[19M] Experiencing numbness, shortness of breath, and abdominal pain

Patient Description

A 19-year-old male reports sudden onset of symptoms including a sensation of hyperventilation without actual fast breathing, shortness of breath, numbness in the arms and legs, and a feeling of a swollen or numb neck. The patient also experiences lightheadedness, weakness, and intermittent, brief chest pains. The symptoms are exacerbated by talking and have been present for about an hour. The patient has a family history of heart disease but no personal history of chronic illnesses or allergies to medications. The patient is currently on a prescribed regimen of Adderall 5mg twice daily for ADHD, which he has been taking for the past 3-4 months. No recent use of recreational drugs, alcohol, or unprescribed medications was reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are several possible conditions that could be causing your symptoms:

  • Anxiety or Panic Disorder: These conditions can cause symptoms such as hyperventilation, shortness of breath, numbness in the extremities, and chest pain. The sensation of not getting enough air despite not breathing fast is a common symptom of anxiety.

    • Treatment typically involves cognitive-behavioral therapy (CBT) and medication, such as selective serotonin reuptake inhibitors (SSRIs) or benzodiazepines.
  • Side Effects of Adderall: Adderall can sometimes cause side effects such as shortness of breath, chest pain, and feelings of nervousness or anxiety.

    • If you suspect your symptoms are related to your medication, you should contact your doctor. They may adjust your dosage or switch you to a different medication.
  • Hyperventilation Syndrome: This is a condition where you breathe too quickly or too deeply, often in response to stress or anxiety. This can cause symptoms such as shortness of breath, lightheadedness, and numbness or tingling in the extremities.

    • Treatment typically involves learning breathing exercises to help control your breathing.

Please note, these are just possibilities and not a definitive diagnosis. It's important to consult a healthcare professional for an accurate diagnosis and treatment.

What you can do

  1. Try to stay calm and take slow, deep breaths. This can help if you're experiencing symptoms due to anxiety or hyperventilation.
  2. If you suspect your symptoms are related to your Adderall, do not stop taking it abruptly. Instead, contact your doctor to discuss your symptoms and possible alternatives.
  3. If your symptoms persist or worsen, seek immediate medical attention.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or do not improve
  • You experience severe chest pain
  • You have difficulty speaking or moving
  • You experience confusion or loss of consciousness

Remember, it's important to consult a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


Can Adderall cause symptoms like shortness of breath and chest pain?

Yes, Adderall can cause side effects such as shortness of breath, chest pain, and feelings of nervousness or anxiety. If you suspect your symptoms are related to Adderall, contact your doctor to discuss your symptoms and possible alternatives.


What are common symptoms of anxiety or panic attacks?

Common symptoms of anxiety or panic attacks include a sensation of hyperventilation, shortness of breath, numbness in the extremities, chest pain, lightheadedness, and a feeling of not getting enough air despite not breathing fast.


How can hyperventilation syndrome be managed or treated?

Hyperventilation syndrome can be managed by learning breathing exercises to help control your breathing. Staying calm and taking slow, deep breaths can also help alleviate symptoms.


When should I seek immediate medical attention for these symptoms?

You should seek immediate medical attention if your symptoms worsen or do not improve, if you experience severe chest pain, difficulty speaking or moving, confusion, or loss of consciousness.


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