Numbness in the head and extreme fatigue!
Hello Doctor, for the past 1 to 2 months, I have been experiencing sharp pain on the left side of my head.
After consulting a neurologist and taking medication, the symptoms have changed over the past week or two to numbness and itching.
The numbness is particularly noticeable when I shower and lie down to sleep, extending down my entire arm.
When lying down, I also feel a sensation of foreign body in my head.
The itching is especially intense before bedtime, to the point where it disrupts my sleep, and I sometimes wake up in the middle of the night due to the itching.
My ear and throat on the left side also itch, and these symptoms are only present on the left side.
What could be the issue? Should I continue seeing a neurologist? Thank you for your assistance.
Kunrao, 20~29 year old female. Ask Date: 2016/01/20
Dr. Gao Qingyun reply Family Medicine
Hello: This issue may still fall within the realm of neurology.
It is recommended that you continue to discuss it with your original neurologist for evaluation and treatment.
Thank you.
Wishing you safety and health.
Sincerely, Dr.
Gao Qingyun, Director of Family Medicine, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2016/01/20
More Info
Based on your symptoms of left-sided head numbness, itching, and pain, it is essential to consider a few potential underlying causes. The transition from pain to numbness and itching, particularly localized to one side of the head, suggests that there may be a neurological component involved.
One possibility is that you may be experiencing symptoms related to a condition known as "trigeminal neuralgia," which can cause sharp, shooting pain in the face and head, often triggered by touch or movement. This condition is associated with the trigeminal nerve, which is responsible for sensation in the face. However, the itching and numbness you describe could also indicate irritation or dysfunction of the nerve pathways.
Another potential cause could be related to cervical spine issues, such as a herniated disc or cervical radiculopathy, which can lead to nerve compression. This compression can cause symptoms that radiate down the arm, leading to numbness and tingling, as well as localized sensations in the head. The fact that your symptoms worsen in certain positions, like lying down, may further support this possibility.
Additionally, the itching sensation could be indicative of a dermatological issue or even an allergic reaction, particularly if it is localized to the left side of your head. Conditions such as contact dermatitis or even shingles (herpes zoster) could present with similar symptoms, especially if there is a rash or other skin changes.
Given that your symptoms have evolved over the past month or two, it is crucial to continue working with a neurologist or a healthcare provider who specializes in neurological disorders. They may recommend further diagnostic tests, such as MRI or CT scans, to rule out any structural issues in the brain or cervical spine. Blood tests may also be useful to check for underlying conditions that could be contributing to your symptoms, such as autoimmune disorders or vitamin deficiencies.
In the meantime, managing your symptoms is essential. Over-the-counter antihistamines may help alleviate the itching, while pain management strategies, including over-the-counter pain relievers, may provide some relief for the discomfort. Additionally, practicing good sleep hygiene and finding comfortable sleeping positions may help reduce nighttime symptoms.
If you notice any new symptoms, such as weakness, changes in vision, or difficulty speaking, it is crucial to seek immediate medical attention, as these could indicate a more serious condition.
In summary, while your symptoms could stem from various causes, it is essential to continue your evaluation with a neurologist. They can provide a comprehensive assessment and guide you through the necessary steps to determine the underlying issue and appropriate treatment. Your health and well-being are paramount, and addressing these symptoms promptly will help you find relief and improve your quality of life.
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