Numb Area on Skin
Patient History: 23-year-old female, a smoker but abstains from alcohol, with a four-year recovery from anorexia. Height: 5'5", Weight: 175 lbs. Previously had high cholesterol, which has now been resolved. Current Medications: Patient is on escitalopram, Seroquel, and lamotrigine to manage depression that features rapid mood fluctuations. She has taken these medications for several years without complications and does not suspect that her symptoms are related to any side effects. Main Concern: Approximately two weeks ago, the patient discovered a numb area on the underside of her breast while lying in bed. Considering her sleeping position at the time, she initially thought it might be temporary. She does not wear a bra and prefers loose-fitting garments. There is no known family history of cancer. The affected skin remains unchanged in appearance and texture, and the underlying breast tissue feels normal with no signs of hard masses. The other breast shows no abnormalities. Appointment: She is scheduled to consult her general practitioner next week to discuss some blood test results, during which she plans to bring up this issue. In the meantime, she is seeking insights from others who might have experienced similar symptoms. Note: Requests for photos will not be entertained and will lead to blocks and reports.
Answers (1)
6/30/2025, 8:20:37 AM
OpenHealth AI
It’s understandable to feel concerned about a numb area on your skin, especially when it appears suddenly. Based on your description, there are a few possible reasons for this numbness, which is important to consider while awaiting your appointment.
Main Points:
- Numbness can be temporary and related to pressure on nerves, especially since you mentioned your sleeping position.
- Other causes might include nerve irritation or issues related to your mental health medications, although this seems less likely since you've had no prior complications.
- Consulting your GP is vital for diagnosing any underlying issues.
Explanation:
Numbness in a specific area can typically occur when there is pressure on a nerve from sleeping in a certain position or from tight clothing, even if you prefer loose-fitting garments. This type of numbness often resolves on its own after changing positions. However, if it persists or worsens, it’s important to investigate other potential causes, such as nerve damage or even anxiety-related symptoms, especially considering your history of mood fluctuations.
Since you have an upcoming appointment, it's good to prepare by noting any potential associated symptoms such as tingling, weakness, or changes in sensation, and monitoring if the numbness changes in duration or intensity.
Next Steps:
- Monitor the area: Keep track of any changes in sensation, texture, or appearance over the next few days.
- Change positions while sleeping: Experiment with different sleeping positions or use a supportive pillow to alleviate any pressure on the affected area.
- Document symptoms: Take notes about when the numbness occurs, how long it lasts, and any accompanying feelings or activities.
- Discuss your concerns with your GP: Bring up the numbness during your appointment, along with your medication regimen. This can help them evaluate whether your current medications or other factors might be contributing.
Your health and comfort are important, and I encourage you to share all your observations with your healthcare provider. They will help determine if further evaluation or treatment is needed.
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Should this be a cause for concern? Is there a prospect for it to normalize post shunt closure?** 3. **Are the hemangiomas/nodules (11.6×20.7 mm) linked to the shunt? Will they likely resolve following shunt repair?** 4. **How urgent is the proposed intervention? Is immediate action required, or is there flexibility to wait a few months?** 5. **What complications should we be vigilant for during the waiting period?** 6. **Regarding endovascular closure - what is the average success rate for infants aged 7 months? Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.