[36F] Experiencing cold, tingling, and painful fingers with vision changes

Patient Description

A 36-year-old female reports persistent coldness in the hands, particularly affecting the two middle fingers, for approximately two months. The symptoms include tingling, pain, and a bluish discoloration of the fingers, exacerbated by holding objects or manual activity. The patient rates the pain as a dull 3 out of 10 and notes it worsens with cold exposure or stress. Additionally, the patient has experienced a significant decline in vision, even while wearing glasses. There is no history of trauma or injury. The patient's mother has rheumatoid arthritis, but the patient herself has not been diagnosed with any autoimmune conditions. Current medications include Effexor extended release (150 mg once daily) and Adderall (20 mg twice daily). There are no known drug allergies or other chronic health conditions reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Raynaud's Disease: This condition causes some areas of your body — such as your fingers — to feel numb and cold in response to cold temperatures or stress. The smaller arteries that supply blood to your skin narrow, limiting blood circulation to affected areas. The symptoms you've described, including cold fingers, color changes in your skin in response to cold or stress, and tingling sensations, are common in Raynaud's disease.

    • Treatment typically involves lifestyle changes to manage symptoms, such as avoiding cold temperatures, wearing warm gloves, and managing stress. In severe cases, medications may be prescribed to help improve blood flow.
  • Hypothyroidism: This is a condition in which your thyroid gland doesn't produce enough of certain crucial hormones. Hypothyroidism may not cause noticeable symptoms in the early stages, but over time, untreated hypothyroidism can cause a number of health problems. The symptoms you've described, including fatigue, weight gain, and memory issues, can be associated with hypothyroidism.

    • Treatment typically involves daily use of the synthetic thyroid hormone levothyroxine, which restores adequate hormone levels.

Please note that these are only possible diagnoses based on the symptoms you've described. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may want to run some tests to help diagnose your condition.
  2. Keep a symptom diary. Note when your symptoms occur, what you're doing at the time, and how long they last. This can be helpful information for your healthcare provider.
  3. Try to avoid triggers that seem to make your symptoms worse. For example, if cold temperatures seem to trigger your symptoms, try to stay warm by wearing gloves and dressing in layers.
  4. Try to manage stress as much as possible, as stress can sometimes trigger symptoms.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or you develop new symptoms
  • You experience severe pain
  • You have difficulty breathing
  • Your fingers turn white or blue and don't return to normal color

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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10 mo ago

People Also Ask


What is Raynaud's Disease and what are its common symptoms?

Raynaud's Disease is a condition where some areas of the body, such as fingers and toes, feel numb and cold in response to cold temperatures or stress. Common symptoms include color changes in the skin, tingling, and pain in the affected areas.


How can hypothyroidism affect vision and what are other symptoms to look out for?

Hypothyroidism can lead to vision changes due to its effects on metabolism and overall health. Other symptoms include fatigue, weight gain, and memory issues. It's important to consult a healthcare provider for proper diagnosis and treatment.


Can medications like Effexor and Adderall contribute to symptoms like cold hands or vision changes?

Effexor and Adderall are not typically associated with causing cold hands or vision changes, but they can have side effects that might indirectly affect circulation or vision. It's important to discuss any concerns with a healthcare provider.


What lifestyle changes can help manage symptoms of Raynaud's Disease?

To manage Raynaud's Disease, it's recommended to avoid cold temperatures, wear warm clothing, manage stress, and avoid smoking. In some cases, medications may be prescribed to improve blood flow.


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