[29F] Experiencing confusion, numbness, and other neurological symptoms

Patient Description

A 29-year-old female has been experiencing a constellation of neurological symptoms for the past 3 weeks, including confusion, disorientation, shakiness, light sensitivity, and complete numbness throughout her body. She reports that her confusion, characterized by forgetting where she is, worsens with attempts to focus and is present all day, significantly impacting her daily activities. The patient also experiences headaches, neck stiffness, and a sensation of heat in the head. Vision issues, specifically going cross-eyed, and episodes of time loss have been noted. She has a history of Borderline Personality Disorder and uses marijuana. She is currently taking Phentermine 30mg daily and Azo for occasional urinary tract infections. No known allergies or family history of neurological disorders have been reported.

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Arora's Assessment

What might be happening

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

  • Migraine: Migraines are severe headaches that can cause a variety of symptoms. They can cause confusion, disorientation, light sensitivity, and numbness. Migraines can also cause visual disturbances, such as seeing spots or zigzag patterns, or temporary vision loss.

    • Treatment typically involves medication to relieve symptoms and prevent future migraines.
  • Transient Ischemic Attack (TIA) or Stroke: These conditions occur when blood flow to part of the brain is blocked or reduced, often by a blood clot. Symptoms can include confusion, trouble speaking or understanding speech, numbness or weakness in the face, arm, or leg, and loss of balance or coordination.

    • Treatment involves restoring blood flow to the brain as quickly as possible, which can help limit damage to brain cells.
  • Multiple Sclerosis (MS): MS is a disease of the central nervous system that disrupts the flow of information within the brain, and between the brain and body. Symptoms can include numbness or weakness in one or more limbs, partial or complete loss of vision, tingling or pain in parts of your body, and problems with coordination and balance.

    • Treatment typically involves managing symptoms and slowing the progression of the disease with medication.
  • Neurological side effects of Phentermine: Phentermine is a medication used to assist with weight loss. It can cause side effects such as dizziness, dry mouth, difficulty sleeping, irritability, nausea, vomiting, diarrhea, or constipation. In rare cases, it can cause more serious side effects like increased heart rate, high blood pressure, palpitations, tremors, shortness of breath, and chest pain.

    • If you suspect this medication is causing your symptoms, you should contact your healthcare provider immediately.

What you can do

Given the severity and range of your symptoms, it's important that you seek immediate medical attention. Please go to the nearest emergency department or call an ambulance.

What you should look out for

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

  • Sudden severe headache
  • Sudden trouble seeing in one or both eyes
  • Sudden trouble walking, dizziness, loss of balance or coordination
  • Sudden confusion, trouble speaking or understanding speech
  • Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body

Please remember that while I strive to provide accurate information, I am not a doctor. You should seek care from a healthcare professional to receive a formal diagnosis and treatment.

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10 mo ago

People Also Ask


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

Common symptoms of a migraine include severe headache, confusion, disorientation, light sensitivity, and visual disturbances. Management typically involves medications to relieve symptoms and prevent future episodes, such as pain relievers, triptans, and preventive medications.


What is a Transient Ischemic Attack (TIA) and how does it differ from a stroke?

A Transient Ischemic Attack (TIA) is a temporary period of symptoms similar to those of a stroke, caused by a temporary decrease in blood supply to part of the brain. Unlike a stroke, a TIA doesn't cause permanent damage. However, it is a warning sign of a potential future stroke, and immediate medical evaluation is necessary.


What are the early signs of Multiple Sclerosis (MS) and how is it treated?

Early signs of Multiple Sclerosis (MS) can include numbness or weakness in limbs, vision problems, tingling or pain, and coordination issues. Treatment focuses on managing symptoms and slowing disease progression, often involving medications like corticosteroids and disease-modifying therapies.


Can Phentermine cause neurological side effects and what should be done if they occur?

Phentermine can cause neurological side effects such as dizziness, irritability, and in rare cases, more serious effects like tremors and increased heart rate. If you suspect Phentermine is causing these symptoms, contact your healthcare provider immediately for advice and potential adjustment of your medication.


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