Numbness and swelling in the fingers?
Hello Doctor, I would like to ask if my girlfriend needs to go to the hospital for a heart examination given her current condition.
Recently, her fingers have been feeling swollen and numb, affecting all four fingers on both hands except for the thumbs.
I measured her blood pressure twice, and the readings were 89/56 and 86/47.
I have also attached an electrocardiogram (ECG) recorded with an Apple Watch, which shows significant differences compared to my ECG; the T wave and R wave are almost at the same height.
I am concerned about her health.
Thank you for your assistance in diagnosing this issue.
Here are the image links: https://ppt.cc/[email protected]?1683471858 https://ppt.cc/[email protected]?1683471767
Hui, 30~39 year old female. Ask Date: 2023/05/07
Dr. Chen Jili reply Cardiology
Recommendation: Please discuss the above situation further with your attending physician.
Thank you.
Wishing you good health!
Reply Date: 2023/05/07
More Info
When it comes to experiencing numbness and swelling in the fingers, especially when accompanied by low blood pressure readings like 89/56 and 86/47, it is indeed a situation that warrants concern and should be evaluated by a healthcare professional. The symptoms you describe, particularly the numbness in the fingers, can be indicative of several underlying conditions, some of which may require immediate medical attention.
Firstly, the numbness and swelling in the fingers could be related to peripheral neuropathy, which is often caused by conditions such as diabetes, vitamin deficiencies, or nerve compression syndromes like carpal tunnel syndrome. Given that your girlfriend is experiencing these symptoms in all fingers except the thumb, it may suggest a possible issue with the ulnar or median nerve, which can affect sensation in the fingers.
The low blood pressure readings you provided are also concerning. Normal blood pressure typically ranges from 90/60 mmHg to 120/80 mmHg. Readings below this range can lead to symptoms such as dizziness, fainting, and in some cases, can be indicative of more serious conditions such as heart problems, dehydration, or severe blood loss. The combination of low blood pressure and numbness in the fingers could suggest a circulatory issue, where the blood flow to the extremities is compromised.
Additionally, the heart's electrical activity, as indicated by the electrocardiogram (ECG) readings you mentioned, should be interpreted by a healthcare professional. The T-wave and R-wave patterns you described could indicate an abnormality that may need further investigation. Changes in these waves can be associated with various cardiac conditions, including ischemia or electrolyte imbalances.
Given these factors, it is crucial for your girlfriend to seek medical attention promptly. A thorough evaluation by a healthcare provider, including a physical examination, a detailed medical history, and possibly further diagnostic tests such as blood tests, imaging studies, or a more comprehensive cardiac evaluation, will be necessary to determine the underlying cause of her symptoms.
In the meantime, it may be helpful for her to monitor her symptoms closely. If she experiences any additional symptoms such as chest pain, shortness of breath, severe dizziness, or if the numbness worsens or spreads, she should seek emergency medical care immediately.
In conclusion, while it is understandable to feel anxious about these symptoms, it is essential to approach the situation with a focus on obtaining a proper diagnosis and treatment. Encourage your girlfriend to visit a healthcare provider as soon as possible to ensure her health and safety.
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