[19F] Experiencing facial and arm numbness with head pressure

Patient Description

A 19-year-old female reports experiencing facial and arm numbness along with a sensation of pressure in the head. These symptoms have been occurring off and on for about a year, typically lasting 20-30 minutes per episode. The numbness and head pressure are most prominent in the mornings or at night, though they can sometimes persist throughout the day. The patient also experiences weakness and heart palpitations, which are not exacerbated by exercise. She has been managing her symptoms by working out, eating healthier, and praying, which provides temporary relief. The patient has a history of anxiety and has sought professional help for it. Alcohol consumption was noted to be excessive for a few months, but symptoms persist even when not drinking. No history of high blood pressure or known allergies. No imaging tests like MRI or CT scan have been conducted to date.

Arora's Assessment

What might be happening

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

Anxiety-Related Symptoms: Anxiety can manifest physically, leading to symptoms like numbness, head pressure, and heart palpitations. Since you've noticed a connection between feeling anxious and experiencing these symptoms, it's possible that anxiety is a contributing factor.
Migraine or Tension-Type Headaches: These types of headaches can cause pressure sensations and sometimes lead to numbness or tingling in different parts of the body. They can be triggered by stress, lack of sleep, or dietary factors.
Cervical Spine Issues: Problems with the cervical spine, such as a herniated disc, can cause numbness and head pressure by affecting the nerves that run from your neck to your arms and face.
Chronic Hyperventilation Syndrome: This condition involves breathing too quickly or deeply, which can lead to symptoms like numbness, tingling, and head pressure. It can be related to anxiety or stress.

It's important to continue working with a healthcare professional to explore these possibilities and rule out other potential causes.

What you can do

While it's essential to consult with a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help manage your symptoms:

Practice Relaxation Techniques: Techniques such as deep breathing, meditation, or yoga can help reduce anxiety and alleviate physical symptoms.
Maintain a Healthy Lifestyle: Regular exercise, a balanced diet, and adequate sleep can help improve your overall well-being and reduce symptoms.
Limit Alcohol and Caffeine: Reducing or eliminating alcohol and caffeine intake may help decrease symptoms like heart palpitations and anxiety.
Use MDandMe: Consider using the MDandMe app to journal your symptoms, track your progress, and gain insights. This information can be valuable when discussing your symptoms with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

Sudden or severe worsening of symptoms
New symptoms, such as difficulty speaking or severe weakness
Symptoms that interfere significantly with your daily life

Remember, it's important to work with a healthcare professional to receive a formal diagnosis and appropriate treatment. If you have any questions or need further assistance, feel free to reach out.

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27 d ago

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[19F] Experiencing facial and arm numbness with head pressure

What might be happening

What you can do

What you should look out for

Experiencing symptoms?