[42F] Experiencing tingling in leg, chest discomfort, and progressive vision blurring

Patient Description

A 42-year-old female reports a 2-year history of tingling in her leg, described as pins and needles, which worsens when lying down. Additionally, she has been experiencing a heaviness in her chest with mild, intermittent pain for the past 6 weeks, rated as a 3 out of 10 in severity, with no relief from any interventions. She also notes her vision has progressively worsened over the last couple of years, becoming out of focus, which started after lasik eye surgery. The patient is currently taking Hydroxyzine and has no known allergies or adverse reactions to medications. There is no awareness 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, here are some possibilities:

  • Peripheral Neuropathy: This condition results from damage to your peripheral nerves and often causes weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body, including your legs. The tingling sensation you're experiencing in your leg could be a symptom of this condition.

    • Testing for this condition might involve neurological examinations, blood tests, and nerve function tests. Treatment often involves managing the condition causing your neuropathy.
  • Chest Pain: There are many causes of chest pain, one of which is heart disease. Given your age and the description of your symptoms, it's important to rule out heart disease as a cause of your chest discomfort.

    • Testing for heart disease might involve an electrocardiogram (EKG), stress tests, and possibly an angiogram. Treatment depends on the specific type of heart disease you have.
  • Vision Changes: Your blurred vision could be due to a number of causes, including refractive errors, cataracts, or macular degeneration. Given that your vision has been progressively getting worse over the last couple of years, it would be a good idea to have your eyes examined.

    • Testing for these conditions might involve a comprehensive eye exam. Treatment depends on the specific cause of your vision changes.

What you can do

  • For your leg tingling, try to avoid putting pressure on your legs for long periods of time. Regular exercise might also help improve your symptoms.
  • For your chest discomfort, try to avoid activities that make your symptoms worse. If your chest discomfort is severe or doesn't go away, seek immediate medical attention.
  • For your blurred vision, make sure to have regular eye exams and wear corrective lenses if they've been prescribed to you.

What you should look out for

  • If your leg tingling becomes painful or if you start to lose sensation in your leg, seek medical attention.
  • If your chest discomfort becomes severe, if you start to have difficulty breathing, or if you have other symptoms such as nausea, sweating, or pain radiating to your jaw, neck, or arm, seek immediate medical attention.
  • If your vision changes suddenly or if you start to lose your vision, seek immediate medical attention.

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What could be causing the tingling sensation in my leg?

The tingling sensation in your leg could be due to peripheral neuropathy, which is caused by damage to the peripheral nerves. It is important to consult a healthcare professional for a proper diagnosis, which may involve neurological examinations and nerve function tests.


How can I determine if my chest pain is related to heart disease?

To determine if your chest pain is related to heart disease, you should undergo tests such as an electrocardiogram (EKG), stress tests, and possibly an angiogram. These tests can help identify any underlying heart conditions.


What might be causing my vision to worsen after LASIK surgery?

Worsening vision after LASIK surgery could be due to refractive errors, cataracts, or other eye conditions. It is important to have a comprehensive eye exam to identify the specific cause and receive appropriate treatment.


What steps can I take to manage these symptoms at home?

To manage these symptoms at home, avoid putting pressure on your legs for long periods, engage in regular exercise, avoid activities that worsen chest discomfort, and have regular eye exams. If symptoms worsen or become severe, seek medical attention immediately.


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