I have pins and needles type feeling in my tongue and lips what could this be?

Not really. The short answer is "no." the sensory function of the vagus nerve has no relationship to facial or oral structures. The closest that the vagus nerve comes to any function in that region of the body would have to do mainly with the cough reflex. Trigeminal nerve dysfunction more likely causing symptoms you mentioned. I notice that gbs is listed under "conditions."is that currently or in the past? Read more...

Hyperventilation. Frequently sx of hyperventilation. Sarcoidosis can do many things. Unless severe pulmonary involvement causing rapid respirations. Read more...

See a Dr - might be. Allergy to certain food can cause this - so can deficiencies in calcium or other nutrients. So can a imbalanced blood sugar condition and a pinched nerve is another possibility. The Dr will ask ?s and might know immediately - lab work could be needed or other tests. It's good to check it out and get it resolved, right? Best! Read more...

Anxiety? As symptoms come and go, it could be anxiety, as long as medical causes were ruled out. Talk to your doctor about GAD & treatment for such. Read more...