[18M] Experiencing numbness, neurological issues, and shortness of breath

Patient Description

An 18-year-old male presents with a constant sensation of numbness and pins and needles in the feet and lower legs, which has been ongoing for approximately 6 months but has worsened to a constant state over the last week. The patient also reports brain fog, characterized by difficulty thinking, word-finding difficulties, and memory issues, which have similarly transitioned from intermittent to constant over the past week. Additionally, the patient experiences lightheadedness, described as dizziness and giddiness, particularly when standing for extended periods, which worsens when not eating. This symptom has been present for a week. Shortness of breath occurs occasionally when walking short distances or talking, also noted for a week. The patient sometimes feels an abnormal sensation of cold. Past medical history includes psoriasis, diagnosed a couple of months ago but present for 10 years, and ADHD, diagnosed approximately a year ago. The patient is currently taking Vyvanse for ADHD and reports no known drug allergies or other medications.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Peripheral Neuropathy: This condition is characterized by damage to the nerves outside your brain and spinal cord, often causing weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body. The numbness in your feet and lower legs, as well as the pins and needles sensation, could be symptoms of this condition.

    • Diagnostic tests for peripheral neuropathy may include neurological examinations, blood tests, nerve function tests, and nerve biopsy.
    • Treatment usually focuses on managing the condition causing your neuropathy and relieving symptoms. This can include medications, therapies, and possibly surgery.
  • Orthostatic Hypotension: This is a form of low blood pressure that happens when you stand up from sitting or lying down. It might be causing your lightheadedness and dizziness when standing for too long.

    • Diagnosis is typically made through a physical exam, blood pressure measurement, and possibly additional tests.
    • Treatment usually involves lifestyle changes, such as drinking plenty of fluids and avoiding alcohol. Medications may also be prescribed.
  • Anemia: This condition occurs when you lack enough healthy red blood cells to carry adequate oxygen to your body's tissues. It could explain your shortness of breath and feeling cold. It might also contribute to your brain fog.

    • Diagnosis typically involves a complete blood count (CBC) and possibly additional tests.
    • Treatment depends on the cause and severity of the condition but may include dietary changes, supplements, medications, or procedures.

Remember, these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Schedule an appointment with your healthcare provider as soon as possible to discuss your symptoms.
  2. Keep a symptom diary. Note when your symptoms occur, their severity, and any potential triggers. This can help your healthcare provider in diagnosing your condition.
  3. Stay hydrated and maintain a balanced diet. This can help manage symptoms of orthostatic hypotension and anemia.
  4. Avoid standing up too quickly to help manage symptoms of orthostatic hypotension.
  5. Rest and take care of your overall health. This can help manage symptoms and improve your well-being.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms significantly worsen.
  • You experience severe dizziness, fainting, or falls.
  • You have chest pain or difficulty breathing.
  • You notice a rapid or irregular heartbeat.
  • You experience confusion, difficulty speaking, or difficulty walking.

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

Show More

1
 Hugs
0
 Comments

Save

1 yr ago

People Also Ask


What are the common causes of peripheral neuropathy?

Peripheral neuropathy can be caused by a variety of factors including diabetes, infections, autoimmune diseases, vitamin deficiencies, and exposure to toxins. It can also be a side effect of certain medications or a result of physical injury to the nerves.


How can orthostatic hypotension be managed at home?

Orthostatic hypotension can often be managed by staying well-hydrated, avoiding alcohol, standing up slowly, wearing compression stockings, and increasing salt intake if advised by a doctor. It's important to consult with a healthcare provider for personalized advice.


What are the symptoms of anemia and how is it diagnosed?

Symptoms of anemia include fatigue, weakness, pale or yellowish skin, irregular heartbeats, shortness of breath, dizziness, and cold hands and feet. It is typically diagnosed with a complete blood count (CBC) test, which measures the levels of red blood cells and hemoglobin.


Can ADHD medication like Vyvanse cause symptoms like numbness or brain fog?

While Vyvanse is primarily used to treat ADHD and is not commonly associated with causing numbness or brain fog, side effects can vary. It's important to discuss any new or worsening symptoms with a healthcare provider to determine if they might be related to medication or another underlying condition.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback