[27M] Experiencing numbness in face and neck with chest tightness

Patient Description

A 27-year-old male has been experiencing gradual onset of numbness spreading evenly across his face and neck, accompanied by a sensation of tightness in the chest described as a pressure similar to being punched. The symptoms have been persistent for 3 days. The patient also reports weakness on one side of the body but no severe headaches, changes in speech or vision, difficulty breathing, or shortness of breath. The patient's medical history is unremarkable with no pre-existing conditions or chronic illnesses, and no recent use of tobacco, alcohol, or recreational drugs. There is a family history of cardiovascular or neurological conditions. The patient is currently taking Sertraline 50mg, Lisinopril 10mg, and Buspirone, with no known allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Transient Ischemic Attack (TIA) or Stroke: These conditions occur when blood flow to a part of your brain is stopped or reduced, often due to a blood clot. This can cause symptoms like numbness or weakness on one side of your body, including your face and neck.

    • Treatment typically involves medications to prevent blood clots and manage underlying conditions that could increase your risk of having a stroke, like high blood pressure.
  • Heart Conditions: Conditions like angina or heart attack can cause chest pain and other symptoms. Angina is caused by reduced blood flow to your heart muscle, while a heart attack occurs when blood flow to a part of your heart is blocked.

    • Treatment can involve medications, lifestyle changes, and in some cases, surgery.
  • Anxiety Disorders: Anxiety disorders can cause physical symptoms like chest pain, numbness, and tingling. However, these symptoms usually occur along with feelings of intense worry or fear.

    • Treatment can involve psychotherapy (talk therapy), medications, or both.

Please remember that this is not an exhaustive list and other conditions could also be causing your symptoms.

What you can do

Given the severity and nature of your symptoms, it's important to seek immediate medical attention. Please go to the emergency department right away or call an ambulance.

What you should look out for

Please monitor your symptoms closely and seek immediate medical attention if they worsen or if you develop new symptoms like:

  • Difficulty speaking or slurred speech
  • Severe headache
  • Difficulty seeing in one or both eyes
  • Difficulty walking or loss of balance
  • Severe chest pain
  • Shortness of breath

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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10 mo ago

People Also Ask


What are the common symptoms of a Transient Ischemic Attack (TIA) or stroke?

Common symptoms of a TIA or stroke include sudden numbness or weakness, especially on one side of the body, confusion, trouble speaking or understanding speech, difficulty seeing in one or both eyes, difficulty walking, dizziness, loss of balance or coordination, and severe headache with no known cause.


How can anxiety disorders cause physical symptoms like numbness and chest tightness?

Anxiety disorders can lead to physical symptoms due to the body's 'fight or flight' response, which can cause muscle tension, increased heart rate, and hyperventilation. This can result in sensations like numbness, tingling, and chest tightness.


What are the potential side effects of taking Sertraline, Lisinopril, and Buspirone together?

While generally safe when prescribed together, these medications can have side effects such as dizziness, drowsiness, dry mouth, and changes in blood pressure. It's important to monitor for any unusual symptoms and consult a healthcare provider if they occur.


When should someone seek immediate medical attention for chest pain and numbness?

Immediate medical attention should be sought if chest pain is severe, persistent, or accompanied by symptoms like difficulty breathing, numbness or weakness on one side of the body, slurred speech, or vision changes, as these could indicate a serious condition like a heart attack or stroke.


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