Numbness and Appetite Loss: Is Anxiety the Cause? - Psychiatry

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Numbness in the hands and feet, loss of appetite?


Hello, doctor.
I have not had much of an appetite since the morning of the day before yesterday.
By yesterday, I could only eat a few bites of breakfast before feeling nauseous.
Last night, I suddenly experienced tinnitus, and since then, my hands have been numb, and occasionally my feet as well.
I had exams two days ago; could this be due to stress? Additionally, the day before yesterday, I also had a sore tongue and a slight feeling of tightness in my chest.
I would appreciate your insights.
Thank you.

Niming, 10~19 year old female. Ask Date: 2019/05/20

Dr. Wu Enliang reply Psychiatry


Hello, netizen: May I ask if the symptoms have persisted after the exam today? If they have disappeared, then it is indeed likely that they were caused by stress-related psychosomatic issues.
Dr.
Wu Enliang

Reply Date: 2019/05/20

More Info


It sounds like you are experiencing a range of distressing symptoms, including loss of appetite, nausea, tinnitus (ear ringing), and numbness in your hands and feet. These symptoms can indeed be linked to anxiety, especially considering the context of your recent stress related to exams.
Anxiety can manifest in various physical symptoms, often referred to as somatic symptoms. When a person is under significant stress or anxiety, the body can react in ways that may seem unrelated to the psychological state. For instance, the "fight or flight" response triggered by anxiety can lead to physiological changes such as increased heart rate, muscle tension, and gastrointestinal disturbances, which might explain your loss of appetite and feelings of nausea.
The numbness you are experiencing in your extremities could also be related to anxiety. Hyperventilation, a common response to anxiety, can lead to a decrease in carbon dioxide levels in the blood, causing symptoms such as tingling or numbness in the fingers and toes. Additionally, anxiety can lead to muscle tension, which may compress nerves and result in sensations of numbness or tingling.

Your mention of ear ringing (tinnitus) can also be associated with anxiety. Stress can exacerbate or trigger tinnitus, and the perception of sound in the absence of external stimuli can be heightened during periods of anxiety. The feeling of chest tightness or discomfort can also be a common symptom of anxiety, often mistaken for more serious conditions.

Given that these symptoms have arisen during a particularly stressful time, it is plausible that your anxiety is a significant contributing factor. However, it is essential to consider that while anxiety can cause these symptoms, it is also important to rule out any underlying medical conditions. Therefore, consulting with a healthcare professional is crucial. They can perform a thorough evaluation, including a physical examination and possibly some tests, to ensure that there are no other underlying issues that need to be addressed.

In the meantime, there are several strategies you can employ to help manage your anxiety and its physical manifestations:
1. Breathing Exercises: Practicing deep breathing techniques can help calm your nervous system and reduce feelings of anxiety. Try inhaling deeply through your nose, holding for a few seconds, and then exhaling slowly through your mouth.

2. Mindfulness and Relaxation Techniques: Engaging in mindfulness meditation, yoga, or progressive muscle relaxation can help reduce anxiety levels and improve your overall sense of well-being.

3. Regular Physical Activity: Exercise is a natural anxiety reliever. It can help improve your mood and reduce stress levels.

4. Healthy Eating: While your appetite may be affected, try to maintain a balanced diet. Eating small, nutritious meals can help stabilize your energy levels and improve your mood.

5. Adequate Sleep: Ensure you are getting enough rest. Sleep is crucial for mental health, and lack of sleep can exacerbate anxiety symptoms.

6. Seek Support: Talking to someone you trust about your feelings can provide relief. Whether it's a friend, family member, or mental health professional, sharing your experiences can help you feel less isolated.

If your symptoms persist or worsen, it is vital to seek professional help. A mental health professional can provide therapy options, such as cognitive-behavioral therapy (CBT), which has been shown to be effective in treating anxiety disorders. Medication may also be an option if deemed necessary by a healthcare provider.

In summary, while your symptoms may be related to anxiety, it is essential to consult with a healthcare professional to rule out any other potential causes and to discuss appropriate treatment options. Taking proactive steps to manage your anxiety can significantly improve your quality of life and overall well-being.

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