[34M] With widespread tingling and shoulder pain

Patient Description

A 34-year-old male reports a gradual onset of a buzzing sensation throughout the body, from feet to mouth, worsening with increased heart rate. Initially occurring at night, it has persisted throughout the day. Accompanying symptoms include right shoulder pain and headaches, though the latter are not severe or unusual. The patient experiences weakness but no unilateral symptoms, changes in vision, speech, coordination, or balance. He vapes daily without noted respiratory changes. There are no recent injuries, illnesses, or changes in medication, diet, or lifestyle. No family history of neurological or respiratory conditions. Currently not on any medications.

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Arora's Assessment

What might be happening

Your symptoms could be related to a few different issues:

  1. Peripheral Neuropathy: The tingling and buzzing sensation throughout your body might be due to nerve issues, often called peripheral neuropathy. This can be caused by various factors, including vitamin deficiencies, infections, or exposure to toxins. Testing might include blood tests or nerve studies.

  2. Respiratory Infection: The persistent cough and mucus production could indicate a lingering respiratory infection. This might be viral or bacterial, and a healthcare provider might suggest a chest X-ray or sputum test.

  3. Musculoskeletal Strain: The shoulder pain could be due to muscle strain or tension, possibly related to posture or repetitive movements.

What you can do

Tingling Sensation:

  • See a Doctor: It's important to consult a healthcare provider to determine the cause of the tingling. They may recommend tests to check for nerve issues.
  • Lifestyle: Ensure you're getting enough vitamins, especially B vitamins, which are important for nerve health.

Cough and Mucus:

  • Hydration: Drink plenty of fluids to help thin mucus.
  • Humidifier: Use a humidifier to keep your airways moist.
  • Medical Advice: If the cough persists, see a doctor for further evaluation.

Shoulder Pain:

  • Rest and Ice: Rest the shoulder and apply ice to reduce inflammation.
  • Gentle Stretching: Engage in gentle stretching exercises to improve mobility.
  • Over-the-Counter Pain Relief: Consider using NSAIDs like ibuprofen for pain relief.

General Health:

  • Vaping: Consider reducing or quitting vaping, as it can impact respiratory health.
  • Symptom Tracking: Use MDandMe to journal your symptoms and track progress. This can help provide insights and share information with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Severe or worsening weakness
  • Difficulty breathing or chest pain
  • Sudden changes in vision or speech
  • Persistent or severe headaches

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

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2 mo ago


People Also Ask


What could be causing the buzzing sensation throughout my body?

The buzzing sensation could be due to peripheral neuropathy, which involves nerve issues. It can be caused by factors like vitamin deficiencies, infections, or exposure to toxins. Consulting a healthcare provider for tests is recommended.


How can vaping affect my respiratory health?

Vaping can impact respiratory health by irritating the airways and potentially leading to respiratory infections or chronic conditions. Reducing or quitting vaping can help improve respiratory health.


What are some common causes of shoulder pain?

Shoulder pain can be caused by musculoskeletal strain, poor posture, repetitive movements, or injuries. Rest, ice, and gentle stretching can help alleviate the pain.


When should I seek medical attention for my symptoms?

You should seek medical attention if you experience severe or worsening weakness, difficulty breathing, chest pain, sudden changes in vision or speech, or persistent or severe headaches.


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