OpenHealth Q&A

Mystifying Symptoms: Numbness and a Mysterious Ring on My Neck

I am a 36-year-old male experiencing some perplexing health issues. Initially, I felt pain in my chest, located in the upper left section, near my heart. This sensation then progressed to a tingling, burning numbness on the left side of my neck. Over the past month, I've suffered from two separate incidents of similar symptoms, both emerging quite suddenly. One minute, I feel perfectly fine, and the next, I'm overwhelmed with the fear of a heart attack. To address my concerns, I consulted with a cardiologist who conducted various tests, including an EKG, a stress EKG, and blood tests for CPK, D-Dimer, and Troponin. I later underwent an echocardiogram during my second episode, which affirmed that my heart is functioning well. Normally, my blood pressure is stable, but I experienced elevated readings during both episodes, peaking at 155/80. My resting heart rate is usually between 45 and 50 beats per minute. The initial episode persisted for about a week before the symptoms receded and I returned to a sense of normalcy. I initially suspected that it might stem from a pinched nerve due to my history of neck and back problems, which I have managed over the years, albeit with occasional flare-ups, mainly in my lower back. However, this seemed different from anything I had previously encountered. The second incident transpired unexpectedly on Saturday, June 14th, and presented somewhat differently. While I still experienced minor chest discomfort, the predominant sensation was numbness radiating down the left side of my neck, extending from just beneath my ear down to my collarbone. My heart rate quickened, and although I did not check my blood pressure at the time, it likely surged. I acquired a blood pressure monitor the following day to confirm these changes. To rule out significant heart concerns, I promptly arranged for an echocardiogram. It took a few days to receive the full results, but everything came back normal. In the early days of the second episode, I also noticed a mild nerve pain that shot into my right hand, making computer usage uncomfortable. Thankfully, my symptoms gradually improved over the next few days, though I still experience intermittent tingling and numbness, particularly localized under my jaw, near where the jugular vein runs. During a visit with family last weekend, my mother observed a faint ring beneath my ear, aligning closely with the area where these sensations are centered. The underlying cause of these symptoms remains unclear, but I have gathered some pertinent notes: * I suspect there might be a connection to my intake of medjool dates. I was consuming around ten a day and recently increased my intake, especially with salted peanut butter as a snack. This change occurred in the weeks leading up to the episodes. Though I have regularly eaten them for nearly a year, I may have overdosed on electrolytes or potassium, or possibly experienced an allergic reaction. * I've noticed that my symptoms sometimes worsen right after meals. * While exercising generally has no adverse effects, it seems to provide temporary relief from the symptoms at times. As for medications, I am not currently taking any, but previously used Doxycycline (100 mg/day) intermittently for ongoing skin issues, last taking it about two months ago. In terms of supplements, I was taking 2500 IU of Vitamin D3 four times a week but stopped around a month prior when it was linked to skin issues. I also consumed 8 mg of Zinc daily, as my diet lacks sufficient amounts, and about 900 mg of omega-3 from algae oil daily, which I ceased last week to evaluate any possible contribution to my symptoms. I take 500 mcg of B12 twice daily, although I do not consistently take it and believe it doesn’t play a role in my current situation, as I have been taking it sporadically for years. Regarding substances, I entirely avoided caffeine, alcohol, and vaping or smoking. For years, I regularly consumed THC gummies (up to 100 mg/day) but recently reduced my intake to only weekends, stopping completely around a month ago due to potential correlations with my symptoms. I also used TRE gummies, which contain a blend of nootropics aiming to replicate psilocybin's effects but are relatively mild. A week preceding the second episode, I tried them without issue; however, the night of that episode, I experienced heightened anxiety as my symptoms recurred, leading to a troubling night. While I don’t believe these items caused my symptoms, they could have intensified their emergence. My diet consists of a well-rounded plant-based approach, generally healthy, besides occasional indulgences in trending snacks. I typically balance fruits, vegetables, whole grains, nuts, seeds, and legumes, steering clear of meat, dairy, soda, and processed foods. I also maintain a regular exercise routine that includes cardio and resistance training several times a week, with yoga once a week and daily walks. Notably, during my most recent blood tests, conducted about six months ago, I identified some markers outside the normal range. I have been conducting full health panels biannually since June 2024, with some values showing changes such as elevated RBC (5.84 to 5.66 million/uL) and hematocrit (52.3 to 50.3%). Ferritin was low (18 to 22 ng/mL), prompting dietary changes that increased iron levels substantially (148 to 289 mcg/dL), while iron saturation rose from 41 to 76%. My TSH levels also showed a rising trend (6.36 to 5.82 mIU/L), and there is a family history of thyroid issues, with members currently on medication. Other markers remained within healthy reference ranges. Given all these factors, I find it challenging to pinpoint a diagnosis. My foremost hypothesis suggests either an inflamed nerve or vein, potentially triggered by an unforeseen dietary imbalance or perhaps an allergic or immune response. It is also possible that the ring under my ear is significant; however, it is neither raised, itchy, nor painful when touched—just present. I appreciate anyone who has taken the time to read through my situation. Even if you cannot provide insights, I am grateful for this platform where support is offered to those seeking help. Thank you all!

Answers (1)

6/26/2025, 12:40:55 PM

OpenHealth AI

Your symptoms of chest pain, numbness, tingling, and the appearance of a ring on your neck are understandably concerning, especially as they've occurred multiple times and have caused significant anxiety. While your heart has been evaluated and appears healthy, other underlying issues could be at play.

Key Points

1. Possible Causes: Your symptoms may stem from nerve irritation, muscle strain, or even a dietary imbalance related to your increased intake of certain foods.
2. Symptom Monitoring: It’s important to keep track of your symptoms, especially in relation to your diet and lifestyle.
3. Self-Care Measures: Focus on managing stress, maintaining a balanced diet, and monitoring your physical responses to different activities or foods.

Explanation

Given the nature of your symptoms and the results from cardiac evaluations, it does seem plausible that nerve involvement or a musculoskeletal issue could be contributing. The tingling and numbness along the left side of your neck may suggest irritation of the cervical nerves or muscles. The ring under your ear could be benign but should be observed for changes.

It's also worth considering the dietary changes you've made. Increased consumption of certain foods can sometimes lead to temporary changes in bodily functions or even mild allergic reactions. Additionally, stress and anxiety about these episodes could also exacerbate physical symptoms, creating a cycle that’s hard to break.

Next Steps

1. Keep a Symptom Diary: Document your symptoms, noting what you eat, how much stress you experience, and any physical activities you engage in. This can help identify triggers.
2. Gradually Reintroduce Foods: If you suspect an allergy or dietary imbalance, consider reintroducing foods one at a time to see if any correlate with your symptoms.
3. Focus on Stress Management: Incorporate relaxation techniques such as deep breathing, meditation, or gentle yoga to help manage anxiety. Since you already practice yoga, you may find additional benefits from mindfulness techniques.
4. Monitor the Ring: Keep an eye on the ring under your ear. Note any changes in size, color, or symptoms associated with it. If it persists or worsens, consider seeking an evaluation for it specifically.
5. Consult Health Professionals: Since you have a family history of thyroid issues along with some concerning lab values, it could be worth checking in with your primary care provider to discuss these findings and any potential referrals for a specialty evaluation if symptoms do not improve.

It's completely natural to be worried about these symptoms, but you've taken a good first step by consulting with specialists. Continue to listen to your body, prioritize self-care, and stay proactive about monitoring your health. If you experience any drastic changes or new alarming symptoms (like severe pain, difficulty breathing, or extreme changes in heart rate), reach out for immediate assistance.