Conversation: The conversation between human and AI assistant.
[|Human|] I am a white 39yr old male, 260 lbs @ 5 -10 . I have a history of blood sugar issues which are currently in normal limits without medication. My left leg is also numb from an (assumed) L5 S1 compaction from over 10 years ago. I have Hydroxizine Hydrochloride for occasional anxiety in low doses. I smoke about 1/2 a pack of cigarettes a day. I do not drink or do other drugs. About a month ago my upper lip and nose started to feel weird . This has progressed very slowly to become partial loss of sensation/numbness and a puffy sensation with a slight loss of motor control but no visual change to the area. The numbness includes my gums surrounding my upper 4 teeth which have never needed any dental work. There is no history of ALS in my family. My doctor is stumped but continuing to do research. Any suggestions?
[|AI|]  Hello and welcome, this is initial stage of nicotine palate/palatal erythema. Greyish white palate with small nodular red spots, palatal papillary hyperplasia, central papillary atrophy of tongue and bilateral commissural leukoplakias, ie, on tongue are the usual symptoms. Lesion may also occur on buccal mucosa. Reduction or elimination of smoking is the first choice of treatment.vitamin-becosules can be taken.locall/systemic glucocorticoids are usually taken. Forceful mouth opening/heat therapy can be done.in advanced cases, surgical management has to be done. Regards Chat Doctor.