Just Answer Just Answer

Ask Your Health Question. Health Experts Answer You ASAP
(Not a Health Question?)

Question

Today I stood up to get out of the bath tub, everything


Sent to Health Experts August 06, 2006 3:27 p.m.

I am a 28 yr old female with 3 children. Today I stood up to get out of the bath tub, everything went black, I was still concious but felt disoriented and was having difficulty maintaining my balance, and my arms started to flail about (not wildly). The episode passed and left me feeling shaky and scared. I also feel some numbness on the right side of my face. I had a similar episode 2-3 years ago but the entire right side of my body went numb, no convulsions or flailing. I was thoroughly examined by a neurologist, ct, mri, spinal tap and everything came back negative. I have had some episodes of pins and needles or body parts falling asleep since this episode but nothing major until today. I have felt fatigued and achey for the last couple of weeks and thought about going to the doctor, but felt that would tell me it is some form of depression and I know that it is not. I am not depressed but am getting very frustrated and am embarrassed to even go to a doctor because they can never find anything wrong with me. Any ideas about what could be happening?

Optional Information:
Female , Age: 28

Already Tried:
lots of tests, healthy diet, exercise regularly, no symptoms during pregnancy
Customer (name blocked for privacy)
Status: Closed   Value: $8   
Answer
August 06, 2006 3:40 p.m. (13 minutes and 15 seconds later)
REPLIED Check Mark

Hi

Sounds like you had a vaso-vagal attack ( simple faint).
These are more likely to occur if we are warm and standing ( getting out of bath is fairly typical.)

Another cause is "postural hypotension."
When we stand up our blood heads towards our feet and if this is not compensated for we feel lightheaded - again being warm with dilated blood vessles ( getting out of bath) exagerates this normal physiological experience.

However if you have been getting numbness etc for a few weeks that would not be consistent with either of the two conditions above and I expect your Dr would want to check you out.

AI

PS - have you been feeling anxous at all?

__________________
Thankyou if I have answered your question please click accept. Feedback/Bonus is appreciated.Please feel free to ask if anything is not clear.
PictureScottish DOC  -- Doctor (MD) -- 97% Positive Feedback on 1124 Health Accepts
MBchB (commended),FRCA, MRCGP(with merit) I qualified in 1990 and work full-time in family medicine.
Reply to Alexander Irvine
Sent August 06, 2006 3:51 p.m. (10 minutes and 56 seconds later)

Some anxiety, but is secondary to symptoms of numbness. Things start tingling and I get nervous becasue of the episode I had a few years back. I also had a previous episode in 1998 while working at a health care center. One side of my body went numb, and then was unable to speak although I was thinking clearly. A glucose test revealed a blood sugar of 37 although question how accurate that was. Was taken to the ER but symptoms had already resolved an i was just very tired.
Customer (name blocked for privacy)
Answer
August 06, 2006 4:05 p.m. (13 minutes and 26 seconds later)
ACCEPTED Check Mark

Interesting.

Are you aware that numbness is one of the most common symptoms of anxiety?
I'm not wanting to "push" you in that direction but for troublesome symtoms like these it's important to keep an open mind , especially if you have had negative investigations.

http://www.patient.co.uk/showdoc/23069094/

How long did the numbness and inability to speak last?

AI
PictureScottish DOC  -- Doctor (MD) -- 97% Positive Feedback on 1124 Health Accepts
MBchB (commended),FRCA, MRCGP(with merit) I qualified in 1990 and work full-time in family medicine.
Reply to Alexander Irvine
Sent August 06, 2006 4:38 p.m. (33 minutes and 6 seconds later)

I understand that this may present as an axiety disorder, although I can't wrap my head around why I would go from waking up feeling good, taking a relaxing bath to having what would be considered a pretty extreme anxiety attack. I really don't have any major stressors in my life, good relationship with my husband, finances are good, kids are happy and healthy. I guess you would know better than I do about anxiety disorders though.

As for the mubmness and inability to speak that episode was so long ago, I really can't be sure. I'm certain it was less than an hour. The more recent episodes noone has been in the room with me so not sure about any inability to speak but the episodes last for a minute or less and then I have some residual decreased sensation. Right now I have decreased sensation right cheek, nose and under eye and it even feels a little itchy??? though overall I feel okay.
Customer (name blocked for privacy)
Answer
August 06, 2006 6:08 p.m. (1 hour and 29 minutes later)
REPLIED Check Mark

Hi

Certainly if I saw you with reduced facial sensation I'd run all the usual tests ( CT etc) but the mind can work in odd ways and produce all sorts of physical symptoms.

Diagnosis is 90% history and your symptoms started after you stood up after bathing , this produced common sensations none of which are serious or long lasting. You said yourself that you felt scared. What were you scared of , what did you think was happening or going to happen to you?

AI
PictureScottish DOC  -- Doctor (MD) -- 97% Positive Feedback on 1124 Health Accepts
MBchB (commended),FRCA, MRCGP(with merit) I qualified in 1990 and work full-time in family medicine.
Reply to Alexander Irvine
Sent August 06, 2006 6:17 p.m. (9 minutes and 43 seconds later)

I did accept your last answer after some thought. I realized that you were suggesting that the hypotensive episode triggered an anxiety attack. That makes sense. I was scared. When I couldn't see anything and my arms started flailing I thought I was having a seizure. I think you are right about the anxiety. Thank you so much for all the time you spent helping me. I wish I could afford to give you more. I really do appreciate it.
Customer (name blocked for privacy)
Answer
August 06, 2006 6:24 p.m. (6 minutes and 50 seconds later)

THIS ANSWER IS LOCKED!
You can view this answer by clicking here to Register or Login and paying $3.
PictureScottish DOC  -- Doctor (MD) -- 97% Positive Feedback on 1124 Health Accepts
MBchB (commended),FRCA, MRCGP(with merit) I qualified in 1990 and work full-time in family medicine.

Think you can answer this question?
 Login or  Become an Expert









DISCLAIMER: You acknowledge that any information you may obtain from individuals you contact through use of the Just Answer service comes from those individuals, not from Just Answer!, and that Just Answer is not in any way responsible for any of the information these third parties may supply. The site and services are provided "as is" with no warranty and no representations are made regarding the qualification of an Expert. Responses and comments on Just Answer! are for general information and are not intended to substitute for informed professional advice (such as medical, legal, investment or accounting) and do not establish a professional-client relationship. Just Answer! is not intended or designed to address EMERGENCY QUESTIONS which should be directed immediately by telephone or in-person to qualified professionals. Please carefully read the Terms of Service.
   Just Answer! > Online Health Advice > Symptoms Questions