Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults

Four limbs numbness, neck pain, headache, various minor ailments?

Hello Dr.
Jiang, this is Ms.
Li who inquired about some issues at the beginning of September.
Since early September, I have been experiencing tingling and numbness in my entire arms and legs, along with occasional burning sensations in the soles of my feet (which last for a few seconds).
Sometimes, I also feel a sharp prick.
I have visited various clinics and took nerve repair medication prescribed by a small clinic for two weeks.
Initially, there was some improvement, but the symptoms recurred.
I previously had blood tests at Far Eastern Memorial Hospital, and my electrolyte levels were normal, so no medication was prescribed.
The doctor mentioned that it might be related to my iron deficiency anemia and advised me to do more stretching exercises.
Since early June, I have been taking iron supplements, and my blood levels have nearly returned to normal, yet I still experience numbness in my hands and feet.
Recently, I have also had occasional pain on both sides of my cheeks, shoulder pain, and a feeling of increased eye pressure.
Two days ago, I even started experiencing headaches, with intermittent sharp pains on the sides of my head.
I am very worried about what is happening to my body, but after visiting various hospitals and clinics, I have been told it's either shoulder and neck inflammation or poor posture, etc.
The solutions I have tried have not resolved the issues, and even acupuncture and massage from traditional Chinese medicine have led to back pain.
I am concerned that there might be something wrong in my head.
Additionally, I experienced irregular menstrual cycles last week.
Considering all these symptoms, I am also suspecting that I might have autonomic nervous system dysfunction, while my family thinks it could be anxiety disorder (though the physical symptoms are very real).
I am only 21 years old, and my symptoms seem to be increasing day by day.
I am worried but do not want to continue seeing doctors without understanding the underlying issues.
Therefore, I would like to ask for your advice, whether I should continue to observe or if I need to investigate further.
Lastly, I would like to mention that I was diagnosed with gastroesophageal reflux disease in early June and have been on medication since then.
Could this long-term medication be related to my symptoms? I apologize for the many questions, and I appreciate your help.

Ms. Li, 20~29 year old female. Ask Date: 2021/10/20

Dr. Jiang Junyi reply Neurology

Dear Ms.
Li,
I am not sure if there is a medical center near your residence.
The examination of neurological diseases requires a period of follow-up for comparison.
For instance, if a score drops from 80 to 70, it may still be considered passing from a 60-point perspective.
The recommended principle for seeking medical care is to integrate medical information within the same facility.

You mentioned that you have been taking medication for gastroesophageal reflux symptoms.
Some medications that aid gastrointestinal motility can indeed have neurological side effects.
You also noted experiencing tingling and numbness in your hands and feet, along with a burning sensation in the soles of your feet.
I suggest consulting a neurologist who has more experience with these types of conditions.
Please ensure to practice self-protection, maintain cleanliness and disinfection, and adhere to new preventive health measures before and after your medical visits.
Thank you for your inquiry, and feel free to discuss any related questions further!
Wishing you good health, peace, and joy.
Dr.
Jiang Junyi, Neurologist, Taoyuan Medical Center

Reply Date: 2021/10/20

More Info

Hello Ms. Li,
Thank you for reaching out with your concerns regarding your neurological symptoms, including numbness, pain, and anxiety. It’s understandable to feel overwhelmed when experiencing a range of physical symptoms, especially when they seem to be increasing in frequency and intensity. Let’s break down your situation and explore potential avenues for understanding and addressing your symptoms.

Firstly, the symptoms you describe—numbness in your limbs, burning sensations in your feet, facial pain, shoulder discomfort, and headaches—can indeed be indicative of several underlying issues. The fact that you have already undergone various tests, including blood tests and consultations with multiple healthcare providers, is a positive step in seeking a diagnosis. It’s important to continue this process, as persistent symptoms warrant thorough investigation.

Your mention of iron deficiency anemia is significant. Anemia can lead to fatigue and neurological symptoms, including tingling and numbness. While you’ve indicated that your iron levels have improved with supplementation, it’s crucial to ensure that your body is absorbing the iron effectively. Sometimes, gastrointestinal issues, such as gastroesophageal reflux disease (GERD), can interfere with nutrient absorption, which might explain why your symptoms persist despite treatment.

The symptoms you’re experiencing could also be related to anxiety or stress. Anxiety can manifest physically, leading to muscle tension, headaches, and even sensations of numbness or tingling. The connection between mental health and physical symptoms is well-documented; stress can exacerbate existing conditions or create new ones. Given your history of anxiety and the pressures you’ve faced, it’s possible that your symptoms are at least partially psychosomatic.

Regarding your concerns about potential neurological issues, such as tumors or other serious conditions, it’s essential to communicate these fears with your healthcare provider. They may recommend imaging studies, such as an MRI or CT scan, to rule out any serious underlying conditions. It’s understandable to worry, but remember that many neurological symptoms can arise from less severe causes, such as nerve compression due to poor posture or muscle tension.

As for your menstrual irregularities, hormonal fluctuations can also contribute to physical symptoms, including headaches and mood changes. It’s worth discussing these changes with your healthcare provider, as they may be related to stress or other underlying health issues.

In terms of managing your symptoms, here are a few recommendations:
1. Continue Medical Follow-Up: Keep in close contact with your healthcare providers. If you feel your concerns are not being addressed, don’t hesitate to seek a second opinion or consult a specialist, such as a neurologist or a psychiatrist.

2. Mental Health Support: Consider speaking with a mental health professional. Therapy can provide you with coping strategies for managing anxiety and stress, which may help alleviate some of your physical symptoms.

3. Lifestyle Adjustments: Incorporate regular physical activity, which can improve circulation and reduce muscle tension. Additionally, practicing relaxation techniques such as yoga, meditation, or deep-breathing exercises can help manage anxiety.

4. Dietary Considerations: Ensure you’re eating a balanced diet rich in vitamins and minerals, which can support overall health and potentially improve your symptoms. Discuss any dietary restrictions or concerns with a nutritionist.

5. Monitor Symptoms: Keep a detailed journal of your symptoms, noting when they occur, their intensity, and any potential triggers. This information can be invaluable for your healthcare providers in diagnosing and treating your condition.

In conclusion, while it’s natural to feel anxious about your health, it’s important to approach this situation methodically. Continue to advocate for yourself in the healthcare system, seek support for your mental health, and consider lifestyle changes that may improve your overall well-being. Remember, you are not alone in this, and there are resources available to help you navigate these challenges.
Wishing you the best in your journey toward understanding and improving your health.

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