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What Causes Altered Sense Of Taste, Hearing Loss, Imbalance And Paresthesia?

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Posted on Mon, 18 Sep 2017
Question: Symptoms: Gradual loss of following senses -- taste of salt, taste of sugar, hearing, balance. Gradual increase in -- dizziness with movement, especially head, tingling around toes and ball of foot. Any ideas?
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Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)
Brief Answer:
Altered taste, Imbalance, parasthesia

Detailed Answer:
Hello and Welcome

I appreciate your concern

Altered sensations of taste can be due to a number of causes including oral infections, gum disease, a number of drugs including iron supplementation, or a systemic condition such as a cold. If the symptoms are of recent onset then they would improve once the cause is addressed.

For hearing and balance, both peripheral and central causes need to be looked for. Nystagmus should be noted at clinical exam if present. Imbalance or vertigo needs to be differentiated. Dizziness also needs to be clinically correlated. Blood pressure should be measured in sitting/lying and standing position to look for a postural drop. EKG and echo as part of cardiac workup can be suggested.

Parasthesia are common with both peripheral neuropathy and peripheral arterial disease and may present with a mixed pattern. Vascular insufficiency should be ruled out. Drugs like pregabalin , gabapentin and B 12 supplements can be advised accordingly.


Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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What Causes Altered Sense Of Taste, Hearing Loss, Imbalance And Paresthesia?

Brief Answer: Altered taste, Imbalance, parasthesia Detailed Answer: Hello and Welcome I appreciate your concern Altered sensations of taste can be due to a number of causes including oral infections, gum disease, a number of drugs including iron supplementation, or a systemic condition such as a cold. If the symptoms are of recent onset then they would improve once the cause is addressed. For hearing and balance, both peripheral and central causes need to be looked for. Nystagmus should be noted at clinical exam if present. Imbalance or vertigo needs to be differentiated. Dizziness also needs to be clinically correlated. Blood pressure should be measured in sitting/lying and standing position to look for a postural drop. EKG and echo as part of cardiac workup can be suggested. Parasthesia are common with both peripheral neuropathy and peripheral arterial disease and may present with a mixed pattern. Vascular insufficiency should be ruled out. Drugs like pregabalin , gabapentin and B 12 supplements can be advised accordingly. Wishing you best of health Thanks Let me know if you have any query Please consult your doctor before deciding on any further course of action. For future follow up / correspondence you may ask me directly at the link given below http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107 Dr. M.S. Khalil