[22F] Experiencing numbness, tingling, and frequent urination

Patient Description

A 22-year-old female reports persistent tingling and burning numbness in the feet extending to the legs, more pronounced on the right side, and a headache radiating from the right side of the neck to the ear and behind the eyes. The patient also experiences dizziness, lightheadedness, frequent urination (hourly), shortness of breath for the past month, difficulty swallowing since June, persistent bad breath, a sensation of a closed throat, shaking, alternating sensations of cold and heat, and possible heartburn or chest pain. The patient has a history of hypermobility, ADHD, major depressive disorder, and social anxiety diagnosed in 2019. Current medications include Adderall for ADHD, Zofran for nausea, and medication for acid reflux. No known drug allergies. The patient has been experiencing blurry vision, neck stiffness, and has had episodes of vomiting over the past month, but not on the day of reporting. There is no known family history of autoimmune or neurological diseases, and no recent use of recreational drugs, alcohol, or unprescribed medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be possible:

  • Diabetes: Frequent urination, tingling or numbness in the feet and legs, and blurred vision are common symptoms of both type 1 and type 2 diabetes. Diabetes can also cause feelings of weakness and dizziness.

    • Diagnosis usually involves blood tests to check your blood sugar levels. Treatment typically involves lifestyle changes and medication to help control your blood sugar levels.
  • Peripheral Neuropathy: This is a result of damage to your peripheral nerves, often causing weakness, numbness and pain, usually in your hands and feet. It can also affect other areas of your body.

    • Diagnosis typically involves neurological examinations, nerve function tests, blood tests, and possibly a nerve biopsy. Treatment focuses on managing the condition causing your neuropathy and relieving symptoms.
  • Migraine: The headache, light sensitivity, and nausea you're experiencing could be due to migraines.

    • Diagnosis is usually based on your medical history, symptoms, and a physical and neurological examination. Treatment is aimed at stopping symptoms and preventing future attacks.
  • Anxiety or Panic Disorder: Some of the symptoms you're experiencing, such as shortness of breath, feeling cold then hot, and chest pain, can be associated with anxiety or panic attacks.

    • Diagnosis is typically based on a thorough clinical interview and diagnostic guidelines. Treatment usually involves psychotherapy, medication, or both.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

Given the severity and range of your symptoms, it's important that you seek immediate medical attention. Here are some steps you can take:

  1. Schedule an appointment with your primary care doctor as soon as possible. If you can't get an appointment soon, consider going to an urgent care center or emergency room.
  2. Write down all your symptoms, including when they started, how often they occur, and any patterns you've noticed. This will help your doctor in diagnosing your condition.
  3. Make a list of all the medications you're currently taking, including the dosage and frequency. This includes prescription medications, over-the-counter drugs, and any supplements.

What you should look out for

Seek immediate medical help if you:

  • Notice a sudden increase in the severity of your symptoms
  • Experience confusion, difficulty speaking, or difficulty understanding speech
  • Have a high fever
  • Experience sudden vision loss

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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10 mo ago

People Also Ask


What are the common symptoms of diabetes that I should be aware of?

Common symptoms of diabetes include frequent urination, excessive thirst, extreme hunger, unexplained weight loss, fatigue, blurred vision, slow-healing sores, and tingling or numbness in the hands or feet. If you experience these symptoms, it's important to consult a healthcare provider for a proper diagnosis.


How is peripheral neuropathy diagnosed and treated?

Peripheral neuropathy is diagnosed through a combination of medical history review, neurological examinations, nerve function tests, blood tests, and sometimes a nerve biopsy. Treatment focuses on managing the underlying cause, relieving symptoms, and preventing further nerve damage. This may include medications, physical therapy, and lifestyle changes.


What are the typical symptoms of a migraine and how can they be managed?

Typical symptoms of a migraine include a severe headache, often on one side of the head, sensitivity to light and sound, nausea, and sometimes visual disturbances. Management includes medications to relieve symptoms and prevent future attacks, lifestyle changes, and avoiding known migraine triggers.


Can anxiety or panic disorders cause physical symptoms like shortness of breath and chest pain?

Yes, anxiety or panic disorders can cause physical symptoms such as shortness of breath, chest pain, dizziness, and a sensation of being hot or cold. These symptoms occur due to the body's 'fight or flight' response. Treatment typically involves psychotherapy, medication, or a combination of both to manage anxiety and reduce symptoms.


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