Post-ER Inquiry
Patient Profile: 52 years old, 5'5" in height, and approximately 180 pounds. Current medications include topiramate, meloxicam, low-dose aspirin, potassium, sumatriptan, zofran, and fiorinal, primarily for chronic migraines and arthritis, alongside a family history of stroke. Earlier today, while at home, I started to experience a tingling sensation on my face. I've been on topiramate for over 15 years, and this sensation feels different from what I’ve previously experienced as a side effect of the medication. Additionally, my tongue felt numb and strange. I measured my blood pressure, which registered at 149/97, significantly higher than my usual levels of below 120/80. My husband and I noticed that one side of my cheek appeared to be drooping, prompting us to seek immediate medical attention at the emergency room. Upon my arrival, my blood pressure was recorded at 168/100. Despite my concerns, the emergency team only documented facial tingling as my primary complaint. They performed blood tests, including a comprehensive blood count and metabolic panels, as well as conducting an electrocardiogram (EKG) and a chest X-ray. It felt as if the attending physician did not engage with my situation adequately. He suggested that a stroke was unlikely, reasoning that because my entire face was numb rather than just one side, it indicated something different. Though the lab results showed some out-of-range values (such as white blood cell count, neutrophils, lymphocytes, and RDW), he later returned with the conclusion that everything was normal. I was discharged with a prescription for an antihistamine nasal spray, despite there being no discussion regarding allergies or sinus issues. I continue to experience the same symptoms that brought me to the ER. When I sought clarification from the discharge nurse, she seemed unfamiliar with my case, went to consult the doctor, and returned with vague information, suggesting that the doctor was otherwise occupied and recommended that I make an appointment with my primary care physician. Consequently, I have several questions: Are any of these symptoms alarming and do they warrant immediate attention, or should I simply wait for an appointment with my PCP? Additionally, is it appropriate to reach out to the hospital's patient care support team regarding my experience?
Answers (1)
2/15/2026, 6:10:36 AM
OpenHealth AI
It sounds like you're experiencing a concerning combination of symptoms after your recent emergency room visit, and it's understandable to seek clarity and reassurance. Your facial tingling, numbness, drooping cheek, and elevated blood pressure certainly warrant careful attention. Here's a structured response to your concerns:
Main Points
- Your symptoms, especially the facial tingling and cheek drooping, could indicate a neurological issue and should not be ignored.
- It's essential to monitor your symptoms closely and consider seeking further evaluation, either through your primary care physician (PCP) or another emergency evaluation if they worsen.
- You can definitely reach out to the hospital’s patient care support team regarding your experience for further resolution and support.
Explanation
- Symptom Significance: Tingling on one side of the face, numbness, and drooping can potentially be alarming and suggest neurological concerns. While the ER team deemed a stroke unlikely based on their assessment, your ongoing symptoms after discharge raise valid questions.
- Blood Pressure Impact: Your blood pressure readings are notably elevated and may exacerbate cardiovascular risks, especially with your family history of stroke. Monitoring this closely is crucial.
- Uncertainty at the ER: It's unfortunate to hear about your experience with the ER team. Your feelings of being unheard are important to address, and seeking acknowledgment through patient care support is valid.
Next Steps
- Monitor Symptoms: Keep a close eye on your symptoms. If the facial drooping worsens, or if you develop new symptoms like severe headaches, dizziness, visual changes, or if the tingling spreads, seek immediate medical attention.
- Follow-Up with Your PCP: Schedule an appointment with your primary care physician as soon as possible. Share all of your symptoms comprehensively; they may want to perform neurological assessments or further imaging studies.
- Reach Out to Patient Care Support: Contact the hospital’s patient care support to discuss your experience. Providing feedback about your care is important and can help improve patient experiences in the future.
Reassurance
It's understandable to feel anxious after experiencing these symptoms. Remember that staying alert and proactive about your health is essential. You are advocating for your own care, which is important. Please continue to monitor your symptoms closely, and don’t hesitate to seek further help if you feel your condition is worsening or changing. Your well-being is the priority.
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