Food Sensitivities and Neurological Symptoms: A Patient's Journey - Neurology

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Discomfort after consuming certain foods?


Hello, doctor.
I am 29 years old, and I started experiencing abnormal symptoms around February of last year (2019).
Initially, I had difficulty breathing when lying down, feeling as if I couldn't catch my breath.
I went to a clinic, and the doctor conducted a blood test (I can't remember if it was related to the thyroid), but the results were normal.
Later, I visited a pulmonologist at the hospital, and after an X-ray, the doctor determined that my heart was slightly enlarged.
I then went to see a cardiologist, who performed numerous tests, including urinalysis, blood tests, and an electrocardiogram.
The results indicated that my heart was normal, but my blood pressure readings at the hospital were relatively high, around 14X/9X to 15X/100.
However, after following the doctor's advice and monitoring my blood pressure at home for a month, I found it to be around 12X/7X to 14X/9X.
The doctor considered this slightly elevated but not concerning.
During this time with the cardiologist, the breathing difficulties when lying down resolved, but I began to experience discomfort (dizziness, pulsations in the back of my head, palpitations) when lying down.
I noticed that certain specific foods exacerbated my symptoms, and sometimes, even when not lying down, I would feel uncomfortable.
These foods included certain meats, greasy foods, or shellfish.
Since there were no issues found with my heart, I consulted a neurologist, who performed an EEG.
The results showed slightly abnormal slow brain waves, and the doctor then ordered a CT scan of my brain, which came back normal.
The doctor concluded that my brain should be fine.
Strangely, I began to experience other unusual symptoms, such as hand tremors, tinnitus, chest tightness, and dizziness, but these symptoms typically did not last long, usually resolving within 1 to 3 months.
In this situation, I returned to the neurologist, who arranged for an MRI, which also showed no abnormalities.
Over time, some symptoms persisted, but I observed that if I got enough sleep, most symptoms would not appear.
However, the discomfort after eating specific foods has not disappeared.
Currently, my symptoms include dizziness and fatigue when I do not get enough sleep, feeling easily tired, and discomfort (dizziness, palpitations, pulsations in the back of my head) after eating certain foods.
Lying down also causes discomfort (dizziness, pulsations in the back of my head), especially after consuming specific foods, which makes it worse.
I would like to ask the doctor what other areas I can explore regarding my symptoms.
Thank you.

Huangzhang, 20~29 year old female. Ask Date: 2020/08/09

Dr. Hong Weibin reply Neurology


Hello: If all test results show no abnormalities, it is possible that there are no specific physiological issues.
It is important to consider psychological, environmental, and stress-related factors.
You may want to seek further evaluation and assistance from a psychiatrist.
Wishing you a speedy recovery.

Reply Date: 2020/08/09

More Info


Your situation is indeed complex and multifaceted, involving both physical and possibly psychological components. Given your history of symptoms that have persisted despite extensive medical evaluations, it is essential to consider a holistic approach to your health.

Firstly, the symptoms you describe, such as difficulty breathing when lying down, dizziness, palpitations, and discomfort after eating specific foods, could be indicative of several underlying issues. Since your cardiovascular evaluations have returned normal, and you have undergone neurological assessments that also showed no significant abnormalities, it may be beneficial to explore other potential causes, including gastrointestinal issues, anxiety, or food sensitivities.


Food Sensitivities and Neurological Symptoms
Your observation that certain foods exacerbate your symptoms is particularly noteworthy. Food sensitivities can manifest in various ways, including gastrointestinal discomfort, headaches, fatigue, and even neurological symptoms like dizziness or palpitations. Common culprits include high-fat foods, processed meats, and foods containing additives like MSG. It might be helpful to keep a detailed food diary to track what you eat and correlate it with your symptoms. This can provide valuable insights into which specific foods may be triggering your discomfort.


Psychological Factors
Given the interplay between physical and mental health, it’s also crucial to consider psychological factors. Stress and anxiety can significantly impact physical health, leading to symptoms such as those you describe. The fact that your symptoms improve with adequate sleep suggests that stress management and sleep hygiene could play a vital role in your overall well-being. Techniques such as mindfulness, cognitive-behavioral therapy (CBT), or relaxation exercises may help alleviate anxiety and improve your symptoms.


Further Evaluations
Since your symptoms have persisted, it may be worthwhile to consult with a specialist in functional medicine or a gastroenterologist who can evaluate you for conditions like Irritable Bowel Syndrome (IBS) or other gastrointestinal disorders that might not have been fully explored. Additionally, a consultation with a psychologist or psychiatrist could help assess any underlying anxiety or mood disorders that may be contributing to your physical symptoms.


Lifestyle Modifications
Incorporating lifestyle changes can also be beneficial. Regular exercise, a balanced diet, and adequate hydration can improve overall health and potentially alleviate some of your symptoms. Additionally, practicing good sleep hygiene—such as maintaining a regular sleep schedule, creating a restful environment, and limiting screen time before bed—can enhance your sleep quality and, in turn, your overall health.


Conclusion
In summary, your symptoms may be the result of a combination of food sensitivities, psychological factors, and lifestyle choices. A multidisciplinary approach involving dietary modifications, psychological support, and lifestyle changes may provide the most comprehensive relief. It is essential to continue working closely with your healthcare providers to explore these avenues and find a tailored approach that addresses your unique situation. Remember, you are not alone in this journey, and with the right support and strategies, improvement is possible.

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