[31F] Experiencing numbness, tingling, and heart racing

Patient Description

A 31-year-old female reports experiencing shortness of breath, lethargy, heart racing, and tingling and numbness in her hands and feet for the past three days. The numbness and tingling began suddenly and have not been relieved by any measures. The patient also reports intermittent weakness in her arms and legs, leading to increased stumbling, though her grip strength remains unchanged. She experiences moderate shortness of breath that is not activity-dependent and rates her headaches as a 5 out of 10 in severity. There is a family history of rheumatoid arthritis, but the patient has no personal history of autoimmune conditions. She has not had any recent infections or illnesses and does not take any medications. No known allergies to medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations:

  1. Peripheral Neuropathy: The tingling and numbness in your hands and feet, along with weakness, could be indicative of peripheral neuropathy. This condition involves damage to the nerves outside the brain and spinal cord and can result from various causes, including vitamin deficiencies, autoimmune diseases, or other underlying health issues. Given your family history of rheumatoid arthritis, an autoimmune component could be considered.

  2. Anxiety or Panic Disorder: The combination of heart racing, shortness of breath, and tingling sensations can sometimes be associated with anxiety or panic disorders. These conditions can cause physical symptoms that mimic other medical issues.

  3. Cardiovascular Issues: Although you haven't experienced chest pain, the heart racing and shortness of breath could suggest a cardiovascular issue that warrants further investigation.

  4. Multiple Sclerosis or Other Neurological Conditions: The combination of numbness, tingling, weakness, and stumbling could potentially be related to a neurological condition such as multiple sclerosis. However, this would require a thorough evaluation by a healthcare professional.

What you can do

Peripheral Neuropathy:

  • Consider seeing a healthcare provider for a thorough evaluation, which may include blood tests to check for vitamin deficiencies or other underlying causes.
  • Maintain a healthy diet rich in vitamins and minerals to support nerve health.
  • Use MDandMe to journal your symptoms and track any changes over time, which can be helpful for your healthcare provider.

Anxiety or Panic Disorder:

  • Practice relaxation techniques such as deep breathing exercises or meditation to help manage stress and anxiety.
  • Consider speaking with a mental health professional if you suspect anxiety may be contributing to your symptoms.

Cardiovascular Issues:

  • Schedule an appointment with your healthcare provider to discuss your symptoms and possibly undergo tests such as an EKG or stress test to evaluate your heart health.
  • Monitor your heart rate and note any patterns or triggers that may be associated with your symptoms.

Neurological Conditions:

  • If your symptoms persist or worsen, consult a neurologist for a comprehensive evaluation.
  • Keep track of any additional symptoms or changes in your condition using MDandMe.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Sudden, severe headache or changes in vision
  • Chest pain or pressure
  • Difficulty breathing or shortness of breath that worsens
  • Sudden weakness or numbness in one side of the body

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

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1 mo ago

People Also Ask


What are the common causes of peripheral neuropathy?

Peripheral neuropathy can be caused by a variety of factors including diabetes, vitamin deficiencies (such as B12), autoimmune diseases, infections, and exposure to toxins. It involves damage to the peripheral nerves, leading to symptoms like tingling, numbness, and weakness.


How can anxiety or panic disorders cause physical symptoms like shortness of breath and heart racing?

Anxiety or panic disorders can trigger the body's 'fight or flight' response, leading to physical symptoms such as increased heart rate, shortness of breath, and tingling sensations. These symptoms occur due to the release of stress hormones like adrenaline.


What are the signs that might indicate a cardiovascular issue?

Signs that might indicate a cardiovascular issue include persistent heart racing (palpitations), shortness of breath, chest pain or discomfort, dizziness, and fatigue. It's important to seek medical evaluation if these symptoms occur, especially if they are new or worsening.


What symptoms should prompt a consultation with a neurologist for conditions like multiple sclerosis?

Symptoms that should prompt a consultation with a neurologist include persistent or worsening numbness and tingling, muscle weakness, coordination problems, vision changes, and fatigue. These could be indicative of neurological conditions such as multiple sclerosis.


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