Hello

Thanks for the query

From the clinical details provided I will not be able to give you any opinion or recommendation. I personally request you to provide additional details about the numbness like part of the body affected and associated symptoms like tingling, pins or needles sensation and loss of pain and touch in the affected part. I could not get what you mean by the word jumping in the body. Please describe in your own words about this experience.

Sincerely,

Dr Shiva Kumar R
Consultant Neurologist & Epileptologist.

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Hello

Thanks for the details provided to me.

From the clinical details provided to me it looks like you are suffering from chronic headache's. Most common cause of chronic headache's are migraine and tension type headache. Typical migraine headache is unilateral, pulsatile, and is aggravated by physical activity. The pain is moderate to severe and can be aggravated by exposure to light or noise.

Tension type headache (TTH) pain is often described as a constant pressure, as if the head were being squeezed in a vise. The pain is frequently bilateral and pain is typically mild to moderate, but may be severe. Often TTH is due to stress, anxiety and depression. Other causes of headache in your age group are are hypertensive headache and due to refractive errors (visual problems).

Regarding the twitching and pain and numbness in the hands and feet, possibilities are benign fasciculations and early spine disease (cervical and lumbar spondylosis). Less commonly all these symptoms can be explained by a condition called as fibromyalgia which is usually associated with anxiety and depression. Benign fasciculations are often due to anxiety and is not indicative of serious disease.

So I personally feel you have vascular headache, Benign fasciculations and features of fibromyalgia and anxiety neurosis. You need to see your Neurologist for a good clinical examination and consultation to exclude other causes of headache and fasciculations. For time being you can use pain killers like paracetamol or Aspirin for your pains.

I thank you again for submitting your question. I hope you find my response to be both helpful and adequate. If you have any additional concerns regarding your question I would be happy to address them.

Sincerely,

Dr Shiva Kumar R
Consultant Neurologist & Epileptologist.

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Hello

Thanks for the follow up query

Headache can also be due to chronic sinus problem and one has to consider this as the possibility in some one who is having on and off headache's. However I do not see any relationship between your inflammatory bowel disease and headache and your other symptoms.

Sincerely,

Dr Shiva Kumar R
Consultant Neurologist & Epileptologist.

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