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What causes tingling sensation in feet? - Online Doctor Chats

Date : 05-Dec-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2522 Questions
Doctor:Please proceed with your query
Doctor:U there?
User:Hi
User:I have got my complete health check done this week. From the results I see some abnormalities with 1.HDL, Triglycerides, VLDL etc 2.Amylase 3.hsCRP 4.Folic Acid 5.Lipase . I have family history of Diabetes and Pancreatitis. Could you please go through my attched health check report and provide your valuable suggestions, findings and expert advice
User:I have uploaded the report just now
Doctor:Please give me a moment to go through you query.
User:sure
Doctor:Are you there?
Doctor:I have seen reports
User:yes mam
Doctor:Do you have history of any recent infection?
User:I had some itching in my legs and had some kind of infection in legs and intense itching for about 1-2 weeks
User:this was a month ago
Doctor:Ok
Doctor:Do you have any history of bone problem?
User:no bone problem as such but I feel coldness in my feet every night . rest of my body is warm
User:but feel tingling and coldness n right feet
Doctor:ok
User:becos of which i am not able to sleep
Doctor:Do you have overweight?
User:yeah
User:i am 6 feet and 105 kg weight
User:29 years
Doctor:Ok
User:I have a family history of pancreatitis and diabetes
User:my dad has this
Doctor:Ok yes, you have overweight
Doctor:I noticed that you have vitamin D deficiency
Doctor:and vitamin B12 deficiency
User:ya
Doctor:High crp may be due to vitamin D deficiency
Doctor:Your diabetic profile normal so no need to worry about diabetes so far
Doctor:but you have to reduce your weight
Doctor:And your triglyceride levels are elevated as well
User:ok
Doctor:your iron level is decreased
Doctor:folic acid is decreased
Doctor:Apo lipoprotein due to altered cholesterol level
User:Lipase is also above normal is it something related to pancreatitis
Doctor:Do you consume alcohol?
User:very rarely once in a month or so
User:socially only
Doctor:ok
Doctor:it could be high triglycermides
Doctor:Now come to management
Doctor:Are you there?
User:ok
User:ye smam
Doctor:First you need to visit an Internal medicine specialist doctor
Doctor:You need get treatment for vitamin D deficiency
User:ok
Doctor:doctor would advice vitamin D injection monthly once
Doctor:or vitamin sachets weekly once
User:ok
Doctor:and calcium and vitamin D tablets daily
Doctor:For vitamin b12, you need to take methylcobalmine supplements daily
Doctor:for iron, you need to take Iron supplements with folic acid combination
User:ok
Doctor:After clinical examination by doctor if doctor finds any thing doctor may ask for ultrasound scan
Doctor:to rule out any liver or pancreatic problem
User:ok
Doctor:for triglycerides, you need not take any medication
Doctor:you have to reduce your weight
Doctor:Say no to oil, junk, fast food
Doctor:regular exercises 30-45 minutes daily
User:I play Table Tennis for about 2 hours daily
User:will that help
User:I appreciate your time
Doctor:better do cycling or brisk walk or aerobics
Doctor:or you can join in gym, do exercises with master instructions since you have overweight
User:Is there anything alarming about CRp and pancreatitis
Doctor:Now Crp may be due to any inflammation in body or mostly due to vitamin D
User:Also the cold feet and tingling feet
Doctor:these are all due to vitamin D and B12 deficiency
User:and i sweat a lot during eating
Doctor:These all will disappear soon once you start medication
Doctor:Yes, it happens
Doctor:Do you smoke?
User:no mam
Doctor:no need to worry, your pancreatic enzymes slightly elevated
Doctor:it can be due to oobesity
Doctor:it will decrease soon ok
Doctor:but you have to maintain your weight okay
User:ok
User:To summarize, i need to consult general medicine doctor to treat B12, D and folic acid deficiency
Doctor:Yes
User:and get a check up done for pancreatic and liver function
User:and maintain wright
User:anything else madam
Doctor:yes
Doctor:Do you have any more queries?
User:yeah i got teh infomation
Doctor:Ok Thank you
User:I will get this treatment and will consult u back
Doctor:Sure
User:thanks for your valuable time
Doctor:You have posted a query right?
User:yep
User:thank you very much appreciate mam
Doctor:Do you want to get it answer
Doctor:?
Doctor:Thanks for visiting me here. Bye for now.
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