[28F] Experiencing dizziness, upper back pain, and intermittent numbness/heaviness

Patient Description

A 28-year-old female has been experiencing random dizzy spells for three days, rated as moderate in severity, which worsen with fast walking and improve with rest. She also reports an annoying dull pain in her upper back that comes and goes without any apparent triggers. Additionally, she has been experiencing intermittent numbness and heaviness in her left arm and leg for about six months, without any clear pattern or associated activities. She has occasional neck pain, described as a dull ache requiring constant massaging, persisting for about a year. The patient has a history of panic attacks and generalized anxiety, for which she was prescribed Hydroxyzine and Lexapro two years ago but is not currently taking them. She takes Benadryl occasionally to aid sleep. She has an allergy to penicillin but reports no side effects from her current or past medications.

Show More

Arora's Assessment

What might be happening

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

  • Vestibular Disorders: These are conditions that affect the inner ear and balance, causing symptoms such as dizziness, a spinning sensation (vertigo), and unsteadiness. This could potentially explain your dizziness and the feeling of the room spinning.

    • Treatment typically involves physical therapy, medications to control symptoms, and in some cases, surgery.
  • Cervical Spondylosis: This is a general term for age-related wear and tear affecting the spinal disks in your neck. This can cause neck pain and numbness or weakness in your arms. The dizziness could potentially be due to this if it's related to neck movement.

    • Treatment can include physical therapy, medications to ease pain and inflammation, and in severe cases, surgery.
  • Anxiety Disorders: You've mentioned a history of panic attacks and generalized anxiety. Anxiety can sometimes cause physical symptoms such as dizziness, numbness, and a feeling of heaviness in the limbs.

    • Treatment typically involves a combination of psychotherapy (talk therapy) and medication.
  • Side Effects of Medication: Benadryl can sometimes cause dizziness as a side effect. It's also possible that stopping the Lexapro and Hydroxyzine could have caused some withdrawal symptoms, although this would typically happen soon after stopping the medication, not years later.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Try to identify any triggers for your dizziness and avoid them if possible.
  2. Stay hydrated and eat a balanced diet.
  3. Try to maintain a regular sleep schedule and ensure you're getting enough sleep.
  4. Consider restarting your anxiety medication or seeking other treatment for anxiety, such as cognitive-behavioral therapy.
  5. Regular exercise can sometimes help with dizziness and anxiety symptoms.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Sudden, severe headache
  • Difficulty speaking or understanding speech
  • Sudden, severe weakness or numbness in your face, arm, or leg, especially on one side of your body
  • Sudden loss of balance or coordination, especially if accompanied by any of the above symptoms

These could be signs of a serious condition such as a stroke. 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.

Show More

1
 Hugs
0
 Comments

Save

10 mo ago

People Also Ask


What are common causes of dizziness and how can they be managed?

Common causes of dizziness include vestibular disorders, dehydration, low blood pressure, and anxiety. Management depends on the cause but may involve medications, physical therapy, lifestyle changes, and addressing any underlying conditions.


How can anxiety contribute to physical symptoms like numbness and dizziness?

Anxiety can lead to physical symptoms due to the body's stress response, which may include dizziness, numbness, and a feeling of heaviness. Managing anxiety through therapy, medication, and relaxation techniques can help alleviate these symptoms.


What is cervical spondylosis and what are its typical symptoms?

Cervical spondylosis is a condition involving age-related changes in the neck's spinal disks, leading to symptoms like neck pain, stiffness, and sometimes numbness or weakness in the arms. Treatment may include physical therapy, pain relief medications, and in severe cases, surgery.


Can stopping medications like Lexapro and Hydroxyzine cause long-term symptoms?

Stopping medications like Lexapro and Hydroxyzine can cause withdrawal symptoms shortly after discontinuation, but long-term symptoms are less common. It's important to consult a healthcare provider if symptoms persist, as they may be related to other conditions.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback