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Tingling Cheek bone/ no pain
Third time this week. Sitting down, suddenly feel a very tight and sustained muscle cramp in my abdomen between navel and xiphoid. Then Both cheekbones start to tingle furiously, with NO pain. No chest pain. No SOB. I have had this phenomena for over 15 years, as I get symptoms about once every 1 to 2 months. Never lasts more than a day, and always gone when I wake up. But no matter what time of the day I begin experienceing the symptoms, they stay with me all day and night.Not able to correlate it with diet, stress, exertion, or position or meds.Not able to alleviate it with diet, exertion, meditation, meditational breathing, change of position, or meds. I used to suspect my BP was low or high, but only one time(last week) was it high(142/92). Have also considered cardiac/hypoglycmia, hypoglycemia.
Two cardiologists say it is not cardiac, and as expected, it does not feel like cardiac pain. Any suggestion? What type of Doctor would I see to look into this matter? Neurologist perhaps? Thank You............jimmy
Two cardiologists say it is not cardiac, and as expected, it does not feel like cardiac pain. Any suggestion? What type of Doctor would I see to look into this matter? Neurologist perhaps? Thank You............jimmy
Best Answer
MEDICAL PROFESSIONAL
Hi there. You need to consult a neurologist for the possibility of multiple sclerosis. MS is a chronic demyelinating disorder where the disease phase is characterized by active phase and remissions. It has multiple symptoms and signs and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI in addition, a spinal tap. You also need to be checked for small vessel ischemic disease, cerebral ischemia etc for these MRI lesions. Therefore, it would be prudent to consult your neurologist with these concerns. Hope this helps. Take care.
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