[34M] Experiencing dizziness and arm tingling

Patient Description

A 34-year-old male reports feeling lightheaded, particularly when standing up, which has been occurring just today. The lightheadedness is described as a 3 out of 10 in severity and lasts for about 5-10 seconds. It can be alleviated by sitting down or getting fresh air. Additionally, the patient has been experiencing a tingling sensation in the left arm, described as feeling like it's asleep, along with intermittent numbness, persisting for about 6 hours. The patient also occasionally feels an unspecified sensation in the chest when moving in certain ways and has shortness of breath, which he attributes to being overweight. He experiences palpitations while working. No weakness or paralysis in the arm or face is reported. The patient has a known allergy to shellfish and takes 2 325mg aspirin daily. This is not the first occurrence of these symptoms; a similar episode happened a few months ago. The patient has not been to a doctor in several years and is not aware of any pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

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

  • Orthostatic Hypotension: This condition, also known as postural hypotension, is characterized by a sudden drop in blood pressure when you stand up from a sitting or lying position. This can lead to lightheadedness or feeling faint.

    • Treatment typically involves lifestyle changes such as standing up slowly, staying hydrated, and avoiding alcohol. In some cases, medication may be prescribed.
  • Peripheral Neuropathy: This condition results from damage to the peripheral nerves, often causing weakness, numbness, and pain, usually in your hands and feet. It can also cause tingling in the arms or other parts of the body.

    • Treatment typically involves managing the condition causing the neuropathy. Pain and physical therapy can also help.
  • Cardiovascular disease: Given your history of being overweight and experiencing chest discomfort and shortness of breath, it's important to consider heart conditions. These can sometimes cause symptoms like the ones you're experiencing.

    • Treatment typically involves lifestyle changes, medication, and sometimes surgery.

Please note that these are possibilities based on the symptoms you've provided, and not a definitive diagnosis.

What you can do

  1. Make an appointment with a healthcare provider to discuss your symptoms. They can provide a formal assessment and order relevant tests if necessary.
  2. Monitor your symptoms and note any changes or patterns. This information will be useful for your healthcare provider.
  3. Try standing up slowly to see if this helps alleviate your lightheadedness.
  4. Stay hydrated and maintain a balanced diet.
  5. Engage in regular physical activity, as this can help improve your overall health and may alleviate some of your symptoms.

What you should look out for

Reasons to seek urgent medical attention:

  • If your symptoms worsen or you develop new symptoms
  • If you experience severe chest pain or discomfort
  • If you have difficulty breathing
  • If you experience confusion, difficulty speaking, or loss of consciousness

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

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10 mo ago

People Also Ask


What is orthostatic hypotension and how can it be managed?

Orthostatic hypotension is a condition where there is a sudden drop in blood pressure when standing up, leading to lightheadedness or fainting. It can be managed by standing up slowly, staying hydrated, avoiding alcohol, and sometimes using medication.


What are the common causes and treatments for peripheral neuropathy?

Peripheral neuropathy is often caused by damage to the peripheral nerves, leading to symptoms like numbness, tingling, and pain. It can be treated by addressing the underlying cause, using pain management strategies, and engaging in physical therapy.


How can being overweight contribute to cardiovascular issues and what are the symptoms to watch for?

Being overweight can increase the risk of cardiovascular issues by putting extra strain on the heart and blood vessels. Symptoms to watch for include chest discomfort, shortness of breath, and palpitations. Lifestyle changes and medical interventions can help manage these risks.


Why might someone experience palpitations during physical activity and when should it be a concern?

Palpitations during physical activity can be caused by stress, dehydration, or underlying heart conditions. It is a concern if accompanied by chest pain, severe shortness of breath, or dizziness, and should be evaluated by a healthcare provider.


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