[23F] Experiencing severe body twitches and headaches

Patient Description

A 23-year-old female has been experiencing severe body twitches and headaches for over a year. The twitching episodes are characterized by arm jerking, jaw locking, involuntary vocal noises, and a tingling sensation in the brain, which are relieved by sleep. The headaches present as sharp pains in various areas of the head, worsened by walking, sunlight, reading, and watching TV. The patient also experiences fatigue, weakness in the fingers and arms during twitching episodes, and transient fuzziness in vision. She has a history of patent ductus arteriosis corrected at age four and is currently taking Amitriptyline 25mg at bedtime for irritable bowel syndrome. She has allergies to morphine, amoxicillin, and Pepcid, with no family history of neurological disorders.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Neurological conditions: The combination of body twitches, tingling sensation in your brain, and difficulty forming words could be indicative of a neurological condition. This could range from a movement disorder, such as dystonia or myoclonus, to a more systemic neurological condition like multiple sclerosis.

    • Further testing, such as a neurological examination, blood tests, and potentially imaging studies like an MRI, would be needed to confirm these diagnoses. Treatment would depend on the specific condition but could involve medications to manage symptoms, physical therapy, and in some cases, surgery.
  • Migraines: Your description of severe, sharp headaches that are worsened by light and certain activities could be consistent with migraines. Migraines can sometimes be associated with other neurological symptoms, such as visual disturbances or tingling sensations.

    • Treatment for migraines often involves both preventive strategies, such as avoiding known triggers and taking certain medications, and treatments to alleviate symptoms when they occur, such as pain relievers and triptans.
  • Medication side effects: Amitriptyline, which you're taking for irritable bowel syndrome, can sometimes cause side effects including headaches, fatigue, and in rare cases, involuntary movements or twitching.

    • If a medication side effect is suspected, your doctor may suggest adjusting the dose or trying a different medication.

Please note that these are possibilities based on the information you've provided, and not a definitive diagnosis. It's important to discuss these symptoms with a healthcare provider who can evaluate you in person and order appropriate tests.

What you can do

  1. Schedule an appointment with your healthcare provider: Given the severity and duration of your symptoms, it's important to seek medical attention. Your provider can perform a thorough examination and order any necessary tests.

  2. Keep a symptom diary: Note down when your symptoms occur, their severity, and any potential triggers. This can help your healthcare provider identify patterns and determine the best course of treatment.

  3. Stay hydrated and maintain a balanced diet: This can help manage your headaches and fatigue.

What you should look out for

Seek immediate medical attention if you experience:

  • A sudden, severe headache unlike any you've had before
  • Weakness or numbness on one side of your body
  • Difficulty speaking or understanding speech
  • Loss of balance or coordination
  • Seizures

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

Top picked over-the-counter products for Tingling or Cold Sensations at the Back of Your Head

People Also Ask


What are the possible causes of severe body twitches and headaches?

Severe body twitches and headaches can be caused by neurological conditions such as movement disorders or migraines. Other possibilities include medication side effects or systemic neurological conditions. A thorough medical evaluation is necessary to determine the exact cause.


How can migraines be managed or treated effectively?

Migraines can be managed by identifying and avoiding triggers, using preventive medications, and taking treatments like pain relievers or triptans during an attack. Lifestyle changes such as regular sleep, hydration, and stress management can also help.


Can Amitriptyline cause involuntary movements or twitching as a side effect?

Yes, Amitriptyline can cause side effects including headaches, fatigue, and in rare cases, involuntary movements or twitching. If these symptoms occur, it's important to discuss them with a healthcare provider who may adjust the medication or suggest alternatives.


What should I do if I experience a sudden, severe headache or other alarming symptoms?

If you experience a sudden, severe headache unlike any before, or symptoms like weakness, difficulty speaking, or seizures, seek immediate medical attention as these could indicate a serious condition requiring urgent care.


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