What Just Happened?
I have postural orthostatic tachycardia syndrome (POTS), but I'm uncertain if that accounts for my current experience. I'm a 19-year-old female, standing at 5 feet 2 inches and weighing about 112 pounds. Right now, I'm on propranolol to manage tachycardia. Apologies for the way I’m expressing this; I’m not feeling quite myself at the moment. A few hours ago, I suddenly sensed that something was off—it's hard to articulate, but it was a physical sensation, not a mental one. Soon after, I became unexpectedly exhausted, a level of fatigue that made it difficult to keep my eyes open despite feeling okay just minutes prior. I tried having some salt, sugar, water, and a light snack to alleviate the situation. Next thing I knew, I felt tingling and numbness on the left side of my face and arm. As I lay down, my muscles began to tighten and twitch uncontrollably, accompanied by a headache. This episode happened three times in quick succession. Now, while I'm feeling a bit better, the headache remains, and the tingling in my face is intensifying. This sensation has also spread to my neck but has subsided in my arm. I'm feeling quite bewildered by all of this. If anyone else has gone through something similar, I'd appreciate hearing your experiences.
Answers (1)

6/25/2025, 1:30:44 AM
OpenHealth AI
I'm sorry to hear that you're feeling this way. It sounds like you're experiencing a concerning set of symptoms, including fatigue, tingling, muscle twitching, and a headache, which can be overwhelming. Given your history with POTS and the fact that you're noticing these new symptoms, it's important to approach this carefully.
Main Points:
- Your symptoms may be related to POTS or another underlying issue.
- Immediate steps focus on symptom management and monitoring.
Explanation:
POTS can cause various symptoms related to blood flow and oxygen supply, leading to fatigue and potential neurological sensations like tingling. The sudden onset of weakness, tingling, and muscle twitching can also be associated with other factors, including dehydration, electrolyte imbalances, or even stress reactions. The headache and progressively worsening tingling are concerning and may require closer observation.
Next Steps:
-
Hydration and Salt Intake:
- Since you're likely already practicing this, ensure you're well-hydrated and take in adequate salt if that’s recommended for POTS management. Electrolyte drinks can also be beneficial.
-
Rest and Positioning:
- Rest immediately when you feel symptoms arise. Lying down with your legs elevated can help improve blood flow and reduce dizziness or fatigue.
-
Monitor Symptoms:
- Keep a log of your episodes, including what you were doing when they occurred, their duration, and how they progressed. This will help you identify patterns or triggers.
-
Relaxation Techniques:
- Try deep breathing or gentle relaxation techniques to help manage stress, which can sometimes exacerbate symptoms.
-
Seek Help for Persisting Symptoms:
- If the tingling, headache, or muscle twitching intensifies, or if you experience any new symptoms such as changes in vision, speech difficulties, or other neurological signs, it's important to seek medical attention promptly.
While it can be disconcerting to experience these symptoms, being proactive can help manage and clarify your situation. If you're feeling unsure about what to do next or these symptoms persist, please reach out to a healthcare professional for further guidance. Remember, you're not alone, and there is support available.
Related Questions
Experiencing Persistent Dizziness for a Month
A 35-year-old male recently visited his primary care doctor due to ongoing feelings of dizziness and discomfort in his neck. After evaluating his condition, the physician prescribed muscle relaxants. While the neck discomfort has significantly improved since starting the medication, the individual continues to endure persistent sensations of dizziness and lightheadedness. He also acknowledges that he grinds his teeth during sleep, and experiences a popping sound in his jaw whenever he opens his mouth. Could it be that a temporomandibular joint (TMJ) disorder is contributing to these dizzy spells?
Unusual Symptoms Following COVID? Seeking Advice
Experiencing neurological issues after a COVID infection? Since contracting COVID three weeks ago, I’ve been facing unusual symptoms. This marked my fourth bout with the virus. Initially, my respiratory problems improved after five days, but about a week later, I started experiencing debilitating fatigue and lingering symptoms. Although I cautiously returned to work, it may have been too early, as I've since faced shortness of breath and an accelerated heartbeat. Fast forward to now, and I find my legs feeling incredibly weak, making walking a challenge. Additionally, I contend with heaviness in my arms and wake up feeling utterly exhausted, as though I haven't rested at all. Simple tasks like showering, brushing my teeth, and eating have become strenuous chores. For the past four weeks, I have been unable to work. Each time I attempt to step outside or go to a scheduled appointment, I end up feeling overwhelmingly fatigued and confined to my bed. The exhaustion feels as if my body were encased in cement, immobilizing me. I visited my general practitioner today. She conducted several blood tests and screened for other potential viral infections, but she seems uncertain about the next steps. According to her, if I am experiencing long COVID, there is no definitive test for it, and she appears somewhat doubtful. I mentioned the possibility of postural orthostatic tachycardia syndrome (POTS), as I often feel extremely faint when standing or sitting, accompanied by a racing heart. Although my doctor detected low blood pressure and tachycardia during the examination, my prior diagnosis of anorexia complicates matters, preventing her from confirming POTS. I am currently undergoing treatment with an eating disorder specialist and making progress, but I’ve never experienced these POTS-like symptoms before; I truly believe they are unrelated to my eating disorder. Unfortunately, the severity of my fatigue limits my ability to consume more than a few bites at a time before nausea or faintness sets in, leading my doctor to dismiss the fatigue as significant. Are there additional tests I should consider? Is what I'm experiencing typical for post-COVID circumstances? If this is long COVID or chronic fatigue, I feel at a loss since it has only been three weeks since my COVID infection. About me: I’m a 30-year-old female, standing 161 cm tall and weighing 45 kg (a drop from 47.5 kg prior to my COVID illness). I do not smoke and have a medical history that includes neurogenic thoracic outlet syndrome, temporomandibular disorder, and hypermobility, which may indicate an undiagnosed connective tissue disorder.
Sounds from the Chest
Four days ago, I, a 17-year-old male, experienced a terrifying incident while riding in the back of a side-by-side vehicle. As we were traveling at approximately 30 km/h, the vehicle overturned on its side, causing my left ribcage to slam against the roll bar. After this accident, I sought medical attention and went to the hospital. My vital signs, including blood pressure and heart rate, were normal, and I was discharged without any X-rays, advised merely to take ibuprofen twice daily. Since that day, I've noticed a peculiar cracking sound emanating from the left side of my chest, particularly when I lie down on my back. This noise can also occur sporadically. Additionally, I've felt a disconcerting sensation in my lower left chest area when bending down to pick something up and then standing back up again. Given these symptoms, should I be worried and consider scheduling a follow-up appointment with my doctor? Alongside these issues, I am also experiencing typical complications from a rib injury, including difficulty breathing and acute pain when I cough, move, or even laugh.
Unexplained Bilateral Jaw Swelling in a Vaccinated Adult
I’m reaching out to the medical community for some insights regarding a puzzling health issue. Despite discussing this with various doctors, I am still seeking answers and would appreciate your thoughts. **Case Overview:** - **Patient Info:** A 31-year-old male from Britain, generally in good health. - **Date of Incident:** February 14, 2018. - **Location:** Vancouver, British Columbia, Canada (recent return from the UK). **Symptoms:** Upon waking up, I experienced intense pain on both sides of my jaw, initially dismissing it as just having slept awkwardly. However, within an hour, I noticed significant swelling in my face, particularly around the jaw and parotid gland, which was eerily symmetrical. I did not have a fever, fatigue, or any other systemic symptoms, and there was no discomfort or swelling in the testicular area. My immediate assumption, along with my doctor's, was mumps. However, the findings led us elsewhere. **Diagnostic Results:** - I had received the MMR vaccine as a child in the UK. - Mumps IgG titres were over 98%, indicating strong immunity. - Both Mumps PCR and IgM tests returned negative. - No pus, pain related to meals, or signs of sialolithiasis were observed. **Progression of Condition:** - The pain was excruciating, lasting around 4 to 5 days, manageable only through ice packs. - Antibiotics were not administered. - The swelling completely subsided in about a week. - Since that episode, there has been no recurrence. **Epidemiological Aspect:** Approximately four months following my experience, a close friend, also 31 years old and residing in the UK, presented with an identical situation: severe pain in both jaws and facial swelling, but without fever or systemic illness. Notably, she had not traveled, and our last in-person meeting was a month prior to my episode. Fortunately, she too recovered within roughly a week. Interestingly, no other mutual acquaintances have reported similar symptoms. Neither of us has had anything like this since. **Questions Raised:** What could possibly account for these episodes? Could it be a form of viral parotitis unrelated to mumps—perhaps caused by EBV, CMV, or Coxsackie viruses? Could environmental factors play a role? Is this a case of reactivation or an untested pathogen? Given that we are two healthy adults who experienced the condition bilaterally and had significant contact, the four-month gap continues to baffle me. I am open to any inquiries and would greatly appreciate learning about similar cases, if anyone has encountered them.
Understanding Post-Procedure Complications with Facial Fillers
Subject: 29-Year-Old Female Seeking Guidance Hello everyone, I’m here to seek advice from medical experts or any individuals knowledgeable about complications following filler treatments, nerve recovery, or facial anatomy. In January 2025, I received Stylage Bi-Soft filler injections for my lips. I had those fillers dissolved twice using hyaluronidase in March 2025. I was assured that the filler had completely dissolved, and since then, I haven’t had any additional filler treatments. It’s worth noting that I have never had filler in my chin. Now, as we reach late June, I'm plagued with symptoms that are diminishing my overall quality of life. I still notice several firm, marble-like lumps in my lips. While some of these lumps are soft and moveable, others are rigid and unyielding. What concerns me the most is the presence of deep lumps in my chin area, which I can feel when I stretch my lip or apply pressure internally, despite never receiving any filler in that area. Although these lumps aren’t visible externally, they feel substantial when examined from inside my mouth. I am uncertain if this indicates migrated filler, encapsulated material, fibrous tissue, or an entirely different issue. In addition to these lumps, I’ve been experiencing continual sensations of flickering, zapping, and twitching predominantly near the outer edge of my lower lip and chin. Occasionally, I experience a sensation as if one side of my chin is being pulled downward. These flickering sensations are often accompanied by discomfort and nerve-like zaps, sensations I never encountered before the filler injections. There’s a noticeable tension that radiates from my lips to my chin, along with sporadic redness or warmth, particularly around the sites where trauma occurred on my lower lip. Additionally, the internal texture of my lips seems altered — feeling thicker, raised, or grainy. I worry that I have possibly caused damage to the collagen, fascia, or nerves in that region. I am actively attempting to facilitate my healing naturally. I’ve been taking a low dose of serrapeptase, which occasionally helps soften the area, although it appears to trigger the flickering sensations again. I've entirely ceased massaging the area, improved my diet, and reduced stress. Despite my efforts, I feel anxious and somewhat stagnant in my healing journey. I have a consultation scheduled for an ultrasound with Dr. Fahad Alam in Ontario on July 9, and I am also on a cancellation list in hopes of an earlier appointment. My main questions revolve around the nature of these deep lumps in my chin area, especially given that I have never had filler injected there. Is there a chance that the filler migrated and became encapsulated? Could this potentially be scar tissue or intertwined fascia? Is it common to perceive deeper tissue structures post-incident due to heightened nerve sensitivity? Do the twitching, flickers, and pulling sensations imply possible nerve entrapment or fascial tension? If I decide against additional dissolving procedures, is there a chance that these issues will resolve naturally over time, and if so, how long might that realistically take — weeks, months, or potentially longer? Additionally, could the Stylage Bi-Soft filler be linked to my ongoing issues, and would imaging be able to clarify whether there is any filler, fibrosis, or other abnormalities present? I deeply regret the decision to go through with the filler treatments. Right now, my focus isn’t on aesthetics but on finding relief from this pain, fear, and unusual sensations. I have never felt so emotionally distressed over what initially seemed like a minor procedure. If anyone has encountered a similar situation or worked with complications of this nature, your insights would be invaluable to me. I am open to all ideas, whether they be natural remedies, surgical options, or medical advice. Thank you for taking the time to read my post and for any support you can provide.