Dr. Anshul Varshney
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have been having some pelvic pain in the lower left side for a couple of weeks. I went to the doctor, and he said everything looked fine. So, I thought may be it is a muscle strain in the groin area. Today two hours back, I was sitting on the floor for 20 to 30 minutes, and my entire left leg went numb and tingly. It almost felt like it went on my left side of the face. I did start to panic as I suffer from anxiety, so I cannot tell if the facial numbness was from panic or not. But my left leg two hours later is still feeling heavy and cold. What is going on? Please help.
Hi,
Welcome to icliniq.com. We need to evaluate stroke with such description. This could be an anxiety attack, but ruling out stroke is utmost important. In such a case, I would recommend you to go to a nearby emergency room (ER) and get evaluated clinically. If they find any evidence of stroke, they will get your computed tomography (CT) scan done, and if it is normal, they will help you with an anti-anxiety drug likeClonazepam. Your pelvic pain looks muscular in nature, and it could be related to stone. I hope it helps you.
Patient's Query
Hello doctor,
Thank you for replying. I thought so too, but it happened after I had my legs crossed. I also had an echocardiogram and treadmill test (TMT), both were normal. My neck is tense now, and I am wondering if I just gave myself an anxiety attack over the leg going to sleep. How can I tell? I am traveling with my kids at present.
Hi,
Welcome back to icliniq.com. In the case of a stroke, there can be few associated symptoms like slurring of speech, loss of power of hand and feet, obvious issues, and deviation of the face. Do you have any of them? Are you able to walk? Is the tingling persistent or transient? Are you carrying any anti-anxiety pill along with you? Revert with the asked details for better help.
Patient's Query
Hello doctor,
Thank you for replying. I can walk fine and talk. I was very tensed then, and now I am calmed down. But, feel tired, and my neck is tense. I am an active 33 year old, who runs and does the spin class. I started having ocular migraines a year ago, which has given rise to my anxiety. Yes, I do have Xanax with me. I have also had three magnetic resonance imaging (MRI) of the head, because of the headaches, and they did find two white lesions but think they are because of headaches. I have a neurologist and just had a checkup a couple of weeks ago. Would an echocardiogram or an MRI show that I would be at risk for stroke? I am anxious but I also have been known to freak out about my health, and I do not want to run to emergency room (ER) and ruin our trip. Please help.
Hi,
Welcome back to icliniq.com. Your symptoms look like anxiety only. I recommend you start a regular treatment for this, to avoid such panicky attacks. Regular treatment would be with drugs like Escitalopram, and in the case of an acute attack, you can take mouth dissolving Clonazepam. How are you feeling now?
Patient's Query
Hello doctor,
Thank you so much. I am feeling fine, but I am still weary. My neck and back hurt, and I feel tired. My gut tells me I suffered an anxiety attack because I worried about my leg falling asleep. Would the tests that I previously had done, the magnetic resonance imaging (MRI) and echocardiogram, tell me if I was at risk for stroke?
Hello,
Welcome back to icliniq.com. Honestly speaking, a clinical examination is required to comment if this is a stroke. But reading all your symptoms and analyzing your complete history, it looks like an anxiety attack. I suppose any anti-anxiety drug should be taken at this time. magnetic resonance imaging (MRI) and electrocardiogram (ECG) would rule out the current status and not the future status of what you are having. If they have been performed previously, it means that time you did not have any stroke or cardiac issues. Whether you need them or not again would be decided by your examining doctor.
Patient's Query
Hi doctor,
I woke up this morning, and my left leg feels heavy and somewhat tingly. It runs up into my butt. Do you think may be this groin pain is affecting a nerve and it is causing this sensation in my left leg? It runs down to my calf and foot. And I think this is what is giving me anxiety.
Hi,
Welcome back to icliniq.com. A low back pain will radiate to your legs as the nerve supply is the same. First of all, tell me that did you take any anxiolytic? The response of anxiolytic can guide us further.
Patient's Query
Hi doctor,
Thank you for replying. What is anxiolytics? I am also wondering if it is multiple sclerosis (MS) symptoms? Because my right arm has a sporadical tingly feeling also. I took 600 mg of Advil. I feel very anxious and scared to do or go anywhere. Should I try taking Xanax?
Hi,
Welcome back to icliniq.com. Anxiolytics are drugs that help you relieve your anxiety, drugs like Alprazolam (Xanax), Clonazepam, Etizolam, etc. Advil is Ibuprofen, it is a painkiller and not going to help you much. I do not feel these as symptoms of MS (multiple sclerosis), as you have anxiety issues. Moreover, your previous magnetic resonance imaging (MRI) of the brain was clear, which rules out MS. Discuss with your doctor and take Xanax, and tell me how you are feeling after a few hours.
Patient's Query
Hello doctor,
I am feeling better, thank you. I have an magnetic resonance imaging (MRI) scheduled for when I return home. Now my jaws are really tired and tense and painful. I am also getting a headache. I think this is common with anxiety and tension, especially after a panic attack. What do you think? Why else would my jaw start to hurt?
Hi,
Welcome back to icliniq.com. Yes, your symptoms fits into anxiety. And you have a tension-type headache. Since your magnetic resonance imaging (MRI) is scheduled, it will rule out any other possibilities and fears. Now, my recommendations in such a case is to keep my patients on Amitriptyline, once daily along with anti-anxiety drugs like Etizolam, twice daily, until the symptoms improve. If you have any further query, please ask me.
Patient's Query
Thank your doctor,
I have moments where I feel sick and start to worry that something is wrong, and I worry that I had a stroke. What are risk factors for stroke? Am I having anxiety symptoms? The more I worry, the more I feel sick or have pain.
Hi,
Welcome back to icliniq.com. The risk factors for stroke include advancing age, diabetes, hypertension, smoking, alcohol consumption, and positive family history. Do you have any of these? Yes, your symptoms are related to anxiety. Anxiety increases more if you think about it. I hope this helps you.
Patient's Query
Hello doctor,
I still have some anxiety feeling. I do not want to continue taking Xanax. I am having the worst headache and neck pain. This headache being on my forehead, bridge of the nose, and jaw. Is this stress-related or due to having so many panic attacks?
Hi,
Welcome back to icliniq.com. Yes, this headache is known as chronic tension headache and requires treatment. Since how long are you taking Xanax and in what dose? Are you regularly taking it or do miss it?
Patient's Query
Thank you, doctor,
I only took one tablet of Xanax a couple of days ago. But, I just thought my leg was tingling, and now I have a full-blown panic attack again. What is wrong with me? I feel sick and out of control.
Hi,
Welcome back to icliniq.com. I am convinced that you have an anxiety disorder only. In your case, SSRI (selective serotonin reuptake inhibitors) likeParoxetine would help you in the long run. And your acute anxiety would get settled by Lorazepam. My opinion would be to consult a psychiatrist, as these medicines are only available on prescription. If you have any further query, please ask me.
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Internal Medicine
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