OpenHealth Q&A

Seeking Guidance on Persistent Symptoms: Numbness, Rash, and Exhaustion

**Medical Background:** - I have a history of alcohol use disorder, generalized anxiety disorder, and I am currently classified as overweight (5'2", 187 lbs). - My current medications include Naltrexone (25-50 mg daily, following the Sinclair Method), as well as magnesium, turmeric, biotin gummies, L-theanine, and I occasionally use Benadryl and ibuprofen as needed. - I have a history of daily alcohol consumption but have abstained since last Friday, alongside regular marijuana use. **Present Symptoms:** Last Friday night, I experienced sudden neurological changes affecting the left side of my body, characterized by numbness, stiffness, and weakness extending from my face to my arm. The sensations were not painful, but instead felt tight, uncomfortable, and slightly tingly—distinct from the typical “pins and needles.” This incident was accompanied by the following symptoms: - Shortness of breath - Profound fatigue - Irregular heart palpitations Initially, I was concerned I might be having a stroke, which triggered a panic attack. Since that incident, I’ve noticed these symptoms recurring daily, typically occurring soon after I wake up, continuing for the past four days. **Additional Symptoms:** - Occasional tingling sensations in both feet - Leg pain, particularly in my shins (these issues began prior to Friday’s episode) - Lingering fatigue and cognitive cloudiness - Fluctuating anxiety levels and a quickened heart rate **Rash:** About two weeks ago, I noticed a rash on my upper right arm that does not itch. Initially resembling ringworm, it also has characteristics akin to a bull's-eye rash linked to Lyme disease. I started using over-the-counter Lotrimin last week and observed slight improvement. I reside in the Upper Midwest and have spent a lot of time outdoors this summer. **Concerns:** - The combination of the rash and neurological symptoms raises my fears of Lyme disease or other tick-borne infections. - I'm also anxious that these symptoms could indicate alcohol-related neuropathy, pre-diabetes, or potential organ distress or damage (such as to my liver or pancreas). - I'm reluctant to commence the 7-day doxycycline course prescribed until I have ruled out any serious liver issues. **Recent Medical Attention:** - I sought urgent care for blood tests to check for Lyme disease, but they were unable to perform the necessary lab tests and provided doxycycline as a precaution. - I contacted my general practitioner, who instructed me to visit the emergency department to rule out a stroke before scheduling an appointment with them. - During the episodes, I measured my blood pressure and oxygen levels at home, both of which were normal. - I have temporarily ceased all medications and supplements, including naltrexone, and have avoided alcohol since the symptoms began. - I feel that my concerns were not taken seriously by the urgent care team, and I am finding it difficult to secure appropriate follow-up care. Finally, I am mindful of my anxiety and understand it may influence how my health concerns are interpreted. I genuinely seek your advice: Am I overreacting, or do these symptoms merit further scrutiny? I really don’t wish to waste anyone’s time, yet I also do not want to overlook a potentially serious health issue.

Answers (1)

7/15/2025, 1:20:49 AM

OpenHealth AI

It’s understandable to feel concerned given the combination of your symptoms, particularly the neurological changes and rash. Your symptoms warrant careful monitoring, as they raise several potential health issues that deserve attention.

Explanation

The symptoms you describe, including numbness, weakness, fatigue, and a rash, can have various causes. Given your history and current situation, it’s crucial to consider both neurological and dermatological aspects.

1. Neurological Symptoms: The sudden onset of neurological symptoms on one side of the body is especially significant and could suggest conditions that require immediate evaluation, such as a transient ischemic attack (TIA) or other neurological disorders.

2. Rash and Possible Lyme Disease: The rash resembling a bull's-eye combined with your outdoor activities increases the suspicion for Lyme disease. It’s wise to address this possibility, as untreated Lyme disease can lead to more severe symptoms.

3. General Health Concerns: Your worries about potential alcohol-related effects, anxiety, or early signs of conditions like diabetes are valid, particularly if you have underlying risk factors.

Immediate Steps

1. Monitor Symptoms Closely:

   • Keep a detailed log of your symptoms, including when they occur, their duration, and any triggers. This information will be valuable during medical consultations.
   • Note any changes in your rash (size, color, sensation) and neurological symptoms.

2. Follow-up with Healthcare Providers:

   • Since you have already been advised to go to the emergency department, prioritize this as your symptoms, especially the neurological ones, need prompt evaluation. If you can, explain your symptoms in detail, emphasizing the sudden onset and the potential risk of stroke or Lyme disease.
   • If you haven’t been able to secure a follow-up appointment with your general practitioner, consider reaching out again for urgent care or seeking an alternative provider who can take your concerns seriously.

3. Consider the Doxycycline:

   • While you are understandably cautious about starting antibiotics, if Lyme disease is a strong possibility, it may be necessary to begin the doxycycline even before confirming tests. Discuss this with your healthcare provider to weigh the risks and benefits.

4. Address Anxiety and Stress Management:

   • Given the influence of anxiety on your perception of physical symptoms, consider techniques to manage anxiety, such as mindfulness practices, gentle exercise, or relaxation techniques.
   • Stay connected with a trusted friend or family member to discuss your worries and seek emotional support.

Reassurance

You are not overreacting; your symptoms are significant and merit careful evaluation. Prioritizing your health and seeking the appropriate care is essential. Please continue to advocate for yourself and ensure that your concerns are acknowledged by healthcare professionals.