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Tao and raynaud's phenomenon - 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 : 2004
Answered : 1722 Questions
User :   I have tingling, itchy fingers, specifically around the knuckles and my feet are quite itchy/achy as well. Could this be arthritis or carpal tunnel?
Doctor :   Hi
User :   hi
Doctor :   it is not carpel tunnel
User :   I am a smoker and I am mostly concerned that this might be a loss of feeling due to blood-flow restriction.
Doctor :   is the itchy around all the knuckles ?
User :   middle three-ish fingers
User :   it itches more if irritated
User :   scratched, or squeezed
Doctor :   is there any color change in the skin of the knuckles
User :   and it gets really bad if my hands get cold
User :   let me check in better lighting
User :   I can't really tell as I am pretty tan
Doctor :   ok
User :   there is also pain between my index fingers and thumbs
User :   and I have a small red itchy dot on my left hand
User :   very small
Doctor :   do you get pain in legs if you walk for a long distance ?
User :   not particularly, but I have pain in the center of my left foot
User :   feels like someone pinching a nerve directly in the center of my foot
Doctor :   is it from your childhood or recently developed ?
User :   recently developed
User :   I've always gotten cramps (charlie horses) in my feet rather easily, though.
Doctor :   how much you smoke per day and from how many days your smoking ?
User :   i smoke about 8-10 cigarettes a day
User :   but i smoke marijuana as well
Doctor :   ok
User :   i've been smoking regularly for about 4 years
Doctor :   does your itching of knuckles get worse if you put hand in cold water ?
User :   let me go check
User :   one second
User :   no
User :   not really
User :   actually, yes
User :   now they're very itchy
Doctor :   ok
User :   and the more I rub them together, the worse it gets
User :   and my feet now feel numbish from walking to the washroom
Doctor :   ok
Doctor :   you need to quit smoking
User :   is it bloodflow?
User :   in fact my hands are in a lot of pain now
Doctor :   the symptoms do say yes
User :   but it feels like the bones
Doctor :   the blood vessels have become narrow due to smoking
User :   marijuana, too?
User :   what if I get more excercise?
Doctor :   and when exposed to cold the blood vessels still become narrow and cause the impairment of blood supply
Doctor :   you need to quit smoking
Doctor :   that is the only way to stop the narrowing of blood vessels
User :   ok
Doctor :   exercise and any other sort will not help in this regard
Doctor :   also get an Doppler examination of the blood vessels
User :   so if i don't quit smoking, I am going to lose appendages?
Doctor :   to know the status of the blood vessels
Doctor :   initially it is appendages than the fingers than finally the whole of the limb is affected
User :   Ok. What type of physician do I need to see to get the Doppler exam?
Doctor :   you need to consult a general surgeon or in particular vascular surgeon, based on his physical examination he will order for Doppler examination and the Doppler is done by a sonologist
User :   ok thanks.
User :   You probably saved my hands and feet.
User :   :)
Doctor :   thanks for consulting health care magic
Doctor :   bye for now
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