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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain And Pressure In Head Along With Numbness On Left Side Of Face?

Let me start by saying I'm a mess! First off, I am a 32 yo black female and I have been having head pressure/ headaches/ numbness on left side of face/ ear pressure/ dizziness for about a year. Went to ER and they did a MRI, but to no avail, it didnt show anything! They wrote it off as migraines and they prescribed Tramadol. Recently, I've been experiencing tingling mostly in my legs, but occasionally in arms as well. I've been fatigued, anxious, moody, and depressed. My body is generally achy and stiff especially when standing up from a seated position. I really need to get bloodwork asap because I think that whatever is going on is probably pretty serious. So, from my list of annoying ailments, do you have any earthly idea of what could be going on with me?
Thu, 19 Feb 2015
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Neurologist,  's  Response
Hello !
I understand your conern.
In my opinion there is nothing to worry about.
Dizziness, headaches, ear pressure , tinglings may be caused by an orthostatic hypotension. I would recommend a full blood count to rule out anemia . A measurement of blood pressure in sitting position and after 5minutes in standing up position would be necessary to rule out orthostatic hypotension. If there is a decrease of more than 20mmHg to your systolic blood pressure when standing up it may be an orthostatic hypotension.
All these symptoms can also be caused by depression . If all examinations are all right , I would recommend an Antidepressant like Paroxetine, Doluxetine or Escitalopram for some months. It will help with headaches and yuor humor too.
Hope to have been helpful!
Thank you for using HCM!
Best wishes, Dr. Abaz Quka
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What Causes Pain And Pressure In Head Along With Numbness On Left Side Of Face?

Hello ! I understand your conern. In my opinion there is nothing to worry about. Dizziness, headaches, ear pressure , tinglings may be caused by an orthostatic hypotension. I would recommend a full blood count to rule out anemia . A measurement of blood pressure in sitting position and after 5minutes in standing up position would be necessary to rule out orthostatic hypotension. If there is a decrease of more than 20mmHg to your systolic blood pressure when standing up it may be an orthostatic hypotension. All these symptoms can also be caused by depression . If all examinations are all right , I would recommend an Antidepressant like Paroxetine, Doluxetine or Escitalopram for some months. It will help with headaches and yuor humor too. Hope to have been helpful! Thank you for using HCM! Best wishes, Dr. Abaz Quka