You might want to investigate two possible causes for this pain.
When any person gets angry--and really angry--blood pressure goes up. During anger, blood can pump harder through the carotid arteries in both sides of the neck. This can set off throbbing in both temples--it can even cause a bad headache. Some people can get so enraged, it can set off temporary angina-- a grabbing sensation in the chest.
In people over middle age, many often have some clogging of arteries with plaque. Plaque can contribute to high blood pressure, or be a silent risk lurking in the background until the person experiences chest pain or stroke. Blockages can affect any artery or vein including the carotid arteries. Plus veins in the heart can be narrowed too.
So I'd check with your doctor. Have him/her take your BP, listen to your heart, and listen over both carotid arteries. They are listening for abnormal swishing sounds or even extra beats that can point to a murmur or narrowing. Any abnormality might cause some type of headache or migraine, along with heart issues.
As well, when folks get angry--and really angry-- most of us grit our teeth. We press the back teeth down hardest. Plus, we tighten our jaws--you can actually see the jaw muscles moving and contracting when a person is terribly angry (even if trying to hold it in).
So this "freezing pain" sensation could be a result of irritation to one of the facial nerves, including some referred pain from pressure on the teeth. If your BP and heart are fine, you could talk to your dentist for evaluation too. But most important, pay attention when angry to how much you might grit. Try to focus on relaxing the jaw--despite being angry.
But Sima, since you are over 50, I'm going to assume you are either in menopause or post-menopausal. Millions of women in this age group experience the kind of rages you're talking about. That doesn't need to be though. You might talk to your doc about a very low dose estrogen replacement--even for a short time. There is a slight risk of cancer with hormone replacement---but--you don't enjoy being this angry.
I'd also ask your doctor to do bloodwork, especially an A1-C to see if you might be diabetic. Glucose levels, thyroid levels, and other hormones can cause the kind of rage and irritability you speak of, including the sudden "worn out" feeling.
You might also ask for a very low dose of Valium to take on really bad days. Even 1/4 of 1 milligram can help relax you. Approach the topic with your doc as a "short term" trial while he waits for your blood test results.
Our grandmothers and great-grandmothers were left to suffer these "outbursts" because there weren't tests or meds. Today, we don't need to suffer just because we don't naturally produce enough estrogen once menopause begins. Even talking to your GYN might help--they hear these stories A LOT. A GYN can run the same blood tests as a regular doctor, plus prescribe a vaginal Estrogen cream.
I am concerned, but mostly because you shouldn't be left to worry or suffer. Whether it is blood/heart related, or estrogen or other hormone related, no woman should just suffer from outbursts "silently" in their homes. We shouldn't have to fear talking about feeling like raging maniacs with our families--while trying to hide it from the rest of the world.
So find a doctor who you can talk to and who will systematically eliminate the potential causes with tests, and treat you even while waiting for the results to come back.
It's difficult to review a person's condition online because there is so much we don't know about you, your meds, your symptom patterns, etc. For example: Do you sleep on your left side? Pain anywhere else? Prior injuries What body part(s) twitch? As you can tell, medical history and actually seeing a person contributes to the medical picture and diagnosis or diagnoses.
How did or did they treat the lesion? What was doc's conclusions? What, if any, diagnosis did they say? If they didn't treat, did they give a reason why? Repeat MRI?
Very often, although symptoms occur together, they may not be related. Plus, most of the symptoms you report don't point to "one thing" specifically; as a different example, nausea doesn't pertain to just one diagnosis. You could have (separately) 1. migraines 2. tremor/twitching 3. a pain condition and 4. "unknown other" like anxiety to explain speech problems. However, neuro symptoms are the hardest thing to track down. They don't fit specific patterns docs look for.
If you are female, are you getting the "pat on your head / it's all in your head" attitude from docs? Are they talking about your "stress" or "anxiety" contributing to the symptoms (patients often hear this when docs don't know what is wrong).
If you haven't seen a neurologist, that's where I would start or start again.
This is a group for people who have neurological symptoms or known neurological diagnoses (e.g. brain, spinal cord, sensory or motor nerves in the extremities), or baffling symptoms that have not yet been diagnosed. Are you having symptoms related to your question?
If your question is related to school work, you might get more help from a site like www.wikianswers.com You can also Google for this information. We aren't physicians here, though many of us can answer questions about symptoms and diagnoses.
The longer before surgery, the more damage that can occur from pressure on brain tissue. However-- there is NO guarantee surgery will fix all his symptoms. BUT no surgeon would recommend this surgery if he did not believe surgery would help.
Was he weak before? Did he have urinary incontinence before? Was he confused before? Has he fallen before?
WHEN did the hematoma occur? HOW did it occur? You must ask the doctor if this was a result of trauma? And if so, what kind of trauma? e.g. A large subacute hematoma does not normally just appear in a person's brain without cause. As gently as I can state this, is your dad a victim of Elder Abuse?? OR, did he fall? I would bring up this issue with the doctors, surgeon, social worker, etc.
WHY would your aunt wish for any man a slow death while becoming less able to function mentally and physically?
I just heard today on the news that even people as old as 85 years old do fine after surgery, of course, depending on other conditions. Yes, 67 is 'old', but men can live into their 90s.
You MUST for your own peace of mind talk directly to his doctors without going through your aunt. Do YOU have medical authority over him or does your Aunt? Are you prepared to fight for you to be his medical next of kin? If so, don't wait. If the surgeons think dad has a chance, do YOU want him to have that chance? That is what you--and only you--can decide.
If you have siblings, and all agree, you can band together. But you must talk to the surgeon / physicians so you know the facts, the risks, and the possible outcomes.
It may be true that his condition will only get worse. What would your dad want?? Ask also about End of Life care, what might happen if no surgery.
This kind of situation is never easy. I'm sorry you, your dad, and your family are going through this.
I'm not a doc, but I'd wait. If your dr believed you were in a medical crisis, he/she would have requested you be seen quickly.
Next time you feel 'paralyzed', if it is when you are falling asleep/waking (even from a nap), approach it with a scientist's thinking, "Isn't that interesting..." Just observe without getting upset. If it is sleep paralysis, you can't "break through it" by fighting it-- your body / brain have to get working. So you might as well be curious, noting what happens without upset or fear.
I have choking spells; I can't breathe, I cough but can't inhale or exhale (though, coughing is an exchange of air). They are frightening episodes. I asked my doc what would happen if I can't get air. He said, "You'd pass out-- but-- your muscles would relax so "passed out", you'd also then be able to breathe." So the episodes are scary, but I won't die from it. I could call 911-- but, the episode only lasts a frightening minute-- it'd be over before help got here and I'd feel foolish. Sooo, I choke...start coughing so hard I have tears running down my face... and keep saying "I'll be fine in a few seconds." I always stop choke-coughing and breathe fine again. "Interesting!" to go through.
(remove any spaces the forum inserted in the url -- or, on Google or http://scholar.google.com search for tbi in children Pseudobulbar affect )
Note: Libraries can request articles through interlibrary loan. We can try to help you understand the articles.
IF this is the condition he has, it is not technically related to "pain". It's more like the wires are crossed for emotional responses...or responses to environmental stimuli. So hunger, frustration, etc. can come out as crying or laughing.
And... ASK nurses what they mean--exactly--by "brain cries". ASK for the exact medical diagnosis that explains this term. ASK them to state the diagnosis, then explain it in plain English.
If I'm on the right track with this possible dx, you'll need to constantly reassure yourself that you, as mom, can't do anything to stop the crying. It's real easy to say don't get frustrated but since moms fix things, and you can't make the brain heal any faster than it heals, you'll need lots of inner strength to deal with the non-stop crying. Make sure you take breaks; take care of 'you'. All you might be able to do for now is be there with him.
The brain is such a mystery. Injuries follow different courses for everyone. Healing may be very slow as his brain tries to "re-wire" around injured areas. They may not know prognosis for months.
I'm very sorry to hear that you both and your family are going through this. Please let us know the diagnosis and keep us updated.
An unruptured aneurysm has no symptoms or warning signs--that is why it is so dangerous. So you can probably rule that out.
A ruptured aneurysm causes the most excruciating pain you've ever experienced--- like a "I'm gonna die from the pain" type of headache. Again, you can probably rule that out.
When evaluating any symptom, doctors start from the most common causes, not the most rare or exotic problems. It is a good rule to follow because most things are easily explained.
Cluster headaches and migraines can each involve pain behind the eye. However, because you say it only lasts 15 seconds maximum, it probably is what is called "ice pick headache"--like what you might get when eating ice cream. Ice pick headaches have no underlying disease or condition.
You say you just started doing very strenuous exercises before this started. THAT is important to tell the doctor. You could be having temporary changes in blood pressure or blood sugar. I would suggest lowering the severity of exercises, and see if the headaches lessen. When you exercise, make sure you consume drinks llike Gatorade to replace electrolytes and sugars.
For now, I'd say trust your gut. You know your baby.
However, I have spasms in my larnyx and yes, I can be choking and (struggling with) breathing. Choking, as I'm sure you've seen with 7 kids, causes panic in kids. Choking low, in the chest, would cause a coughing attack, as the lungs try to expel the food/liquid. Also, kids typically cry after a choking event-- it's scary and they want soothed. So you know what you saw. Trust yourself until proven otherwise.
Seizures can be very 'quiet'-- no jerking, flailing, etc. However, a child can also stare off without it being a seizure. I'd definitely do the EEG soon to rule out seizures.
How old is he? Why do you think he had a stroke--please tell us more about that. What does he say when you ask what he's laughing at/or saying--what explanation does he give? And lastly, what is his school behavior?
The suggestion for an ortho surgeon was mainly to address both the back and knee in one appointment (hopefully) and get MRIs ordered. I'm not a doctor but have a medical background... and I also have a spinal cord/vertebra injury at multiple levels that went undiagnosed for over 15 years and ended up with neuropathy. I've also had friends who had neuropathy develop from simply twisting one knee wrongly. So the best thing you can do is see a specialist as quickly as possible.
I'm generally anti-surgery. But there are specific reasons I would be more inclined to investigate surgery if in your position... (1) you are under 40yo... the more you age, the less surgery may help and more risks you'd face... and (2) your symptoms are under 6 mos to 1 year... the longer a symptom goes on uncorrected, the higher risk you have that it will become permanent.
IF you've got a knee issue, those surgeries are fairly well documented with high successes. It's usually an outpt surgery with less anesthesia. You'll have about 6 weeks of recovery.plus physical therapy and a short time on narcotics.
IF it is from your low back, then I'd get a 2nd opinion and I'd *really* weigh your choices. Even the new laser surgeries fail, just as frequently as traditional spinal surgeries fail. But you've got to have information from an ortho eval and MRI so you know your choices. My biggest concern is (typically) neuropathy symptoms don't go away--sometimes even back surgery doesn't reverse it. BUT based on the 2 reasons above, you have a better chance for the symptoms to disappear IF the surgery is truly indicated. But I caution you to ask questions, read up about the procedure, get a 2nd opinion, etc.
I truly hope with either/or surgery-- or PT and meds-- that you'll get symptom relief. Neuropathy is no fun as it worsens.
The opinions expressed in WebMD Communities are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. Communities are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Some of these opinions may contain information about treatments or uses of drug products that have not been approved by the U.S. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment.
Do not consider Communities as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately.