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Numbness and tingling sensation in arms and legs - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2211 Questions
Doctor :   Hi
Doctor :   How can i help you /
User :   Hello, my name is XXX I'm 42 years old and have in the past month experienced a sudden nset of numbness and tingling from my armpits to my toes
Doctor :   ok
User :   I'm not sure what happened, but it came on suddenly, is persistent and on both sides of my body, in my chest and stomach, upper thighs and feet
User :   The bigger problem is in both my hands which feel numb and stiff at the same time
Doctor :   ok
User :   Not sure if I have more than one thing going on...but it's beginning to make me crazy
Doctor :   ok
User :   And I don't have health insurance. I did take a blood glucose test, which showed 92 fasting and an at home a1c kit which showed 5.2
Doctor :   ok
User :   which kind of ruled out diabetes for me, but I'm not sure what to make of these weird symptoms
Doctor :   numbness and tingling sensation in both upper limb and body and both lower limbs?
User :   correct
Doctor :   and it is persistent
User :   yes it is
Doctor :   what about other sensations like pain, temperature in the affected region ?
User :   sometimes my forearms and hands feel hot, but no pain
Doctor :   ok
User :   My fingers (ring and pinkie on both hands) and hands and wrist feel stiff right now with moderate pain,
Doctor :   do you take any medications ?
User :   none at this time
Doctor :   do you have or had suffered anxiety or panic attack ?
User :   no
Doctor :   do you consume alcohol ?
User :   no i do not
Doctor :   generalized paresthesia(numbness with pins and needles sensation) goes most in favor of the metabolic cause
Doctor :   diabetes has been ruled out by the test
Doctor :   you need to test for other causes like calcium levels, thyroid hormone levels, potassium levels
Doctor :   even vitamin b complex deficiency do cause these type of symptoms
User :   ok....any chance that it could be a tumor pressing on a nerve or nerves (my mom is a hypochondriach)
User :   I checked my body temp and it is kinda low...97.7 on a fairly regular basis
User :   So maybe thyroid?
Doctor :   nerve compression by tumor will affect the region of the nerve affected and it does not present generalised
Doctor :   thyroid and even parathyroid problems can cause this
Doctor :   needs to check them with tests
User :   good. thanks for that. What about rhumatism?
User :   i've got to oeder my own blood tests, so want to make sure I order the right ones
Doctor :   in rheumatism the joint affected may cause the nerve nearby to get compressed and it also will be regional
Doctor :   more so the features of rheumatic disease will more obvious before development of this paresthesia
Doctor :   even vitamin b12 and b 5 folic acid deficiency can cause
User :   ok. I keep thinking diabetes. I am fatigued and urinating more frequently, but I'm not losing weight or anymore thirsty than i was...any chance there would be a false positive on a diabetes test?
Doctor :   the random blood glucose 92 which is well wioth in the normal range
Doctor :   it needs a neurological examination, blood test for hormonal and metabolic cause and as well as assessment of peripheral circulation
User :   Thank you for your time doctor. I'll check out thyroid, potassium b12 b5 and calcium levels. I appreciate your input very much
Doctor :   it is better you consult a physician or your gp to get physical examination and all the necessary tests done
User :   I will contact a public health office and see what low cost med care options are available to me
Doctor :   yes
Doctor :   thats the right choice
User :   thanks again
Doctor :   thanks for consulting healthcare magic
Doctor :   bye for now
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