[30F] With worsening tingling and numbness, high blood pressure, and urinary urgency

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for your condition:

1. Cervical Radiculopathy

Given your history of neck injury with bulging discs, disc height loss, degenerative disc disease, spinal stenosis, and foraminal narrowing, it's possible that the tingling and numbness in your head, arm, foot, and labia are due to nerve compression in your cervical spine. This condition, known as cervical radiculopathy, can cause pain, tingling, and weakness in the areas served by the affected nerves.

Typical treatments and testing:

• Imaging tests: MRI or CT scans to visualize the spine and identify areas of nerve compression.
• Medications: Pain relievers, anti-inflammatory drugs, and muscle relaxants.
• Physical therapy: Exercises to strengthen neck muscles and improve posture.
• Injections: Corticosteroid injections to reduce inflammation.
• Surgery: In severe cases, surgical intervention may be necessary to relieve nerve compression.

2. Peripheral Neuropathy

The tingling and numbness in your extremities and labia could also be due to peripheral neuropathy, which is a condition that results from damage to the peripheral nerves. This can be caused by various factors, including high blood pressure, diabetes, and other underlying conditions.

Typical treatments and testing:

• Blood tests: To check for underlying conditions like diabetes or vitamin deficiencies.
• Nerve conduction studies: To assess the function of your peripheral nerves.
• Medications: Pain relievers, anti-seizure medications, and antidepressants.
• Lifestyle changes: Managing underlying conditions, such as controlling blood pressure and blood sugar levels.

3. Autonomic Dysfunction

The episodes of feeling super hot and super cold, along with urinary urgency and occasional incontinence, could be related to autonomic dysfunction. This condition affects the autonomic nervous system, which controls involuntary bodily functions like temperature regulation and bladder control.

Typical treatments and testing:

• Tilt table test: To assess how your body responds to changes in position.
• Blood pressure monitoring: To check for fluctuations in blood pressure.
• Medications: To manage symptoms like blood pressure fluctuations and bladder control.
• Lifestyle changes: Staying hydrated, wearing compression stockings, and avoiding triggers.

What you can do

Tingling and Numbness:

• See a doctor: Given the severity and sudden onset of your symptoms, it's important to see a healthcare provider as soon as possible. They may recommend imaging tests like an MRI to assess your cervical spine.
• Manage your posture: Avoid positions that exacerbate your symptoms, and consider using ergonomic supports for your neck and back.
• Physical therapy: Engage in exercises to strengthen your neck and back muscles, which may help alleviate nerve compression.

High Blood Pressure:

• Monitor your blood pressure: Keep track of your blood pressure readings and share them with your healthcare provider.
• Lifestyle changes: Adopt a heart-healthy diet, engage in regular physical activity, and avoid smoking and excessive alcohol consumption.
• Medication: Discuss with your doctor the possibility of starting or adjusting blood pressure medications.

Temperature Fluctuations and Autonomic Symptoms:

• Stay hydrated: Drink plenty of fluids to help regulate your body temperature.
• Avoid triggers: Identify and avoid activities or environments that trigger your symptoms.
• Consult a specialist: A neurologist or autonomic specialist can help diagnose and manage autonomic dysfunction.

Urinary Symptoms:

• Bladder training: Practice timed voiding and pelvic floor exercises to improve bladder control.
• Consult a urologist: A specialist can help determine the cause of your urinary symptoms and recommend appropriate treatments.

General Tips:

• Use MDandMe: Journal your symptoms, track your progress, and share your medical notes with your healthcare provider to get better insights and personalized care.

What you should look out for

Given the complexity and severity of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Sudden weakness or paralysis: In any part of your body.
• Severe headache: Especially if it's the worst headache you've ever had.
• Loss of consciousness: Or fainting.
• Severe chest pain: Or shortness of breath.
• Inability to control bladder or bowel function: Beyond what you've already experienced.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment.