[31F] With neurological symptoms and migraines

Patient Description

A 31-year-old female reports experiencing weakness and tingling in her arms, described as a fuzzy and warm sensation, occurring for about an hour. She has brain fog lasting 24 hours, affecting her response time and balance. She also experiences moderate shortness of breath, relieved slightly by lying down. For a week, she has had aching neck and upper back pain, rated 8 out of 10 in severity. Severe headaches and migraines have been present for several months, accompanied by nausea and vomiting. There is constant numbness and muscle weakness in the right arm. No changes in vision or hearing, and no recent injuries, illnesses, or medication changes. Stress from a divorce and financial difficulties is noted. Diagnosed with ADHD in 2021, she takes amphetamine salts ER 15 mg once in the morning and Excedrine Migraine 2-3 times per week. No known allergies or adverse reactions to medications.

Show More

Arora's Assessment

What might be happening

Your symptoms could be related to several potential issues:

  1. Cervical Radiculopathy: The weakness, tingling, and numbness in your right arm, along with neck pain, might suggest a pinched nerve in your neck. This can cause radiating pain and neurological symptoms in the arm.

  2. Migraine with Aura: Your severe headaches, nausea, and brain fog could be related to migraines, which sometimes include neurological symptoms like tingling or numbness.

  3. Stress and Anxiety: The stress from your personal circumstances might be contributing to your symptoms, including brain fog and shortness of breath.

  4. Medication Side Effects: The combination of amphetamine salts and frequent use of Excedrine Migraine could potentially contribute to some of your symptoms, such as headaches and anxiety.

It's important to consult a healthcare professional for a proper diagnosis. They may recommend imaging tests like an MRI or CT scan, blood tests, or a neurological evaluation.

What you can do

For Arm Weakness and Tingling:

  • Consider seeing a healthcare provider for an evaluation. They might suggest physical therapy or medications to relieve nerve compression.
  • Gentle neck stretches and maintaining good posture can help alleviate symptoms.

For Migraines and Brain Fog:

  • Keep a headache diary to track triggers and symptoms. This can be done using MDandMe to journal your symptoms and share insights with your provider.
  • Ensure you are staying hydrated and getting adequate rest.
  • Discuss with your doctor about migraine management strategies or medication adjustments.

For Stress Management:

  • Practice relaxation techniques such as deep breathing, meditation, or yoga.
  • Consider speaking with a mental health professional to help manage stress and anxiety.

For Shortness of Breath:

  • If this worsens or is accompanied by chest pain, seek medical attention immediately.
  • Practice breathing exercises to help manage symptoms.

What you should look out for

Seek medical attention if you experience:

  • Worsening weakness or numbness
  • Severe or sudden headaches
  • Difficulty breathing or chest pain
  • Any new or concerning symptoms

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

Show More

2
 Hugs
0
 Comments

Save

2 mo ago

People Also Ask

What could be causing the weakness and tingling in my arms?

The weakness and tingling in your arms could be due to cervical radiculopathy, which is a condition where a nerve in the neck is compressed or irritated, leading to symptoms in the arm. It's important to consult a healthcare provider for an accurate diagnosis.

How can stress and anxiety affect my physical health?

Stress and anxiety can have significant effects on physical health, including symptoms like brain fog, shortness of breath, and even exacerbating pain. Managing stress through relaxation techniques and professional support can help alleviate these symptoms.

Are my migraines related to the brain fog and nausea I'm experiencing?

Yes, migraines can be associated with neurological symptoms such as brain fog and nausea. These are often part of a migraine with aura, where sensory disturbances occur before or during the headache.

Could my medication be contributing to my symptoms?

Yes, the combination of amphetamine salts and frequent use of Excedrine Migraine could potentially contribute to some of your symptoms, such as headaches and anxiety. It's important to discuss your medication use with your doctor to determine if adjustments are needed.

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