Numbness and Weakness: Possible Neurological Disorders

Q: Numbness and Weakness: Possible Neurological Disorders

Hello： The symptoms are very similar to Guillain-Barré Syndrome (GBS). <br>Please see a neurologist for an examination as soon as possible.

Numbness in the limbs and face?

Initially, there was severe bloating and irregular bowel movements, with increased frequency.
About two months later, there was numbness in both legs, itching on the soles of the feet, like being bitten by ants.
Subsequently, both legs became numb and weak.
A week later, there was weakness and numbness in both hands.
Another week later, there was difficulty breathing and swallowing, increased gastrointestinal motility, and involuntary muscle contractions throughout the body and gastrointestinal tract.
Since yesterday, there has been facial numbness and swelling of the lymph nodes on the right side of the neck.
Five days ago, there were sudden feelings of dizziness and fatigue.
Yesterday, the heart rate increased from 70 beats per minute to 90 beats per minute.
Could this be neuropathy or Guillain-Barré syndrome (GBS)?

Ge Mi, 30~39 year old female. Ask Date: 2009/03/03

Dr. Ye Boshou reply Neurology

Hello: The symptoms are very similar to Guillain-Barré Syndrome (GBS).
Please see a neurologist for an examination as soon as possible.

Reply Date: 2009/03/03

More Info

The symptoms you are describing—numbness and weakness in the legs and arms, difficulty breathing and swallowing, gastrointestinal issues, and facial numbness—are concerning and could potentially be indicative of several neurological disorders, including Guillain-Barré Syndrome (GBS) or other conditions affecting the nervous system.

Guillain-Barré Syndrome is an autoimmune disorder where the body's immune system mistakenly attacks the peripheral nerves. It often begins with weakness and tingling in the legs, which can progress to more severe muscle weakness and paralysis. The symptoms can develop rapidly, sometimes within days or weeks, and may include difficulty with eye movement, facial expressions, and swallowing, as well as respiratory difficulties. The fact that you are experiencing numbness and weakness in both legs and arms, along with respiratory issues, raises the possibility of GBS.

Another condition to consider is myasthenia gravis, which is characterized by weakness and rapid fatigue of voluntary muscles. This condition can also lead to difficulties in swallowing and breathing, as well as muscle weakness that may fluctuate throughout the day.
Your symptoms of gastrointestinal issues, such as increased bowel movements and abdominal discomfort, could also be related to a neurological condition, as the autonomic nervous system controls involuntary bodily functions, including digestion. The sensation of your legs and arms feeling like they are "asleep" or "tingling" can be attributed to nerve compression or damage, which can occur in various neurological disorders.

The enlargement of the lymph nodes in your neck could suggest an underlying infection or inflammatory process, which may or may not be related to your neurological symptoms. It is essential to consider the entire clinical picture, including any recent infections, vaccinations, or illnesses, as these can sometimes trigger or exacerbate autoimmune responses.

Given the complexity and potential severity of your symptoms, it is crucial to seek immediate medical attention. A neurologist can perform a thorough evaluation, which may include blood tests, imaging studies (such as MRI or CT scans), and possibly a lumbar puncture to analyze cerebrospinal fluid. These tests can help determine the underlying cause of your symptoms and guide appropriate treatment.

In summary, while Guillain-Barré Syndrome is a strong possibility given your symptoms, other neurological disorders could also be at play. It is vital to consult with a healthcare professional as soon as possible to receive a proper diagnosis and treatment plan. Early intervention can significantly impact the outcome and recovery in cases of neurological disorders.

Similar Q&A

Understanding Nerve Weakness: Head and Limb Numbness Explained

I have been experiencing numbness in my hands and feet for about one to two years. Whenever I sit in a chair, my legs often go numb. Recently, the left side of my head has also been numb, and my memory has been getting worse. I dream every night, which leads to feeling fatigued a...

Dr. Ye Boshou reply Neurology
Neurasthenia, commonly referred to as nervous exhaustion, is characterized by anxiety, numbness in the limbs, and poor memory. If these symptoms persist and there is a poor response to medication along with other neurological symptoms, further evaluation should be arranged.

Understanding Numbness and Pain in Limbs: Possible Neurological Issues

Hello doctor: For the past month, I have hardly eaten anything and only drank water. I am gradually starting to eat again, but I feel numbness in my scalp, chest, hands, and feet. My hands and feet are also sore and weak, and I am experiencing chest tightness and difficulty breat...

Dr. Jiang Junyi reply Neurology
Hello: I wonder if you have undergone any medical tests? Many electrolyte imbalances can cause symptoms such as weakness or numbness in the limbs. For nerve repair, it is recommended to supplement with B vitamins. I suggest you consult an internist to discuss examinations and tre...

Understanding Numbness and Weakness: When to See a Neurologist

Hello doctor, my situation is as follows: at the beginning of July, while stretching during breaks at work, I experienced dizziness and numbness in the third and fourth toes of my right foot for more than ten minutes. Then, two weeks later at work, I suddenly felt numbness in my ...

Dr. Jiang Junyi reply Neurology
Hello Mr. Lin: You mentioned that "suddenly both hands' fingers, or only the fingers of the right hand, experience a tingling sensation that extends to about ten centimeters into the palm, lasting approximately 10 to 30 minutes." This may indicate a potential issue...

Understanding Weakness and Numbness in Limbs: Possible Causes and Concerns

Hello doctor, I experienced a sudden increase in blood pressure today, and I'm not sure why. Sometimes my hands feel weak, and I have a tingling sensation in the thumb area of my palm. I also feel weakness in my calves, and at times my legs feel weak, either both or just one...

Dr. Hong Weibin reply Neurology
Hello: Based on your description, it seems difficult to pinpoint a specific neurological disorder. If daily activities, including walking, exercising, and self-care, are not problematic, it may be due to psychosocial stress or environmental factors. It would be advisable to conti...