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Severe leg pain, excessive hunger - 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 : 2008
Answered : 3393 Questions
User :   Hi Doctor
Doctor :   hi
Doctor :   Dr XXX here
Doctor :   How may i help you?
User :   have a query regarding my health
Doctor :   ok
User :   every evenings i tend to feel very exhausted, my legs ache terribly
Doctor :   may i know, your age, occupation , weight ?
User :   32yrs, XXX, 65 approx
Doctor :   ok
User :   height 5' 51/2"
Doctor :   can you explain the leg ache,
Doctor :   ?
User :   my legs ache ache through out, hate walking, even not able to stand for long
Doctor :   do you smoke ?
User :   never
Doctor :   when does the pain start ., in the day?
Doctor :   Does it persist at night, disturbing sleep
User :   through out the day and most in the evening
User :   ok Doctor iam Mrs XXX colleague of Mr XXX
Doctor :   ok
User :   using his id since i don't have mine
Doctor :   welcome, Ms XXX
User :   thx
Doctor :   so your pain,
User :   the pain is so bad that once in bed iam completely down and out
Doctor :   does it start from th lower back and run down to the toes, ?
User :   mostly my calves & ankle pains
User :   lower back sometimes
Doctor :   any pain, when you bend forwards?
User :   no
Doctor :   i guess, the reason, you could be having could be neurologic impingment OR due to vascular issues
Doctor :   do u have any sensory changes in the leg ?
User :   no
Doctor :   ok
Doctor :   i would like you to get some tests done
User :   ok
Doctor :   1 CBC, iron studies, and peripheral blood smear to rule out anemia
Doctor :   once those tests come, depending on the results, vitamin B 12 , folic acid levels can be done
User :   ok
Doctor :   if there is any swelling in the feet, which subsudes by limb elevation, probably its due to vasular issues, which may need a USG
User :   whenever i have done a blood test my hemaglobin count is always low
Doctor :   dopplet USG to be specific
User :   no swelling in the feet
Doctor :   in that case, your fatigue could be due to anemia
Doctor :   u may need iron and folic acid tabs,
User :   ok
Doctor :   if more serious a Iron infusion, after hospitalisation
User :   also i feel very hungry
Doctor :   ok
Doctor :   thats is also a symptoms of anemia
User :   is it
Doctor :   also A TSH test to diagnose hypothyroidism
User :   then i think i would definitely be anemia
User :   what is hypothyroidism
User :   ?
Doctor :   low function of thyroid gland
User :   ok
User :   ok maybe will do the tests 1st
Doctor :   ok
Doctor :   thats a giood idea
User :   thanks for your time doctor
Doctor :   u r welcome
User :   much appreciated
Doctor :   if u are satisfied, please leave your feedback
Doctor :   thanks for consulting me
User :   ok vl do so
User :   bye
Doctor :   bye for now
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