I am 19 yrs old and in the beginning of '02 i was diagnosed with postural orthastatic tachycardia syndrome. I was put on florinef acetate(.3 a day) for a while and i did really well, then i was put on atenolol, 50 mg. which i did not take everyday like i was supposed to. In aug of 2002, another doctor gave me a med called GABATRIL.(only one dose of it) I had severe reactions to that pill. I was muscle spasming, my nose was bleeding in the left nostril and i had a weird pressure on the left side of my head, etc. Since i took that pill, i have been numb on my whole left side, including my eye and in my mouth, now it has migrated to the right side and the left side got better. I had MRI of the brain done (w/ out contrast) and MRI of the neck(w/ out contrast)I had a ver/ser,MRA,EEG in the end of aug. THese tests came out normal. The neorologist suggested that I could have migraines. But i DOn't see how since i have had numbness constant for 7 months. I also j/ got tmj so i was wondering if that had anything to do with it. All i know is that this has been an extreme agitation and i need help. It is stopping me from being a teenager. I am planning on seeing another neorolgist for a second opinion, do u think it is neccesarry to get the MRIs w/ contrast. What are the difference between the 2? Can someone have numbness forever or will it go away really soon? I have been more than patient and i even had to take a yr off of school, because my p.O.T.S. got worse also.did the florinef have anything to do w/ it? The bottom line is i need to go to college and be normal again.
1.May or may not be necessary depending on the full history and exam. If everything looks ok, the MRIs were of good quality (open MRIs are notoriously poor) and all of your diagnostic testing has been completely normal, then it's unlikely that further MRIs will be helpful.
2.Contrast MRIs help to show if there's active breakdown of what we call the blood-brain barrier due to a number of problems like brain tumors, MS, and other disease conditions. Simplistically, it's important to look at when we have patients who have an abnormality on a plain MRI that we want to further evaluate. But if everything is normal on the plain MRI and everything else is ok on history,exam and other diagnostic findings, then in most cases I would forego the contrast films.
3.Depends on why you had numbness. If it's from a stroke in the part of brain that processes sensation, then yes it's probably a permanent problem. We have had a number of young patients however who had numbness on one side of the body that just got back to normal on their own. For some, it was just a few days or weeks. Stress has been known to cause symptoms like this, too.
My suggestion would be to see a Cardiologist. Tachycardia means an extremely rapid heart rate, usually signified by a pulse rate of over 100 beats per minute (bpm). Postural Orthostatic Tachycardia Syndrome (POTS) is clinically defined as a heart rate increase of 30 bpm or more from the supine (laying down) to the standing position within ten minutes or less. Patients with florid POTS develop tachycardia over 120 bpm within 5 minutes or less. Some patients experience supine tachycardia, which is usually transient in nature and often accompanied by sleep disturbances. Studies show that about 75% of POTS patients are women and that a genetic tendency to develop POTS is usually transferred from mother to daughter.
For a correct diagnosis of POTS there must be an absence of any other known cause of tachycardia, such as a specific heart condition. POTS is usually accompanied by frequent spells of neurally mediated hypotension (NMH), but this is not always the case. NMH means low blood pressure while standing, caused by a defect in the function of the autonomic nervous system. A minority of patients exhibit no measurable lowering of blood pressure during tilt table testing. Some patients may experience an increase in standing blood pressure due to an abnormal overcompensation of the autonomic nervous system to the orthostatic stress of the upright position.
The brain is the most metabolically active organ in the body and requires a steady supply of oxygen and glucose to maintain healthy function. Although the brain represents only 1-2% of the body's mass, it utilizes 20% of the body's oxygen consumption and 15% of cardiac output. Our brains are thus highly dependent on adequate blood circulation to maintain our sense of health and well being. The thought process, regulation of body temperature, hormone release, and many autonomic systems can be impaired by loss of proper blood pressure control. Our survival is as dependent on adequate blood pressure regulation as on the fundamental process of breathing.
Hello to my fellow ginnie pigs! For, well lets just say toooooo long, I have had numbness on the left side of my body. It starts from the left side of my face, down my neck, down my left arm, all the way down to my toes. By the way, I am a very athletic person and have had my share of injuries. Guess on what side, THE LEFT. I am on the poor peoples insurance, YOU KNOW THE ONE!! So what I'm trying to get at is, doctor after doctor tell me its in my head. Maybe if I was rich I to could get the treatment I diserve!! They (doctors) actually have me on medication for mental problems!! And don't get me started on the side effects. Instead of getting to the root of my problem, I figure its just easier to dope me up, and I KNOW I'M NOT THE ONLY ONE THIS IS HAPPENING TO! I have to take the meds or they will cut my insurance. Now the doctors say I have an anger problem. Guess what, I have to take meds for that to now. Am I angry? HELL YES!! To all you doctors out there, Lets get to the root of peoples problems even if they are poor. As a matter of fact, minimum wage workers are the ones who make it possible for you to have your nice things and your nice offices. If all the minimum wage workers all just quit their jobs there wouldn't be places for the rich to work. What would you do, run the whole assembly line yourself Mr. %^&hole CEO of some large company? Thank you for listening.....
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