[48M] With confusion, numbness, and suspected stroke symptoms

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for your condition:

1. Stroke or Transient Ischemic Attack (TIA)

• Rationale: The episode you described last year, where the left side of your face became numb and you had difficulty moving your lips, could have been a TIA or a mild stroke. These events can cause temporary symptoms that resolve quickly but are serious warning signs.
• Typical Testing: Diagnostic tests like a CT scan or MRI of the brain, along with blood tests and possibly a carotid ultrasound, are often used to evaluate for stroke or TIA.
• Typical Treatments: Treatment may include medications to manage blood pressure, cholesterol, and prevent blood clots, as well as lifestyle changes and possibly physical therapy.

2. Medication Side Effects

• Rationale: The light-headedness and confusion you are experiencing could be side effects of your new blood pressure medications, Meloxicam and Amlodipine.
• Typical Testing: Your doctor may review your medications and possibly adjust dosages or switch medications.
• Typical Treatments: Adjusting or changing medications under medical supervision.

3. Peripheral Neuropathy

• Rationale: The tingling and numbness in your feet could be due to peripheral neuropathy, which can be associated with conditions like diabetes or Ehlers-Danlos syndrome.
• Typical Testing: Nerve conduction studies and blood tests to check for underlying conditions.
• Typical Treatments: Managing the underlying condition, medications to relieve nerve pain, and physical therapy.

4. Cognitive Impairment

• Rationale: The ongoing confusion and difficulty with word formation could be related to cognitive impairment, which can have various causes including vascular issues, medication side effects, or other neurological conditions.
• Typical Testing: Cognitive assessments, brain imaging, and blood tests.
• Typical Treatments: Addressing underlying causes, cognitive therapy, and possibly medications to improve cognitive function.

What you can do

Stroke or TIA Concerns

• Immediate Action: Seek medical attention as soon as possible. Even without health insurance, many hospitals offer financial assistance programs. Early intervention is crucial.
• At Home: Monitor your symptoms closely and avoid activities that could put you at risk of injury due to dizziness or confusion.

Medication Side Effects

• Immediate Action: Contact the healthcare provider who prescribed your new medications to discuss your symptoms. They may need to adjust your dosage or switch medications.
• At Home: Keep a detailed journal of your symptoms, including when they occur and their severity. This can help your doctor make informed decisions.

Peripheral Neuropathy

• Immediate Action: Schedule an appointment with a healthcare provider to discuss your symptoms and possible tests.
• At Home: Ensure good foot care, avoid tight shoes, and consider using a foot massager to improve circulation.

Cognitive Impairment

• Immediate Action: Seek a referral to a neurologist for a comprehensive evaluation.
• At Home: Engage in cognitive exercises, such as puzzles or memory games, and maintain a healthy diet and regular physical activity.

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:

• Sudden worsening of confusion or difficulty speaking
• Severe headache or vision changes
• New or worsening numbness or weakness in your limbs
• Fainting or severe dizziness

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