Conversation: The conversation between human and AI assistant.
[|Human|] The front of my tongue,upper front gums have been tingling for 2 months now. also my nostrils feels numb.I went to see a eye ear nose specialist and he said its your nerves or maybe its from me taking methotrexate for 5 wks for my RA. Do you think I need to see a neurologist
[|AI|]  Hello, I can understand your concern. There are many reasons that can cause a tingling tongue along with numbness in gums and nose. It could range from vitamin and mineral deficiency to reduced blood flow to the area, injury to nerve supplying the area or neurological disease. However, Methotrexate is not one of the reason. Even though neurological problem sounds more like the cause of the problem, I would advise you to go for blood tests to check level of Vitamin B12 and vitamin D. In addition, taking an appointment of a neurologist seems necessary. If the blood levels of vitamins will be low in test results, vitamin tablets for a long period of time will suffice. Otherwise, you will have to go for investigations and treatment regarding neurological problem. I hope this information helps you. Thank you for choosing Chat Doctor. Let me know if I can be of further assistance. Best,