[18M] With sudden onset of full-body numbness and slow movements

Patient Description

An 18-year-old male reports experiencing numbness and a prickly sensation throughout his entire body, including his legs, arms, and torso. Additionally, he describes his movements as feeling slow, almost like moving in slow motion. These symptoms started suddenly yesterday. The patient also notes weakness and difficulty walking. He has not experienced any recent head trauma, changes in vision, difficulty speaking or swallowing, recent infections or illnesses, muscle weakness, coordination issues, exposure to new substances, changes in bowel or bladder function, recent weight changes, or consumption of alcohol or recreational drugs. There is no family history of neurological conditions or similar symptoms, and he has not received any recent vaccinations. The patient does not have any pre-existing conditions or chronic illnesses and is not taking any medications. He recalls sitting in the same position for a long time and consuming seafood prior to the onset of symptoms.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can cause numbness, tingling, and prickling sensations. It can be caused by various factors, including prolonged pressure on nerves (such as sitting in the same position for a long time), certain medications, and nutritional deficiencies.

    • Treatment: Treatment typically involves addressing the underlying cause, such as changing positions frequently to relieve pressure on nerves, managing blood sugar levels if diabetes is a factor, and taking supplements if a nutritional deficiency is identified.
  • Vitamin B12 Deficiency: A lack of vitamin B12 can lead to neurological symptoms, including numbness, tingling, and slow movements. This deficiency can occur due to poor dietary intake or absorption issues.

    • Treatment: Treatment involves dietary changes to include more B12-rich foods (such as meat, fish, dairy, and fortified cereals) or taking B12 supplements.
  • Seafood Allergy or Intolerance: Although you mentioned no known allergies, it's possible to develop new allergies or intolerances. Seafood can sometimes cause allergic reactions or intolerances that might manifest as neurological symptoms.

    • Treatment: Avoiding the specific type of seafood that may have triggered the reaction and consulting with an allergist for further evaluation.
  • Prolonged Immobility: Sitting in the same position for an extended period can lead to nerve compression, resulting in numbness and tingling sensations.

    • Treatment: Regularly changing positions, stretching, and taking breaks to move around can help alleviate these symptoms.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Change Positions Frequently: Avoid sitting in the same position for long periods. Take breaks to stand up, stretch, and move around.
  2. Monitor Your Diet: Pay attention to any foods that might trigger your symptoms, especially seafood. Consider keeping a food diary to track what you eat and how you feel afterward.
  3. Stay Hydrated: Drink plenty of water to help maintain overall health and support nerve function.
  4. Consider Supplements: If you suspect a vitamin deficiency, consider taking a multivitamin or specific supplements like vitamin B12, but consult with a healthcare provider first.
  5. Use MDandMe: Journal your symptoms, track your progress, and get insights. This information can be valuable when you share it with your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Severe or worsening symptoms: If your numbness, tingling, or slow movements become more severe or do not improve.
  • New symptoms: If you develop additional symptoms such as difficulty breathing, chest pain, or severe headaches.
  • Signs of a serious condition: If you notice any signs of a stroke (such as sudden weakness on one side of the body, difficulty speaking, or sudden vision changes) or other serious conditions.

Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please consult with a healthcare provider for a formal diagnosis and appropriate treatment.

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5 mo ago


People Also Ask


What are the common causes of numbness and tingling sensations in the body?

Common causes of numbness and tingling include peripheral neuropathy, vitamin deficiencies (such as B12), prolonged pressure on nerves, and certain medical conditions like diabetes. It can also be caused by temporary factors like sitting in one position for too long.


How can sitting in the same position for a long time affect nerve function?

Sitting in the same position for an extended period can compress nerves, leading to reduced blood flow and nerve function. This can cause numbness, tingling, and a prickly sensation in the affected areas.


What dietary changes can help address a potential vitamin B12 deficiency?

To address a vitamin B12 deficiency, include more B12-rich foods in your diet, such as meat, fish, dairy products, and fortified cereals. If dietary changes are insufficient, B12 supplements may be recommended by a healthcare provider.


Can you develop a seafood allergy suddenly, and what are the symptoms?

Yes, it is possible to develop a seafood allergy suddenly. Symptoms can include hives, itching, swelling, difficulty breathing, and in some cases, neurological symptoms like numbness or tingling. It's important to consult an allergist for proper evaluation and management.


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