Numbness and Pain in Limbs: Possible Neurological Issues - Neurology

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Numbness and pain in the hands and feet?


Hello doctor: For the past month, I have hardly eaten anything and only drank water.
I am gradually starting to eat again, but I feel numbness in my scalp, chest, hands, and feet.
My hands and feet are also sore and weak, and I am experiencing chest tightness and difficulty breathing, to the point where I can hardly walk.
What could be wrong with me?

Ahan, 30~39 year old female. Ask Date: 2018/09/27

Dr. Jiang Junyi reply Neurology


Hello: I wonder if you have undergone any medical tests? Many electrolyte imbalances can cause symptoms such as weakness or numbness in the limbs.
For nerve repair, it is recommended to supplement with B vitamins.
I suggest you consult an internist to discuss examinations and treatment.
If your symptoms are urgent, you may seek assistance from an emergency room physician.
Wishing you good health and peace.
Dr.
Jiang from Taoyuan Hospital cares about you.

Reply Date: 2018/09/27

More Info


The symptoms you are experiencing, including numbness and pain in your limbs, as well as chest tightness and difficulty breathing, are concerning and warrant immediate medical attention. These symptoms could indicate a variety of underlying issues, including neurological, cardiovascular, or metabolic problems.
Firstly, the numbness and weakness in your hands and feet could suggest peripheral neuropathy, which is often caused by conditions such as diabetes, vitamin deficiencies (especially B vitamins), or even nerve compression syndromes. Given that you have not been eating properly, it is possible that you may have developed nutritional deficiencies that could contribute to these symptoms. For instance, a lack of vitamin B12 can lead to neurological symptoms, including numbness and weakness.

The chest tightness and difficulty breathing are particularly concerning. These symptoms could indicate a cardiovascular issue, such as angina or even a heart attack, especially if they are accompanied by other symptoms like sweating, nausea, or pain radiating to the arm or jaw. It is crucial to rule out any serious heart conditions, particularly if you have risk factors such as a family history of heart disease, high blood pressure, or high cholesterol.

Additionally, the combination of symptoms you describe could also suggest anxiety or panic attacks, which can manifest as physical symptoms including chest tightness, difficulty breathing, and numbness. However, it is essential to approach this possibility with caution, as it is vital to first rule out any serious medical conditions.

Given the complexity of your symptoms, it is highly recommended that you seek immediate medical evaluation. A healthcare provider will likely perform a thorough physical examination and may order diagnostic tests such as blood tests, imaging studies, or nerve conduction studies to determine the underlying cause of your symptoms.

In the meantime, it is important to ensure you are staying hydrated and gradually reintroducing food into your diet. Eating a balanced diet rich in vitamins and minerals can help support your overall health and may alleviate some of the symptoms you are experiencing. If you are feeling overwhelmed or anxious, consider reaching out to a mental health professional who can provide support and coping strategies.

In summary, your symptoms of numbness, pain, chest tightness, and difficulty walking are concerning and should not be ignored. Please seek medical attention as soon as possible to receive a proper diagnosis and treatment plan. Your health and well-being are paramount, and timely intervention can make a significant difference in your recovery.

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