Brief Answer:
i would need some info

Detailed Answer:
Hi,

Welcome to Health Care Magic.

I am Dr.Muhammad Ahmad, I have read your question in detail, I understand your concern and will try to help you in the best possible way.

In order to help you better , I would like you to give me some more information,

I will here by ask you some relevant questions to fill up the information gap

1) Are there any numbness in other parts of body?

2) Any pain in other parts?

3 ) ever got calcium levels tested.

4) are you taking any supliments?

5) Any other medical issues?

6) any meds u r using?





Waiting for your input


Regards.

Dr.Muhammad Ahmad.

M.B.B.S ( Licensed Family practitioner)

Resident M.D.

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Brief Answer:
What if it's not caused by meds?

Detailed Answer:
Hi,

Thanks for writing back,

Well it was an unusual way of answering though, but it did the purpose .

According to your history , description and medicines you are taking, I believe this is not caused by medicine , though being a resident cardiologist myself, I know that in rare cases diltiazem can cause extrapyramidal symptoms but it is rare and need proper diagnosis to be called extra pyramidal,


Neither do i believe that hypocalcemia could be a cause, because it causes numbness..muscle spasms..;body aches and rarely causes disorientation which is usually bilateral not localized to one side

In my opinion. Your meds could have aggravated a hidden neurological problem ,There must be something neurological which has to be found.

There is a possibility of emboli flying off from atria during A-fib so warfarin is given these emboli may cause stroke but these stroke are visible in MRI,and they don't progress gradually over 9 months.

so in my opinion you have to visit a neurologist and he should try to diagnose the cause without really keeping in mind that your meds must have done it.

This problem should be dealt as an independent neurological problem then I believe it can be diagnosed.

I will suggest you to meet a neurologist too and also reuqest your vitamin b levels,Thyroid tests, etc and anything which neurologist think, can cause such symptoms. Lets take it as a neurological thing this time instead of a drug side effect..may be we will find something.

I can nt make blind diagnosis as almost every motor neurological issue can oresent like your symptoms and need proper examination and investigation to diagnose but i believe a good neurological work up can solve the puzzle.

I Hope this answers your question, if your have more queries feel free to ask, otherwise close the discussion and rate it. Wish you the best of health.



Regards,

Dr.Muhammad Ahmad.

M.B.B.S.

Resident M.D.

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