[42M] Experiencing weakness, numbness, dizziness, and chest pain

Patient Description

A 42-year-old male reports weakness and dull chest pain, rated as 6 out of 10 in severity, along with numbness in both feet and dizziness characterized by a spinning sensation and lightheadedness. These symptoms have been present for approximately 5 hours. The patient has a history of high blood pressure (up to 160/90) and asthma since childhood. The patient's medical regimen includes Gabapentin 100mg, Baclofen 10mg, Amlodipine besylate, and Naproxen 500mg for a pinched nerve. The patient also mentioned a constant dull pain from the neck to the shoulder and left arm, related to a neck injury, which improves with medication. There is no recent travel history, no fever or chills, and no known drug allergies. The patient does not consume recreational drugs, alcohol, or tobacco.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral, bacterial, or parasitic infection. Symptoms can include diarrhea, stomach pain, and feeling weak or dizzy. This could be a possibility given your recent episode of diarrhea.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if a bacterial infection is the cause.
  • Pinched Nerve: You mentioned a previous diagnosis of a pinched nerve due to a neck injury. This can cause pain and numbness in the affected area and may also cause weakness and dizziness.

    • Treatment usually involves physical therapy, pain relievers, and in some cases, surgery.
  • Angina: This is a type of chest pain caused by reduced blood flow to the heart. Angina is a symptom of coronary artery disease. Although your doctors have previously ruled out heart issues, it's important to keep this in mind given your ongoing chest pain.

    • Treatment typically involves medication, lifestyle changes, and sometimes, surgery.
  • Side effects of medication: Gabapentin, Baclofen, and Naproxen can all potentially cause dizziness and gastrointestinal issues like diarrhea.

What you can do

  1. Continue taking your prescribed medications as directed by your doctor.
  2. Stay hydrated, especially if you have another episode of diarrhea.
  3. Rest as much as possible to help your body recover.
  4. Monitor your symptoms and note any changes or patterns.
  5. Follow up with your doctor about your ongoing chest pain and new symptoms of weakness and numbness.

What you should look out for

You should seek immediate medical attention if you experience:

  • Severe chest pain or chest pain that spreads to your jaw, left arm, or back
  • Sudden numbness or weakness in your face, arm, or leg, especially on one side of your body
  • Sudden confusion, trouble speaking, or difficulty understanding speech
  • Sudden trouble seeing in one or both eyes
  • Sudden trouble walking, dizziness, loss of balance, or lack of coordination
  • Severe headache with no known cause

Please 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 appropriate examination, testing, and care recommendations.

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of a pinched nerve?

Common symptoms of a pinched nerve include pain, numbness, tingling, or weakness in the affected area. The pain may radiate along the path of the nerve, and symptoms can worsen with certain movements.


Can high blood pressure cause dizziness and chest pain?

Yes, high blood pressure can lead to dizziness and chest pain. It can strain the heart and blood vessels, potentially leading to symptoms like chest discomfort and lightheadedness.


What are the potential side effects of Gabapentin and Baclofen?

Gabapentin and Baclofen can cause side effects such as dizziness, drowsiness, fatigue, and gastrointestinal issues like nausea or diarrhea. It's important to monitor these symptoms and discuss them with a healthcare provider.


How can angina be differentiated from other types of chest pain?

Angina is typically characterized by a feeling of pressure or squeezing in the chest, often triggered by physical exertion or stress. It may also radiate to the shoulders, arms, neck, jaw, or back. Unlike other types of chest pain, angina is usually relieved by rest or nitroglycerin.


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