[32M] With head sensations, spasms, and numbness

Patient Description

A 32-year-old male reports experiencing strange, non-painful sensations around the skull, described as similar to numbness but not quite. These sensations occur throughout the day, especially when lying down, and have been present on and off for about 1.5 years, worsening again about 8 months ago. Artificial sweeteners and alcohol seem to exacerbate the symptoms. Additionally, the patient experiences local muscle spasms in different areas of the body, including the eyelid, which happen rarely but are noticeable. There is also numbness and tingling in the arms and legs, mostly under control but occurring when wrapping an arm around his girlfriend. A light buzzing, vibrating feeling throughout the body is noted, happening every once in a while, first noticed about 3 years ago. The patient denies muscle weakness, coordination problems, or vision changes. Medical history includes Ebstein's anomaly diagnosed 5 years ago, an issue with absorbing too much iron diagnosed 4.5 years ago, and low vitamin D levels diagnosed 6 years ago. The patient follows a Mediterranean-style diet, avoids red meat, other oils, butter, sugar, caffeine, and artificial sweeteners, and has no known allergies or adverse reactions to medications. No recent travel or family history of neurological conditions, diabetes, or autoimmune diseases is reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can cause numbness, tingling, and unusual sensations in various parts of the body. It can be triggered by factors such as alcohol consumption, vitamin deficiencies (like vitamin D), and other underlying health conditions.

    • Treatment: Managing the underlying cause (e.g., reducing alcohol intake, addressing vitamin deficiencies) and medications to manage symptoms.
  • Nutritional Deficiencies: Low levels of certain vitamins and minerals, such as vitamin D and calcium, can lead to symptoms like numbness, tingling, and muscle spasms.

    • Treatment: Supplementation and dietary adjustments to ensure adequate intake of essential nutrients.
  • Alcohol-Related Neuropathy: Chronic alcohol consumption can lead to nerve damage, resulting in symptoms like numbness, tingling, and unusual sensations.

    • Treatment: Reducing or eliminating alcohol intake and managing symptoms with medications and lifestyle changes.
  • Benign Fasciculation Syndrome: This condition involves frequent muscle twitches (fasciculations) that are usually harmless but can be bothersome.

    • Treatment: Often, no treatment is needed, but reducing stress and caffeine intake can help manage symptoms.
  • Anxiety or Stress: High levels of stress or anxiety can manifest physically, causing symptoms like muscle twitches, numbness, and tingling.

    • Treatment: Stress management techniques, such as mindfulness, relaxation exercises, and counseling.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Monitor Your Diet: Continue with your Mediterranean-style diet and ensure you are getting enough essential nutrients, especially vitamin D and calcium. Consider discussing supplementation with your doctor.
  2. Limit Alcohol Intake: Reducing or eliminating alcohol consumption may help alleviate some of your symptoms.
  3. Stay Hydrated: Drink plenty of water throughout the day to support overall health.
  4. Manage Stress: Practice stress-reducing techniques such as deep breathing exercises, meditation, or yoga.
  5. Track Symptoms: Use MDandMe to journal your symptoms, track progress, and get insights. This information can be valuable for your healthcare provider.
  6. Avoid Triggers: Since artificial sweeteners seem to worsen your symptoms, try to avoid them.

What you should look out for

Seek medical attention if you experience any of the following:

  • Worsening Symptoms: If your symptoms become more severe or frequent.
  • New Symptoms: If you develop new symptoms such as muscle weakness, coordination problems, or vision changes.
  • Severe Pain: If you experience severe pain or discomfort.
  • Difficulty Functioning: If your symptoms interfere with your daily activities or quality of life.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation and personalized treatment plan.

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10 mo ago

People Also Ask


What could be causing the strange sensations around my skull?

The strange sensations around your skull could be due to peripheral neuropathy, nutritional deficiencies, or stress-related factors. It's important to consult a healthcare provider for a proper diagnosis.


How can I manage the numbness and tingling in my arms and legs?

Managing numbness and tingling can involve addressing underlying causes such as vitamin deficiencies or alcohol consumption. Ensuring adequate vitamin D and calcium intake, reducing alcohol, and avoiding positions that trigger symptoms can help.


Are artificial sweeteners and alcohol really affecting my symptoms?

Yes, artificial sweeteners and alcohol can exacerbate symptoms like numbness and tingling, especially if they contribute to nerve irritation or nutritional imbalances. Reducing or eliminating these from your diet may help.


What steps can I take to reduce muscle spasms and twitches?

To reduce muscle spasms and twitches, consider stress management techniques, ensure adequate hydration, and maintain a balanced diet rich in essential nutrients. Avoiding caffeine and artificial sweeteners may also be beneficial.


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