Sensory Disorders: Causes, Symptoms, and When to Seek Help

Sensory processing disorder?

Hello, Doctor: I am experiencing sensory disturbances, primarily affecting pain perception, touch, and internal bodily sensations (which are somewhat difficult to describe, such as the feeling in my abdomen during constipation, eye strain from prolonged computer use, sensations during sexual activity, and sensitivity in my teeth).
This issue is systemic; if normal sensation is rated at 10, my sensation is around 7.
For example, when I run, I feel my heart racing (very breathless), and after running, my knees ache, but I still only feel it at a 7.
There is no specific area that is particularly severe, nor do I experience numbness.
My bodily functions are normal (appetite, sleep, exercise, bowel movements), and I do not have significant psychological stress.
This symptom first appeared about 13 years ago, after I went for a run and immediately drank a cold cola, which triggered this phenomenon.
The first occurrence was more severe (about a 5 on the scale) and lasted for two weeks before it resolved on its own.
Over the following years, it has recurred intermittently, about once or twice a year, or sometimes not for several years.
Most of the time, it resolves after a night's sleep, and the longest it has lasted is no more than two days.
However, this time it has been a month and a half without recovery.
I am uncertain whether the issue lies in my brain or nerves.
If I need to get checked, which specialty should I consult? Thank you.

Mr. Hsieh, 20~29 year old female. Ask Date: 2016/09/05

Dr. Lan Shengxing reply Neurology

Hello, the neurology and psychosomatic medicine clinics should be able to address these types of issues.

Reply Date: 2016/09/05

More Info

Hello! Thank you for sharing your experience regarding sensory disorders. It sounds like you are dealing with a complex issue that affects your perception of various sensations, including pain and touch. Understanding sensory disorders is crucial, as they can significantly impact daily life and overall well-being.

Causes of Sensory Disorders
Sensory disorders can arise from a variety of causes, including neurological conditions, injuries, or even psychological factors. In your case, you mentioned that the symptoms began after a specific incident during running, which could suggest a possible connection to nerve function or brain processing. Some common causes of sensory disorders include:
1. Neurological Conditions: Disorders such as multiple sclerosis, neuropathy, or even migraines can affect how sensations are perceived.

2. Injuries: Trauma to the nervous system, whether from an accident or repetitive strain, can lead to altered sensations.

3. Metabolic Issues: Conditions like diabetes can lead to peripheral neuropathy, affecting how sensations are felt.

4. Psychological Factors: Stress and anxiety can sometimes manifest as physical symptoms, including altered sensations.

Symptoms of Sensory Disorders
The symptoms you described, such as diminished pain perception and altered internal sensations, can be indicative of a sensory processing issue. Some common symptoms associated with sensory disorders include:
- Hypoesthesia: Reduced sensitivity to sensory stimuli.

- Paresthesia: Tingling or prickling sensations, often described as "pins and needles."
- Dysesthesia: Abnormal sensations, which can be unpleasant or painful.

- Altered Pain Perception: This can manifest as a reduced ability to feel pain or an exaggerated response to pain.

When to Seek Help
Given that your symptoms have persisted for over a month without improvement, it is advisable to seek medical attention. Here are some guidelines on when to consult a healthcare professional:
1. Duration of Symptoms: If symptoms last longer than a few days or worsen over time, it is essential to seek help.

2. Impact on Daily Life: If the sensory issues interfere with your daily activities, work, or relationships, it’s time to consult a doctor.

3. Associated Symptoms: If you experience additional symptoms such as weakness, coordination problems, or changes in vision, these could indicate a more serious underlying condition.

Which Specialist to See
For your situation, it would be best to start with a neurologist. Neurologists specialize in disorders of the nervous system and can conduct the necessary tests to determine if there is an underlying neurological issue contributing to your sensory problems. They may perform a physical examination, neurological assessments, and possibly imaging studies or nerve conduction tests to evaluate your condition.

Conclusion
In summary, sensory disorders can be complex and multifaceted, often requiring a thorough evaluation to understand their underlying causes. Given the duration and nature of your symptoms, seeking a consultation with a neurologist would be a prudent step. They can help identify any potential neurological issues and guide you toward appropriate treatment options. Remember, addressing these concerns early can lead to better outcomes and improved quality of life. Take care, and I wish you the best on your journey to understanding and managing your symptoms!

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