either to a prescription medication, an interaction between different prescription medications, or can these be a symptom of some kind of consequence or effect by illicit drugs/alcohol such as withdrawal? If the answer is, MAYBE or POSSIBLY, Then, tell me a bit more about that answer. If your answer is ABSOLUTELY NOT.....then, read on.....

Have you been exposed or do you work in an environment with heavy metals or toxic substances? Again, this could be recreationally or for your job, whatever....heavy metals intoxication can give these types of symptoms as well.....so this is something that must be considered. Have you been under any type of treatments for cancers, autoimmune diseases, or have you been undergoing radiation treatments for any reason such as a skin cancer, etc.? Any significant losses of weight over the past 1 year UNINTENTIONALLY? In other words, not dieting for any particular reason, but losing a fair or even a lot of weight?

And so, these are some of the more common sets of questions we ask anybody who comes to us for a condition of unexplained or annoying sensations of movement upon the body...or within the skin or even within deeper spaces and orifices. These sensations or FORMICATIONS must be analyzed and separated into ORGANIC causes referable to deficiecies or abnormalities of the blood or other organs with respect to chemical or biochemical processes, effects of drugs, interactions between drugs etc. AND NON-ORGANIC or psychological symptoms that could be due to causes of lifestyle, stress, fears, paranoia, PTSD, major depressive episodes or mood.

I would strongly recommend you see a good solid INTERNIST or FAMILY PRACTITIONER initially in order to run metabolic testing that could reveal some organic reason for the symptoms. The doctor may want you to see a NEUROLOGIST. They should test you for things such as: urine testing, CBC and electrolytes, thyroid and adrenal hormones, Vitamin D, B12, riboflavin, thiamine, folate, and liver as well as kidney enzymes. In addition there could be heavy metal testing, CRP, ESR testing, ANA testing, and depending upon your examination there could be imaging studies of the abdomen, head, or neck. This would be to the discretion of the examining physician.

Treating this condition will entirely depend on what is found through examination and could involve the use of hormones, antineuropathic agents, medications used to stabilize certain electrical channels of the cellular membrane, or medications to treat mood disorders, or other similar disorders, again depending on the physical and psychological screens.

Check this website out which gets a very good summary of what I've said as well as some other specifics which may interest you:

https://www.buoyhealth.com/symptoms-a-z/feeling-something-crawling-head/


If I've provided useful or helpful information to your questions could you do me the utmost of favors by CLOSING THE QUERY along with a few positive words of feedback and maybe even a 5-star rating if you feel it is deserving? I am definitely interested in getting updated information on your condition if you'd care to drop me a line at www.bit.ly/drdariushsaghafi and let me know how things turned out.

You can always reach me at the above address for this and other questions. I wish you the best with everything and hope our discussion has aided in your understanding of a few concepts related to your concerns.

CHEERS!

This query required 60 minutes of professional time to research, assimilate, and file a response.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dariush Saghafi (36 hours later)
What kind of doctor should I see about this problem?
default
Follow up: Dr. Dariush Saghafi (0 minute later)
What kind of doctor should I see about this problem?
doctor
Answered by Dr. Dariush Saghafi (12 hours later)
Brief Answer:
A GOOD doctor is best for your condition.... :)

Detailed Answer:
And the obvious answer to your question would be: A GOOD Doctor is BEST for your problem.....meaning one who is interested in LISTENING and assessing your story as it began from BEFORE the time you had these sensations to when everything started...and now into the time of its ongoing evolution over the past 6-12 months. A GOOD doctor will put the story together and from that point, see how best they should investigate at least some of the possibilities I mentioned having to do with NEUROPATHIES, CONSEQUENCES of external agents such as medications, and/or nutritional deficits, etc.

Of course, laboratory and other diagnostic testing could be ordered as I mentioned earlier so the doctor should have some knowledge of what may best show deficiencies and which would not be helpful at all.

You want someone who is going to look for the root cause of your complaints and first to their best of their capacitation and ability rule out ORGANIC causes before looking into SOMATIC (psychological) aspects of what these symptoms could mean.

In my opinion, a GOOD doctor can have whichever specialty or NOT (general practitioner- Note that FAMILY PRACTICE and INTERNAL MEDICINE are actual specialty medical fields) they like so long as you feel comfortable with opening up to them about how this all got started and so long as they are open minded about the possibilities of what these symptoms could be as well as the therapeutics behind managing the condition so you can get back to a normal state of affairs as you ONCE likely enjoyed, am I right? In other words, you were not ALWAYS feeling this hair in the mouth, or feeling things crawling but instantly disappearing, etc....make sense? That's why the history from before this all began including anything and everything that happened to you in the transition period need to be brought up and discussed.

I, as a neurologist, see a fair number of these sorts of cases and I can tell you that some times they lead to quick answers and other times not so obvious nor quick. Sometimes there are PURELY laboratory deficiencies present which are chronic that nobody has ever checked and sometimes purely psychological or psychiatric issues are at the bottom of it all. And sometimes....THERE ARE BOTH....that's the trickiest variation to confront and manage. What happens when the underlying causes turns out to likely be a combination of organic and somatic causes?

I believe that a GOOD doctor comes in many different forms....it can be a single INDIVIDUAL but mostly, I like when I can work with a team on these sorts of issues. And my choices almost always include a neuropsychologist or psychologist knowledgeable in the techniques of COGNITIVE BEHAVIORAL THERAPY as well as other forms of complementary medical approaches (biofeedback, acupuncture, breathing and relaxation exercises) as well as a good Pharm D. would can help me with medication choices so that we don't COMPLICATE things when looking to treat either empirically or on the basis of discovered pathology.

It can be challenging to discover the actual underlying cause to your problem but with a GOOD open minded and analytical doctor who is able to consider all possibilities based on the history and its evolution I believe it's a manageable problem...maybe even curable.

If you live in XXXXXXX then, you have excellent centers of medical science such as Rush Presbyterian, University of XXXXXXX and Loyola University along with numerous teaching hospitals and very experienced folks that can look at this set of symptoms. I think a phone call to any one of those institutions is likely to yield the right team of experts to help you manage things.

Once again, it would be greatly appreciated for you to close this QUERY'S instance If I've adequately answered your questions along with generous words of feedback and maybe even a 5-star rating if you feel it deserving? If you do close the query please keep me informed at www.bit.ly/drdariushsaghafi and let me know how things turned out.

You can always reach me at the above address for this and other questions. I wish you the best with everything and hope our discussion has aided in your understanding of a few concepts related to your concerns.

CHEERS!

This query required 117 minutes of professional time to research, assimilate, and file a response.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Dariush Saghafi (0 minute later)
Brief Answer:
A GOOD doctor is best for your condition.... :)

Detailed Answer:
And the obvious answer to your question would be: A GOOD Doctor is BEST for your problem.....meaning one who is interested in LISTENING and assessing your story as it began from BEFORE the time you had these sensations to when everything started...and now into the time of its ongoing evolution over the past 6-12 months. A GOOD doctor will put the story together and from that point, see how best they should investigate at least some of the possibilities I mentioned having to do with NEUROPATHIES, CONSEQUENCES of external agents such as medications, and/or nutritional deficits, etc.

Of course, laboratory and other diagnostic testing could be ordered as I mentioned earlier so the doctor should have some knowledge of what may best show deficiencies and which would not be helpful at all.

You want someone who is going to look for the root cause of your complaints and first to their best of their capacitation and ability rule out ORGANIC causes before looking into SOMATIC (psychological) aspects of what these symptoms could mean.

In my opinion, a GOOD doctor can have whichever specialty or NOT (general practitioner- Note that FAMILY PRACTICE and INTERNAL MEDICINE are actual specialty medical fields) they like so long as you feel comfortable with opening up to them about how this all got started and so long as they are open minded about the possibilities of what these symptoms could be as well as the therapeutics behind managing the condition so you can get back to a normal state of affairs as you ONCE likely enjoyed, am I right? In other words, you were not ALWAYS feeling this hair in the mouth, or feeling things crawling but instantly disappearing, etc....make sense? That's why the history from before this all began including anything and everything that happened to you in the transition period need to be brought up and discussed.

I, as a neurologist, see a fair number of these sorts of cases and I can tell you that some times they lead to quick answers and other times not so obvious nor quick. Sometimes there are PURELY laboratory deficiencies present which are chronic that nobody has ever checked and sometimes purely psychological or psychiatric issues are at the bottom of it all. And sometimes....THERE ARE BOTH....that's the trickiest variation to confront and manage. What happens when the underlying causes turns out to likely be a combination of organic and somatic causes?

I believe that a GOOD doctor comes in many different forms....it can be a single INDIVIDUAL but mostly, I like when I can work with a team on these sorts of issues. And my choices almost always include a neuropsychologist or psychologist knowledgeable in the techniques of COGNITIVE BEHAVIORAL THERAPY as well as other forms of complementary medical approaches (biofeedback, acupuncture, breathing and relaxation exercises) as well as a good Pharm D. would can help me with medication choices so that we don't COMPLICATE things when looking to treat either empirically or on the basis of discovered pathology.

It can be challenging to discover the actual underlying cause to your problem but with a GOOD open minded and analytical doctor who is able to consider all possibilities based on the history and its evolution I believe it's a manageable problem...maybe even curable.

If you live in XXXXXXX then, you have excellent centers of medical science such as Rush Presbyterian, University of XXXXXXX and Loyola University along with numerous teaching hospitals and very experienced folks that can look at this set of symptoms. I think a phone call to any one of those institutions is likely to yield the right team of experts to help you manage things.

Once again, it would be greatly appreciated for you to close this QUERY'S instance If I've adequately answered your questions along with generous words of feedback and maybe even a 5-star rating if you feel it deserving? If you do close the query please keep me informed at www.bit.ly/drdariushsaghafi and let me know how things turned out.

You can always reach me at the above address for this and other questions. I wish you the best with everything and hope our discussion has aided in your understanding of a few concepts related to your concerns.

CHEERS!

This query required 117 minutes of professional time to research, assimilate, and file a response.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 2472 Questions

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Hello. There Is Something Crawling In My Mouth, Nose, Ears,

Hello. there is something crawling in my mouth, nose, ears, beard, and hair. I have had this feeling for a year now. feels like a piece of stringy hair in my mouth and when I try to spit it out I can feel it coming right back in my mouth or my face. it moves very quickly. I have stood in the mirror for 10 minutes trying to see if I could see it and I don't. everywhere I feel it move, I look and it leaves a white Speck. it feels kind of gummy but I can never catch it. I have felt it crawl on my arm and I will look exactly where is crawling and I don't see a thing. it's scary. please help