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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Anxiety Along With Stiffness In Tongue

Hi My name is Michelle, My daughter has been experiencing some medical issues which no one can pin point... She was in emergency a couple of time this weekend with anxiety as he tongue stiffened and she found it was not cooperating going back its like the muscle stiffened after chewing gum it relaxed... She had blood tests, she was tested for a stroke all come back ok and has had other tests of late for allergies including more blood tests couldn't find anything... She is a highly strung girl, she worked last week huge hours like 12-14 hours a day hairdressing no breaks and the odd customer after work... Also she gets up extremely early to go to the gym where she does high impact work... Do you think it maybe an overload on her nervous system?... She will be having an MRI scan on Thursday
Mon, 8 Dec 2014
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Neurologist,  's  Response
I read your question and I understand your concern.
It is a good thing that she is having a MRI exam as well just to be thorough and exclude any brain lesions. From your description, if other common causes are being excluded, it could well be a case of anxiety.
Regarding the treatment for starters measures like slowing a little down with her work, avoiding use of caffeine or other stimulants, regular sleeping hours are also important.
If those are not enough then it depends. If for short periods of time benzodiazepines could be used but not for long because they cause dependency and tolerance. If it seems like a chronic problem then antidepressants are more indicated. Both groups should be prescribed by a physician after discussing their side effects.
That is only after other causes are excluded though. I supposed routine blood tests have been done since we are at the point of a specialized exam like MRI, thyroid function exams should be done as well.
I hope to have been of help.
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Suggest Treatment For Severe Anxiety Along With Stiffness In Tongue

I read your question and I understand your concern. It is a good thing that she is having a MRI exam as well just to be thorough and exclude any brain lesions. From your description, if other common causes are being excluded, it could well be a case of anxiety. Regarding the treatment for starters measures like slowing a little down with her work, avoiding use of caffeine or other stimulants, regular sleeping hours are also important. If those are not enough then it depends. If for short periods of time benzodiazepines could be used but not for long because they cause dependency and tolerance. If it seems like a chronic problem then antidepressants are more indicated. Both groups should be prescribed by a physician after discussing their side effects. That is only after other causes are excluded though. I supposed routine blood tests have been done since we are at the point of a specialized exam like MRI, thyroid function exams should be done as well. I hope to have been of help.