Neurological Symptoms: Is It Just Stress or Something More?

It seems like there is a lack of oxygen?

One morning at work, I felt extremely sleepy and suddenly experienced dizziness, along with a tingling sensation in my right brain.
I felt nauseous and wanted to vomit.
Since that incident, sometimes my hands and feet feel slightly numb.
While walking, I also feel nauseous and uncomfortable.
Occasionally, when lying on my side, my right hand becomes increasingly numb.
I consulted the first doctor, who suggested that I might have a form of nerve disorder.
The second doctor referred me to an orthopedic specialist to check for any issues with my cervical spine.
The orthopedic doctor later informed me that I have a degenerative disc.
Subsequently, the second doctor diagnosed me with hypertension, and since then, my blood pressure has been around 130.
After a while, I felt fine, but every time I recover from a cold, the symptoms of poor blood circulation in my hands and feet reappear.
My hands often feel uncoordinated, and when I suddenly turn my head, I experience dizziness.
Additionally, I frequently hear my heartbeat in my ears, and by the afternoon, my hands and feet become cold.
When I squat and then stand up, I feel dizzy to the point of almost fainting.
However, after work and eating, I feel better.
Doctor, could you please tell me what illness I might have? I feel so distressed running to the hospital.
Am I at risk of having a stroke? I'm only 26 years old!

An An, 20~29 year old female. Ask Date: 2005/04/06

Dr. Lai Lunxiang reply Neurology

Hello! Your symptoms could have multiple possibilities.
Please visit a major hospital for a thorough examination by a neurologist.
Thank you!

Reply Date: 2005/04/06

More Info

It sounds like you are experiencing a range of distressing symptoms that are affecting your daily life, and I can understand how concerning this must be for you. Based on your description, it seems that you have been dealing with a combination of neurological symptoms, including dizziness, tingling sensations, nausea, and coordination issues. These symptoms can be quite alarming, especially when they are persistent or recurrent.

First and foremost, it is important to recognize that stress can indeed have a significant impact on both physical and mental health. Chronic stress can lead to a variety of symptoms, including headaches, muscle tension, and gastrointestinal issues. It can also exacerbate existing medical conditions, such as hypertension, which you mentioned you have been diagnosed with. High blood pressure can lead to various complications, including increased risk of stroke, so it is crucial to manage it effectively.

Your symptoms, such as dizziness and tingling sensations, could be related to several factors. The tingling in your hands and feet, especially if it occurs after certain positions or movements, may indicate nerve compression or irritation, possibly related to your cervical spine (neck) issues. Degenerative changes in the cervical spine can lead to conditions like cervical radiculopathy, where nerves are compressed, leading to symptoms like tingling, weakness, or pain in the arms and hands.

The sensation of your heart beating in your ears, known as pulsatile tinnitus, can sometimes be related to changes in blood flow or pressure, which could be influenced by your hypertension. Additionally, the feeling of nausea and the urge to vomit could be linked to anxiety, vestibular issues, or even gastrointestinal problems.

Given that you have seen multiple doctors and received different opinions, it may be beneficial to seek a comprehensive evaluation from a neurologist. A neurologist can perform a thorough examination, possibly including imaging studies like an MRI of the brain and cervical spine, to rule out any serious underlying conditions. They can also assess your blood pressure management and its potential impact on your symptoms.

In the meantime, managing stress is crucial. Techniques such as mindfulness, relaxation exercises, and physical activity can help alleviate some of the symptoms you are experiencing. Additionally, maintaining a healthy lifestyle, including a balanced diet and regular exercise, can contribute positively to your overall well-being.

If your symptoms worsen or if you experience new symptoms, such as severe headaches, vision changes, or difficulty speaking, it is essential to seek immediate medical attention, as these could be signs of a more serious condition.

Lastly, I encourage you to communicate openly with your healthcare providers about your concerns and symptoms. Keeping a symptom diary can also be helpful in identifying triggers and patterns, which can aid in diagnosis and treatment. Remember, you are not alone in this, and with the right support and management, it is possible to improve your quality of life.

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