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Suggest Treatment For Tingling On The Skull And Face

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Posted on Tue, 6 Oct 2015
Question: Dear Dr,
it all begins with me 2 years ago...
it begins with tender places on my back of skull and face tingling
after 1 week i finished a treadmill average speed training for only half an hour, after stoping my hearts pound and my pressure decreased alot and i cant move untill i got alot of salt with water, after this accident i felt very fatigued and i couldnt sleep for days as i was very tired even to breath and open my eyes unable to do any physical job, pain in all my body, pounding heart for any physical activity, i did all the tests of blood including thiroyd test and heart & kidneys ct scan and brain mri, everything was in normal range then one dr gave me arcalion 200 and multivitamines also beta lock zok50 to control blood pressure, also i took lexotanil. after abt 1 month i get better and i started to be able to concentrate in work without being fatigued just to concentrate on my job,
after 2 months i tried to do sport also slow treadmill excercise for 30 minutes while iam walking there is no problem but after stoping (gradually) i feel dizziness and something squeezing on sides of my head and i feel jaw
weakness then i started to have great fatigue and i have to return to arcalion & vitamins i know its bad but i skipped working out because of the pain and great fatigue i feel as i couldnt do my job which needs focus as iam commercial manager for a big company now after 2 years,
without doing physical activity i felt now pain in both sides of my head i can't focus also little hard to move i feel like blood pounding on sides of my head and infront of my ear and pain in all the body do you think its chronic fatigue syndrom, or something with the brain i did the mri 2 years ago, must i do it again with another lab

my blood pressure is steady at 12/8 and i always check it and its the same

my weight 105 kg
my height 172 cm

i want alot to restart walking and excersising but always ends with fatigue

also the new pressure in head and blood pounding on sides of my head
i feel most of time when i stand or sit but i feel better when i lay my head on the pillow

also i want to tell you that after i stop excercise (after 30 minutes of walking with speed 4) i feel the following:
first step: weakness in jaws & pressure in head and front of ears.
2d step: great fatigue and weakness
then fatigue will last for days, untill i have to take the arcalion and the multivitamin for 2 weeks untill i feel better
very appreciate if u can help me as iam very tired of this situation
doctor
Answered by Dr. Dr. Erion Spaho (2 hours later)
Brief Answer:
Chronic fatigue syndrome and low vitamins B group should be considered.

Detailed Answer:
Hello and thanks for using HCM.

I have read your query and understand your concerns.

In my opinion, Chronic fatigue syndrome is the most probable diagnosis in your case, since your condition has gone on for two years now, and lab tests resulted negative about finding a cause of your symptoms.

Muscles and joints pain that worsen after physical activity are also characteristics of chronic fatigue syndrome.

Another possible explanation could be low blood levels of vitamins of group B, since there is improvement after arcalion and multivitamins, so, if you haven't already tested, blood levels of vitamin B1, B6 and B12 should be measured.

Often chronic fatigue syndrome is associated with sleep disorders, so having a sleep study done could help understand better your condition.

All these issues and appropriate tests needed should be discussed with your primary care Doctor.

After this evaluation, a treatment plan could be instituted.

Hope you found the answer helpful.

Let me know if I can assist you further.

Take care.


Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Dr. Erion Spaho (34 minutes later)
dear dr spaho,

tks alot for yr reply
do you think that medicines like lonsaprazol, nexium could lead for b vitamines diffencies, if yes how many time needed to cure this issue

also do you think that i have sleep aponea which causing me the fatigue?

and if its chronic fatigue what is the best medicin to help
and can antidepreasants help me solving the fatigue?

b.rgrds
doctor
Answered by Dr. Dr. Erion Spaho (20 hours later)
Brief Answer:
Antiacid drugs predispose to low blood vitamins levels.

Detailed Answer:
Welcome back.

Antiacid drugs, if prolonged use, predispose to low vitamins B group, especially vitamin B12.

The time to restore these vitamins deficiencies should be guided by blood levels of these vitamins, till normal levels are achieved.

Sleep apnea and other sleep problems are possible conditions that may be associated with chronic fatigue syndrome,
so there is need to evaluate this possibility.

Drugs used to treat chronic fatigue syndrome include antidepressants, sleeping pills.

Psychological counseling also is used as a treatment possibility.

Hope I helped you.

Best regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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Suggest Treatment For Tingling On The Skull And Face

Brief Answer: Chronic fatigue syndrome and low vitamins B group should be considered. Detailed Answer: Hello and thanks for using HCM. I have read your query and understand your concerns. In my opinion, Chronic fatigue syndrome is the most probable diagnosis in your case, since your condition has gone on for two years now, and lab tests resulted negative about finding a cause of your symptoms. Muscles and joints pain that worsen after physical activity are also characteristics of chronic fatigue syndrome. Another possible explanation could be low blood levels of vitamins of group B, since there is improvement after arcalion and multivitamins, so, if you haven't already tested, blood levels of vitamin B1, B6 and B12 should be measured. Often chronic fatigue syndrome is associated with sleep disorders, so having a sleep study done could help understand better your condition. All these issues and appropriate tests needed should be discussed with your primary care Doctor. After this evaluation, a treatment plan could be instituted. Hope you found the answer helpful. Let me know if I can assist you further. Take care.