Your Symptoms: Navigating Anxiety and Health Concerns - Psychiatry

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Physical condition


Hello Doctor, five days ago I experienced pain when pressing on the bone above my right eyebrow, which occasionally persists.
Recently, the pain has lessened when I press on it, but there is still a continuous ache that has become more pronounced over the last three days, especially when I lower my head (the pain feels like the discomfort from pressing on a pimple, with a somewhat blocked sensation; I have a large pimple at the tail of my eyebrow).
For the past two days, I have had persistent pain around 5 or 6 PM, which is quite noticeable and lasts for about 10 minutes.
Sometimes I also experience sharp pain (the pain can occur at the right eyebrow, and I have felt sharp pain at the left eyebrow as well; yesterday, I had a sudden pain in my scalp that extended from the right back of my neck upwards, which frightened me even more).
I researched and found that multiple sclerosis can be associated with trigeminal neuralgia, which made me realize I might be in danger, and I am very worried that I have MS.
Occasionally, my hands and feet experience sharp pain, and when I press on them, I feel slight numbness; sometimes my skin feels cold (this can happen anywhere, lasting 0.1 seconds).
Occasionally, my skin feels tight and mildly painful.
After going out in the heat at noon, I experienced a tingling sensation that extended down my lower limbs, lasting about 0.5 seconds.
Seven days ago at night, I felt slight numbness at the tips of my left fingers when pressed, but not when not pressed, lasting about 20 minutes.
Fifteen days ago at night, my right arm felt extremely sore.
Eight days ago, just before falling asleep, I felt pain in my left toe, along with muscle twitching.
Over the past six months, I have seen doctors more than 20 times, but because I have to wait half a month for a nerve conduction study, I can only go home and do it during the summer break, which means waiting another ten days.
I am very worried and feel helpless in the face of this illness.
The two psychiatrists I saw this week advised me to relax, but now my body is showing symptoms of trigeminal neuralgia, and I am really struggling.
When my body has symptoms, I fall back into fear.
This morning, I didn't take my final exam and stayed in my dormitory thinking about my future.
The thought of possibly being disabled brought tears to my eyes.
I have spent the money I earned from my part-time job on medical consultations, and I don't know what else to do.
How should I face my body in these nine days? I am deeply trapped in fear and don't know what to do.
Thank you for taking the time to read my question.

Dàxuéshēng, 20~29 year old female. Ask Date: 2020/06/18

Dr. Liang Sunyuan reply Psychiatry


Hello, thank you for your hard work.
Since the examination has already been scheduled, I recommend being patient and waiting.
The body actually has a certain capacity for self-repair, and in a relaxed environment, many physical symptoms can gradually improve.
It is advisable to shift your focus away from physical symptoms and concentrate on other important events in daily life.
Try to redirect your attention to appreciate the other beautiful aspects of everyday life.
Wishing you a speedy recovery.

Reply Date: 2020/06/18

More Info


It sounds like you are experiencing a significant amount of anxiety related to your physical symptoms and health concerns, particularly regarding the possibility of serious conditions like multiple sclerosis (MS). Your symptoms, including localized pain, tingling, and muscle discomfort, can understandably lead to feelings of fear and uncertainty, especially when compounded by the stress of waiting for medical evaluations.

First and foremost, it's important to acknowledge that anxiety can manifest physically. Many people experience a range of symptoms that can mimic serious medical conditions when they are under stress. This phenomenon is often referred to as somatic symptom disorder, where psychological distress is expressed through physical symptoms. The brain and body are intricately connected, and anxiety can lead to muscle tension, pain, and even sensations like tingling or numbness.

Your description of pain in the area above your eyebrow, along with the sensations in your limbs, can be distressing. However, it’s crucial to remember that many benign conditions can cause similar symptoms. For instance, tension headaches, migraines, or even sinus issues can lead to localized pain in the head and face. Additionally, anxiety itself can cause muscle tension and exacerbate pain, creating a cycle of discomfort and worry.

Given that you have seen multiple doctors and are awaiting further testing, it’s essential to focus on what you can control in the meantime. Here are some strategies that may help you manage your anxiety and symptoms:
1. Mindfulness and Relaxation Techniques: Engaging in mindfulness practices, such as meditation or deep breathing exercises, can help reduce anxiety and promote relaxation. These techniques can help you stay grounded and may alleviate some of the physical symptoms you are experiencing.

2. Cognitive Behavioral Therapy (CBT): If you haven’t already, consider seeking therapy, particularly CBT, which is effective for anxiety. A therapist can help you identify and challenge negative thought patterns and develop coping strategies for managing anxiety and fear.

3. Physical Activity: Regular exercise can be a powerful tool for managing anxiety. It releases endorphins, which can improve your mood and reduce feelings of stress. Even gentle activities like walking or yoga can be beneficial.

4. Limit Information Overload: While it’s natural to seek information about your symptoms, excessive research can heighten anxiety. Try to limit your time spent searching for symptoms online, as this can often lead to increased worry.

5. Stay Connected: Reach out to friends or family members who can provide support. Sharing your feelings and concerns with someone you trust can help alleviate feelings of isolation and fear.

6. Focus on the Present: When you find yourself spiraling into thoughts about potential future disabilities or health issues, try to bring your focus back to the present moment. Ask yourself what you can do right now to take care of yourself.

7. Follow Up with Your Healthcare Providers: Continue to communicate with your doctors about your symptoms and concerns. If you feel that your anxiety is overwhelming, let them know, as they may be able to provide additional resources or referrals to mental health professionals.

Lastly, while it’s understandable to fear serious conditions like MS, it’s important to remember that many symptoms can be attributed to anxiety and stress. The waiting period for tests can be particularly challenging, but try to focus on self-care and managing your anxiety in the meantime. If your symptoms persist or worsen, don’t hesitate to seek further medical advice. Your health and well-being are paramount, and there are professionals who can help guide you through this difficult time.

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