[43F] Experiencing tingling sensation on the left side

Patient Description

A 43-year-old female reports a tingling sensation on the left arm and leg, described as feeling like bugs crawling under the skin, persisting for approximately 4 hours. The sensation worsens when lying down. The patient has a significant medical history of Ventricular Septal Defect and Primary Pulmonary Hypertension diagnosed in her teenage years, as well as Anemia and Fibroids diagnosed 3 years ago. She is currently on a course of Amoxicillin 625 mg taken twice daily for 2 weeks and iron tablets (45 mg once daily). The patient has a family history of stroke with her grandmother but reports no known cardiovascular risk factors such as hypertension, diabetes, or high cholesterol. There are no known allergies to medications, and no other symptoms were reported during the encounter.

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Arora's Assessment

What might be happening

Based on the information provided, the tingling sensation in your left arm and leg could be due to several possible conditions:

  • Peripheral Neuropathy: This condition is characterized by damage to the nerves in your peripheral nervous system, which can cause tingling or numbness. It can be caused by a variety of factors, including certain medications, vitamin deficiencies, and systemic diseases.

    • Treatment typically involves addressing the underlying cause and managing symptoms. Medications may be used to manage pain.
  • Multiple Sclerosis: This is a chronic disease of the central nervous system. It can cause a variety of symptoms, including tingling or numbness. However, other symptoms such as fatigue, difficulty walking, and problems with coordination and balance are usually present.

    • Treatment typically involves medications to manage symptoms and slow the progression of the disease.
  • Transient Ischemic Attack (TIA) or Stroke: Given your family history of stroke and your own history of cardiovascular disease, a TIA or stroke cannot be ruled out. However, these conditions typically present with other symptoms such as sudden weakness or numbness on one side of the body, confusion, trouble speaking or understanding speech, and trouble seeing in one or both eyes.

    • Treatment typically involves medications to prevent clots and manage symptoms, and in some cases, surgery may be necessary.

What you can do

Given the potential seriousness of these conditions, it's important to seek medical attention as soon as possible. A healthcare professional will be able to evaluate your symptoms and medical history, perform a physical examination, and order any necessary tests to reach a diagnosis.

What you should look out for

If you experience any of the following symptoms, seek emergency medical care immediately:

  • Sudden weakness or numbness 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
  • Sudden severe headache with no known cause

Please remember that while I strive to provide accurate and helpful information, I am not a doctor. 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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10 mo ago

People Also Ask


What could cause a tingling sensation in the arm and leg?

A tingling sensation in the arm and leg can be caused by several conditions, including Peripheral Neuropathy, Multiple Sclerosis, or a Transient Ischemic Attack (TIA) or stroke. It can also result from nerve compression or vitamin deficiencies.


How is Peripheral Neuropathy diagnosed and treated?

Peripheral Neuropathy is diagnosed through a combination of medical history, physical examination, blood tests, and sometimes nerve conduction studies or electromyography. Treatment focuses on managing symptoms and addressing the underlying cause, which may include medications, lifestyle changes, and physical therapy.


What are the symptoms of a Transient Ischemic Attack (TIA) or stroke?

Symptoms of a Transient Ischemic Attack (TIA) or stroke include sudden weakness or numbness on one side of the body, confusion, trouble speaking or understanding speech, trouble seeing in one or both eyes, difficulty walking, dizziness, and a sudden severe headache.


Can family history of stroke increase my risk, even if I have no other cardiovascular risk factors?

Yes, a family history of stroke can increase your risk, even if you have no other cardiovascular risk factors. It's important to discuss your family history with your healthcare provider to assess your risk and consider preventive measures.


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