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Organic cause for twitching?

Dear expert team,

For almost two weeks now, I have been experiencing persistent twitching in my head as soon as I try to fall asleep. Sometimes it also twitches in my arm or leg, or goes through my whole body. Mainly in the head though, and sometimes accompanied by a slight dizziness. It also seems like there is some kind of blockage in the blood flow to the brain, as sometimes when I lay my head on the pillow, I feel pressure and the mentioned dizziness.

I have to mention that I have been physically and mentally very unwell for the past 7 months. In November, after a very complicated pregnancy with extended bed rest in the hospital, I had to deliver my baby 10 weeks prematurely. After we finally got home, the physical problems started. From joint and back pain to loss of appetite and digestive issues. All blood tests etc. are completely normal and my primary care physician diagnosed me with somatization disorder. In March, it got so bad that I had sudden dizzy spells and constant pressure in my head. I had an MRI with angiography in April and everything was completely normal. The doctor's assessment: No mass, no inflammatory lesion, no vascular malformation.

After that, things improved somewhat, except for the ongoing loss of appetite (I have lost 10 kg since the beginning of the year) and persistent digestive issues.

I am constantly afraid that something is wrong with my child because I always have to go for check-up appointments due to the premature birth, and I am totally stressed because of early intervention, physiotherapy, household chores, etc. I definitely eat and drink too little and I am constantly running from doctor to doctor. Everyone always says that I am organically healthy and it's just psychological. I was already in a neurological emergency room in April because I was so panicked about the dizziness and headaches. The neurologist did the usual tests but no specific examinations, and referred me to a psychiatrist/psychologist. He said I have more of an adjustment disorder and an enormous overload.

I am now really desperate because I keep experiencing new physical problems that really scare me, like the ones I am having now. I was never sick before pregnancy, and now I feel like a wreck physically.

I am currently in therapy with a psychologist to work through the past few months.

What do you think, should I be worried that I am somehow neurologically ill, or could these sensations actually be psychologically related? If so, how long do I have to wait and what can I do about it?

Thank you very much.

Dr. med. Frauke Gehring

Good day,

The constant fear and stress are reason enough to trigger such twitches, pain, and loss of appetite! Yes, your symptoms are typical of a stress reaction as the cause.

Since you have not only been examined neurologically, but also had an MRI, inflammatory diseases such as multiple sclerosis, circulatory disorders of the head, and tumors are definitely ruled out.

You now need all the help you can get to relax from time to time. If friends, husband, or family cannot relieve you, please ask the city for a women's support organization. Here, volunteer women work who can help you and support you with good advice.

Progressive muscle relaxation could help you (CDs available in stores), or a little yoga or Tai Chi (available online or as a CD). Please drink at least 1 liter of fluid a day! You can end the doctor's odyssey because everything has been clarified.

I hope you will feel better soon!

Best regards, Dr. Höllering

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Experte für Neurology

Dr. med. Frauke Gehring

Dr. med. Frauke Gehring

Arnsberg

Staatsexamen 1984 in Kiel, seit 1992 in eigener Praxis niedergelassen. Onlineberatung seit 2001 bei Almeda, Focus (als ärztliche Leiterin), Onmeda, Bild der Frau. Moderatorin, Dozentin für medizinische Themen.

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