Dizziness and Numbness: Neurological Insights - Neurology

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Dizziness and numbness in the legs?


Menstrual cramps are severe, and I usually don't consume cold drinks; I drink a lot of water.
Recently, for the past two to three months, I've experienced sudden numbness in my legs during class, and my head often feels like it pauses for a few seconds, turning completely white, but the duration is no longer than a few seconds, which is very frightening.
I also frequently experience unexplained abdominal pain.

Lon, 20~29 year old female. Ask Date: 2015/12/30

Dr. Yang Shenggong reply Neurology


Hello Ms.
Lon: Numbness in the legs is a symptom that can have multiple causes: 1) Unilateral leg numbness may be attributed to poor posture, nerve compression, or inadequate blood circulation, among other factors.
2) Bilateral leg numbness requires consideration of systemic issues such as blood pressure, heart rate, endocrine factors, stress, immune response, and depression.
If you are experiencing episodes of mental blankness, it may be necessary to evaluate brain function or psychosomatic stress disorders.
Based on the situation you described, it is difficult to make a clinical judgment.
I recommend visiting a trusted hospital for a consultation and examination with a neurologist to clarify your issues.
If your abdominal pain is not temporally related to the leg numbness and mental blankness, you may need to provide a clearer description of your abdominal pain.
The most effective approach would be to see a physician at the hospital for a thorough evaluation.
I hope you can receive a diagnosis and resolution for your issues at the hospital.
Dr.
Yang Sheng-gong, Neurology Department, Changhua Hospital.

Reply Date: 2015/12/30

More Info


Dizziness and numbness can be concerning symptoms, especially when they occur alongside other issues such as severe menstrual pain and abdominal discomfort. Based on your description, it seems that you are experiencing episodes of dizziness that feel like your head is pausing for a few seconds, accompanied by numbness in your legs. These symptoms can be indicative of several underlying neurological or systemic conditions, and it is essential to explore them further.

Firstly, the dizziness you are experiencing could be related to a variety of factors. One common cause is orthostatic hypotension, which is a drop in blood pressure when standing up quickly. This can lead to feelings of lightheadedness or dizziness. Additionally, vestibular disorders, which affect the inner ear and balance, can also cause dizziness. If you find that your dizziness is triggered by changes in position or movement, it may be worthwhile to consult with a neurologist or an ear, nose, and throat (ENT) specialist.

The numbness in your legs, particularly if it occurs after sitting in class for a while, could suggest a few possibilities. Peripheral neuropathy, which is damage to the peripheral nerves, can lead to sensations of numbness or tingling. This condition can be caused by various factors, including diabetes, vitamin deficiencies, or even prolonged pressure on nerves. Another possibility is that you may be experiencing transient ischemic attacks (TIAs), which are temporary episodes of reduced blood flow to the brain that can cause sudden numbness or weakness.

Your mention of severe menstrual pain could also be relevant. Dysmenorrhea, or painful menstruation, can sometimes be associated with other systemic issues, such as endometriosis, which can cause pelvic pain and may have neurological implications if there is nerve involvement. The abdominal pain you mentioned could also be related to gastrointestinal issues, which can sometimes present with referred pain or discomfort that may mimic neurological symptoms.

Given the complexity of your symptoms, it is crucial to undergo a thorough evaluation. A neurologist can perform a comprehensive assessment, including a detailed medical history, physical examination, and possibly imaging studies such as MRI or CT scans to rule out any structural abnormalities. Blood tests may also be necessary to check for vitamin deficiencies, thyroid function, and other metabolic conditions.

In summary, your symptoms of dizziness, numbness, severe menstrual pain, and abdominal discomfort warrant a careful and thorough investigation. It is advisable to seek medical attention from a healthcare provider who can guide you through the diagnostic process. Early intervention can help identify the underlying cause of your symptoms and lead to appropriate treatment, ultimately improving your quality of life. Remember, it is essential to communicate all your symptoms clearly to your healthcare provider, as this will aid in making an accurate diagnosis.

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