[29M] Experiencing involuntary muscle tension and mood changes

Patient Description

A 29-year-old male reports involuntary muscle tension, particularly in the shoulders, which he has to consciously relax. This issue has been present since experiencing a seizure, with a severity level of 10 out of 10. The muscle tension occurs during any activity and is becoming more noticeable and bothersome over time. The patient finds meditation helpful in relieving the tension but notes that it is not a practical all-day solution. Additionally, the patient mentions rapid mood changes and varying levels of difficulty in completing simple tasks, as well as extreme fatigue that could potentially lead to sleeping through an entire day if responsibilities were absent.

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Arora's Assessment

What might be happening

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

  • Post-Seizure Symptoms: After a seizure, it's common to experience a range of physical and emotional symptoms. These can include muscle stiffness or spasms, fatigue, and mood changes. These symptoms can last for days or even weeks after the seizure.

    • Treatment typically involves managing the underlying cause of the seizures with medication, lifestyle changes, or in some cases, surgery.
  • Anxiety or Stress: These can cause physical symptoms such as muscle tension, fatigue, and difficulty concentrating. Emotional symptoms can include mood swings and a feeling of being overwhelmed.

    • Treatment can involve a combination of therapy, medication, and self-care strategies like relaxation techniques.
  • Sleep Disorders: Conditions like sleep apnea or restless leg syndrome can cause muscle spasms or twitching, excessive daytime sleepiness, and mood changes.

    • Treatment can involve lifestyle changes, medication, or devices to help improve sleep quality.

Please remember that these are only possible explanations and not a definitive diagnosis. You should consult with a healthcare professional for a formal assessment.

What you can do

Here are some suggestions that might help you manage your symptoms:

  1. Continue practicing meditation and relaxation techniques. These can help manage muscle tension and mood changes.
  2. Try to maintain a regular sleep schedule and create a comfortable sleep environment. This can help improve your sleep quality and potentially reduce your symptoms.
  3. Regular physical activity can help reduce muscle tension and improve mood. Try to incorporate some form of exercise into your daily routine.
  4. Keep a symptom diary. This can help you identify any patterns or triggers for your symptoms, which can be useful information for your doctor.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms significantly worsen or you experience another seizure.
  • You have difficulty breathing or experience chest pain.
  • You feel extremely depressed or have thoughts of harming yourself.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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1 yr ago

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People Also Ask


What are common symptoms experienced after a seizure?

Common symptoms after a seizure can include muscle stiffness or spasms, fatigue, mood changes, and difficulty concentrating. These symptoms can last for days or weeks and may require management through medication or lifestyle adjustments.


How can anxiety or stress contribute to physical symptoms like muscle tension?

Anxiety or stress can lead to physical symptoms such as muscle tension, fatigue, and difficulty concentrating due to the body's 'fight or flight' response. This response can cause muscles to tense up and lead to other physical manifestations.


What lifestyle changes can help improve sleep quality and reduce symptoms?

To improve sleep quality, maintain a regular sleep schedule, create a comfortable sleep environment, and avoid caffeine or electronics before bed. Regular physical activity and relaxation techniques can also help reduce symptoms.


When should someone seek immediate medical attention for post-seizure symptoms?

Immediate medical attention should be sought if symptoms significantly worsen, another seizure occurs, there is difficulty breathing or chest pain, or if there are feelings of extreme depression or thoughts of self-harm.


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