What Causes Tingling In Face,fingers And Toes With Stiffness In Jaw?

Brief Answer: Maybe myositis Detailed Answer: Hi Thanks for posting your query on XXXXXXX I am sorry to know that are going through a tough phase. From your description it seems that the skeletal muscles in your body are getting affected. It seems like myositis, though it can also be necrotizing fasciitis. Toxic shock syndrome is also possible. It seems to be due to streptococcal infection (Group A streptococcus). A biopsy of muscle will confirm the diagnosis. Since it has been a few weeks, I don't know what treatment you have tried. I also don't know if you are recovering or not. In my opinion you should be managed by an infectious disease specialist and a surgeon. Penicillins may not be of much help. In toxic shock syndrome the treatment is supportive. In case of myositis, treatment depends on severity of symptoms. If the symptoms are mild, then the treatment will be supportive. If large chunks of muscles got destroyed, then those muscles will need to be removed (debrided). Necrotizing fasciitis is more damaging and you do not seem to have it. Ask your doctor to refer you on emergency basis or you consult someone in emergency room for diagnosis and treatment. Take care Dr Vaishalee

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Brief Answer: Anxiety can cause tingling not other symptoms Detailed Answer: Hi again It does not seem to be anxiety. Anxiety causes similar symptoms but milder. Your symptoms are related to muscles and you seem to be unwell. Maybe you discuss the myositis or toxic shock syndrome diagnosis with your doctor. It is a good idea to consult a neurologist to rule out neurological symptoms of these symptoms. A neurologist will like to see a report of CT scan or MRI of head. I think tests like creatinine kinase, myoglobin, etc should help to rule out muscular causes. Biopsy is an invasive test, but if you are not getting better than you can get it done too. Regards Dr Vaishalee

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Brief Answer: Tingling related to shortness of breath Detailed Answer: Hi again The tingling and numbness seem to be related to shortness of breath. Shortness of breath can be caused by both myositis and some neurological condition. For normal and deep breathing, respiratory muscles are brought into action. Since your muscles are getting affected, you take shallow breaths. Anxiety can have similar symptoms but the cause is not muscular but psychiatric. Anxieties usually have a stressor too. To assist with deep breathing, please do some breathing exercises. There are some excellent breathing techniques in Indian yoga like nadi shodhan pranayam and XXXXXXX XXXXXXX You can find nadi shodhan pranayam on internet but to learn XXXXXXX you will need to take a course. Do not over exert at deep breathing though, do it only till the level you can tolerate. Slowly increase the level of deep breathing. Hope it helps. Dr Vaishalee

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Brief Answer: Need to be tested Detailed Answer: Hi again, It is always better to get tested if suspecting anything. You have shortness of breath, muscle weakness, pains, etc. These definitely make you a candidate for all basic tests including thyroid profile, complete blood count, creatinine kinase, myoglobin levels, etc. Hypothyroidism is known to cause myopathy in some cases. Thus similar symptoms can happen in thyroid disorders. An infection can affect thyroid. Breathing muscles involved may cause shallow breathing. Your blood gas levels need to be checked and pulmonary function tests also need to be done. Blood gas analysis is done in emergency room. It is better to be taken care in a hospital setting where all tests are available at hand. Muscle weakness is usually done manually. It is called as manual muscle testing. Neurologists and internal medicine specialists do it more frequently than other physicians. Electromyogram is another test that can be done. In your case it is of acute onset (after a streptococcal infection) and goes in the direction of an organic cause rather than perceived muscle weakness. Hope it helps. Dr Vaishalee

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Brief Answer: Visit ER Detailed Answer: Hi again, Vision getting blurry is not a good sign and may suggest optic nerve involvement. Thus I will suggest that you visit emergency room at the earliest to rule out something ominous. A general rule about medical care is to keep looking for a doctor until you are in good hands. Please do not ignore this. Take care of your self. Dr Vaishalee

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Brief Answer: Anxieties happen in attacks Detailed Answer: Hi again Anxieties are of many types like panic disorder, generalised anxiety disorder and phobias ie fear of something for example fear of heights. In panic disorder the patient typically has hyperventilation, chest tightening, sweating and feeling of impending doom. All tests including ECG come back normal and then the patient is labelled as having an anxiety attack. It does not last for more than a few days. A stressor is usually present. This is a presentation for panic disorder. Generalized anxiety disorder people keep worrying for some thing like relationships, etc. Symptoms include restlessness, fatigue, irritability, sleep anomalies, muscular tension, difficulty in concentration. These symptoms should be present for atleast 6 months for the diagnosis to be made. Though some of the symptoms overlap, but do not entirely fit the scenario of anxieties. Dr Vaishalee

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Brief Answer: Could be two reasons Detailed Answer: Hi again There could be two reasons for this. Either your nose is blocked or you may be gasping for air. In nose blockage, nasal sprays can be taken. When you are trying to get in extra air, you may breathe through your mouth. Breathing exercises should help in later case. Dr Vaishalee

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Brief Answer: Diaphragm muscle maybe weak Detailed Answer: Hi again, The treatment for diaphragmatic muscle weakening depends on the cause and treatment of the cause. The cause may be myositis or myopathy in your case, though neurologic causes are more often seen. If your blood gas analysis shows abnormal blood gases and increasing carbon dioxide levels, then ventilatory support will be needed. I am not sure if you have already visited the neurologist or emergency room. Breathing exercises are available in Indian yoga or in Chinese traditional therapy. In Indian yoga, breathing exercises are pranayam (many types) and XXXXXXX XXXXXXX (controlled breathing). These should help strengthen the respiratory muscles. I am hopeful that these will help you. These are taught as a course by "art of living" organisation and some of them are also available on internet. Dr Vaishalee

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Brief Answer: Anxiety does not seem to be the culprit Detailed Answer: Hi I am really sorry that you are going through all this. I really wish some doctor would have thought it as a muscular weakness and investigated in this direction. Since I am not able to examine you and treat you, I have to give my diagnosis based on your description of symptoms. If you tell me the reports that you have gotten done and blood gas analysis results, I will be better able to help you. I would also like to know about the neurologist's report. You have the feature to upload the reports from your dashboard. You can also send them at YYYY@YYYY and address it to my name: Dr Vaishalee Punj. If you feel that your symptoms are getting better, then recovery is happening. Otherwise you need to find appropriate medical help. I still believe that it is not anxiety. It is easier to blame mental health when finding a cause is tedious. Moreover you are getting typical symptoms of diaphragmatic disorder. Waiting for your response. Dr Vaishalee

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Brief Answer: At least PFT is normal Detailed Answer: Hi again, I think if your PFT is normal, then you are able to expand your lungs to the full (maybe with extra effort). With breathing exercises, etc you will be able to develop your muscular strength back to normal. Please get the blood gas results (even if verbally) and let me know. Regarding neurological exam, did the neurologist check the strengths in individual muscles of legs and arms? For example bicep muscle strength test, tricep muscle strength test, etc. If these tests were within normal limits, then the weakness may be mild. Though your symptoms are not going with the tests. For diaphragmatic weakness, there are other tests like chest X-ray or CT scan of chest that may check for diaphragmatic paralysis. Other tests are there but are not done in routine. These tests include phrenic nerve stimulation/diaphragm electromyography, maximum inspiratory and expiratory pressures (MIP and MEP) sustained during one second against near complete occlusion and Sniff nasal inspiratory pressure (SNIP). I think you may recover, since your tests are coming back normal. It means that the muscles got affected but not to the extent of causing lot of damage to function. I am not sure if the ER doctors will help you. Another visit to the neurologist may be of more help, if you can convince him that your muscles are weak and that he tests you further for it. Dr Vaishalee

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Brief Answer: negative test reports are reassuring Detailed Answer: Hi again It is good that the test reports are coming back negative. I will wait for the blood gas analysis too. Dr Vaishalee

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