[37F] With chest pain, headaches, and numbness

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Chest Pain, Shortness of Breath, and Palpitations

• Anxiety or Panic Attacks: Stress-induced chest pain, palpitations, and shortness of breath can be symptoms of anxiety or panic attacks. These episodes can be sudden and intense.
• Cardiac Issues: Given the chest pain radiating to your neck and arm, and the presence of palpitations, it's important to rule out cardiac issues such as angina or other heart conditions. Immediate medical attention is recommended to rule out serious conditions.

Headaches

• Tension Headaches: Throbbing and aching headaches in the forehead area could be tension headaches, often triggered by stress or anxiety.
• Medication Side Effects: Vyvanse and Pristiq can sometimes cause headaches as a side effect.

Numbness and Tingling in Hands

• Carpal Tunnel Syndrome: Numbness and tingling in the hands, especially when using them, could be due to carpal tunnel syndrome, which is caused by compression of the median nerve in the wrist.
• Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can cause similar symptoms.

Fatigue, Lack of Motivation, and Emotional Changes

• Depression: The combination of fatigue, lack of motivation, and emotional changes could be indicative of depression, especially given that you are on Pristiq, which is an antidepressant.
• Side Effects of Medications: Both Vyvanse and Pristiq can cause fatigue and emotional changes as side effects.

What you can do

Chest Pain, Shortness of Breath, and Palpitations

• Seek Immediate Medical Attention: Given the potential seriousness of your chest pain and associated symptoms, it's crucial to see a doctor as soon as possible to rule out any cardiac issues.
• Stress Management: Practice stress-reducing techniques such as deep breathing exercises, meditation, or yoga.

Headaches

• Over-the-Counter Pain Relief: You can take over-the-counter pain relievers like ibuprofen or acetaminophen to help manage the headache pain.
• Hydration and Rest: Ensure you are well-hydrated and get adequate rest. Sometimes, dehydration and lack of sleep can contribute to headaches.

Numbness and Tingling in Hands

• Ergonomic Adjustments: Make sure your workspace is ergonomically set up to reduce strain on your wrists. Consider using wrist supports or ergonomic keyboards.
• Stretching Exercises: Perform wrist and hand stretching exercises to alleviate symptoms.

Fatigue, Lack of Motivation, and Emotional Changes

• Consult Your Doctor: Discuss your symptoms with your doctor to see if your medications need adjustment or if additional treatment for depression is needed.
• Healthy Lifestyle: Maintain a balanced diet, regular exercise, and good sleep hygiene to help manage fatigue and emotional changes.

What you should look out for

Given the severity of your symptoms and the possibility of life-threatening causes, you should seek medical care as soon as you can. Reasons to seek care even more urgently include:

• Worsening Chest Pain: If your chest pain becomes more severe or frequent.
• Fainting or Severe Shortness of Breath: If you experience fainting or severe shortness of breath.
• Severe Headaches: If your headaches become more severe or are accompanied by other symptoms like vision changes or confusion.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.