Experiencing Hand Weakness and Numbness
I’m a 22-year-old female currently grappling with intermittent numbness in my hands that has persisted for about a week. Last Saturday, after consuming a gram of caffeine, I encountered several troubling symptoms: double vision, swelling in my legs and feet, persistent numbness, weakness, significantly elevated blood pressure (165/105), and a rapid heartbeat (138). Fearing the worst, I visited the emergency department; my nurse hotline suggested I do the same due to my concerns about the numbness. During my visit, they performed an electrocardiogram (EKG) which showed sinus tachycardia, and conducted various blood tests to examine my electrolytes, A1C levels, kidney and liver functions, along with a complete blood count (CBC). Thankfully, all results came back normal. It’s worth mentioning that I haven’t been sleeping well lately, which could have played a role in my condition. Ultimately, I was released with a diagnosis of an adverse reaction to caffeine and paresthesia. When I inquired whether stress could contribute to paresthesia, the doctor confirmed it could. Currently, a week later, I’m still battling sleep deprivation and the numbness has intensified, accompanied by recurring double vision and swelling. I’ve also noticed that the numbness has extended to my index finger, particularly worsening when I engage in extensive writing. I have a medical history that includes early-onset arthritis, obesity, kidney issues, a low-capacity bladder, mental health concerns, unexplained tachycardia, elevated DHEA levels, migraines, cyclical vomiting, and suspected narcolepsy. My medications include the Depo shot, metoprolol, trazodone, Abilify, Cymbalta, metformin (I am neither diabetic nor pre-diabetic), pantoprazole, and prazosin. I’m curious if anyone has insights into what might be the cause of these symptoms. As a full-time student, visiting the doctor often disrupts my studies, especially during this busy period of quizzes and exams. I truly wish to avoid another appointment since I seem to be there frequently, but I’m uncertain about the urgency of my situation. Is it advisable to wait another week before seeking help?
Answers (1)
6/17/2025, 1:20:47 AM
OpenHealth AI
It's understandable to feel concerned given your symptoms, especially since they are affecting your daily life and studies. The symptoms you're experiencing, including intermittent numbness in your hands, double vision, swelling, and elevated blood pressure, warrant careful observation. While some of these symptoms may be linked to stress or caffeine sensitivity, it’s crucial to differentiate them from more serious conditions.
Explanation of Your Symptoms
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Numbness and Weakness: Intermittent numbness can be caused by nerve compression, which might be exacerbated by activities like extensive writing. Conditions such as carpal tunnel syndrome or even stress-related tension could contribute.
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Double Vision: This could indicate an issue with eye muscles or nerve function, and given your recent high blood pressure and other symptoms, it's essential to monitor this closely.
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Swelling: This may be a reaction related to your underlying health concerns or a result of fluid retention, particularly when combined with high blood pressure.
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Stress and Sleep Deprivation: Both can greatly affect your physical health and may heighten your sensitivity to symptoms. Poor sleep can impact the nervous system, potentially leading to increased sensitivity to pain or numbness.
Recommended Next Steps
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Self-Monitoring: Keep a daily diary of your symptoms, noting when they occur and their severity. Pay attention to triggers, such as specific activities or stress levels.
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Caffeine and Stress Management: Consider reducing caffeine intake if it seems to exacerbate your symptoms. Implement stress management techniques such as deep breathing exercises, mindfulness, yoga, or light physical activity, especially when preparing for exams.
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Sleep Improvement: Focus on improving your sleep hygiene. Create a calming bedtime routine, limit screen time before bed, and ensure your sleeping environment is comfortable. If you’re struggling to sleep well, discussing adjustments with your healthcare provider may help.
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Ergonomic Adjustments: When engaging in writing or other repetitive tasks, ensure you have ergonomic support; your wrists should be straight, and hands relaxed. Take regular breaks to stretch your hands and wrists.
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Reassess Pain and Symptoms: If your symptoms worsen or if you experience new or more severe issues like persistent double vision or significant swelling, you should seek medical attention sooner rather than later.
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Short-Term Follow-Up: Given that your symptoms have intensified over the past week, consider scheduling a follow-up appointment within the next week to discuss your ongoing concerns. This could help provide reassurance and address any new developments.
It’s important to prioritize your health, particularly during a busy time at school. Although attending another appointment may feel challenging, maintaining your well-being is crucial for your academic performance and overall quality of life.
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