Generalized paresthesia?
Hello, doctor.
Since last week, I initially experienced numbness in my right little finger, which later extended to my palm, arm, shoulder, and throughout my body.
The primary sensation of tingling and numbness is concentrated in my hands, feet, and neck, feeling like being pricked by needles; it lasts for a second or two and then disappears or shifts.
I haven't experienced pain, but a few days later, I started feeling vibrations in my lower body, although there are no visible abnormalities.
These two unusual sensations appear intermittently, sometimes resolving, but then reappearing after a day or two.
Could this possibly indicate an underlying issue? I've been under a lot of stress in the past month—could this be related? Additionally, I started experiencing Eustachian tube dysfunction and tinnitus last month.
Thank you.
mirola, 30~39 year old female. Ask Date: 2016/05/22
Dr. Jiang Junyi reply Neurology
Based on your description of experiencing discomfort from a tingling sensation throughout your body, it may be necessary to consider hyperventilation syndrome.
Hyperventilation can lead to feelings of suffocation and shortness of breath, as well as affect organ blood flow.
A decrease in cerebral blood flow can result in dizziness, headaches, and blurred vision.
Peripheral vasoconstriction may cause cold extremities and muscle stiffness; constriction of the coronary arteries could potentially lead to atypical chest pain.
It is advisable for you to consult a neurologist for discussion and treatment.
Wishing you good health and peace.
Reply Date: 2016/05/22
More Info
The symptoms you are experiencing, including tingling sensations in your right pinky finger that have spread to your hand, arm, shoulder, and even your lower body, can be quite concerning. The intermittent nature of these sensations, along with the associated feelings of pressure and discomfort, raises several possibilities regarding their underlying causes.
Firstly, it is important to consider the role of stress in your symptoms. Stress can have a profound impact on the body, leading to various physical manifestations. When under stress, the body enters a state of heightened arousal, activating the sympathetic nervous system. This can lead to muscle tension, which may contribute to sensations of tingling or numbness. The tightness in the muscles around your neck and shoulders can compress nerves, leading to symptoms like those you described.
Moreover, stress can exacerbate pre-existing conditions or lead to new ones. For example, anxiety can cause hyperventilation, which may lead to tingling in the extremities due to changes in blood flow and oxygen levels. Additionally, stress can influence the perception of pain, making you more sensitive to sensations that you might otherwise ignore.
Another potential cause of your symptoms could be related to nerve compression or irritation. Conditions such as carpal tunnel syndrome, thoracic outlet syndrome, or cervical radiculopathy can lead to tingling and pain in the arms and hands. These conditions often arise from repetitive movements, poor posture, or prolonged pressure on certain areas of the body. Given that your symptoms have progressed to include your shoulder and lower body, it may be worthwhile to explore these possibilities further with a healthcare professional.
The recent onset of ear-related issues, such as Eustachian tube dysfunction and tinnitus, may also be interconnected. Stress can contribute to muscle tension in the jaw and neck, which can affect the Eustachian tubes and lead to sensations of fullness or pressure in the ears. Additionally, the auditory system can be sensitive to stress, leading to increased perception of sounds like ringing or buzzing.
To address your symptoms, it is crucial to consult a healthcare provider who can conduct a thorough evaluation. They may recommend diagnostic tests such as nerve conduction studies or imaging studies to assess for any underlying neurological issues. In the meantime, managing stress through relaxation techniques such as deep breathing exercises, mindfulness meditation, or physical activity can be beneficial. These practices can help reduce muscle tension and improve overall well-being.
In summary, while your symptoms may be influenced by stress, it is essential to rule out other potential causes. A comprehensive evaluation by a healthcare professional will provide clarity and guide appropriate treatment options. Remember, taking care of your mental health is just as important as addressing physical symptoms, and seeking help is a positive step towards recovery.
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