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What Causes Dizziness, Tingling Sensation In The Extremities, Black Stools And Dry Mouth?

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Posted on Mon, 23 Jan 2017
Question: Hi I I have had two spells of dizziness, sickness, tingling of hands and feet, black stools, dry mouth over the last month. I went to the doctors and I had low blood pressure and high heart rate. He said I had tonsillitis so gave me penicillin and anti sickness tablets. I began to feel a little better. The penicillin finished and was off it for two days and then had another spell and had to go to a and e. The gave me an ECG scan and all blood and urine tests. They said everything seemed normal but my magnesium was slightly low and ecg scan was very slightly prolonged. They said this is often normal.
The only thing that has changed in this period of time is I have used a Retin A Tretonoin cream for my face. I have read up people have had similar symptoms. Could this be the cause? Thanks
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Answered by Dr. Ilir Sharka (36 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that your symptoms could be explained with adverse effects related to low magnesium levels.

I would like to directly review your ECG, if you can upload it for a more professional opinion. Prolonged ECG could be related to sinus bradycardia, but I would like to directly review your ECG.

Regarding the cream that you are using, I would explain that the face surface is a small surface and the amount of cream absorbed into the circulating blood is really small to cause such adverse effects.

Anyway, I would recommend taking some magnesium supplements for some times.

If these symptoms occur again, I would recommend stopping the cream intake. If this does not help too, with your symptoms, further tests are needed to investigate for other possible causes underlying this clinical scenario:

- thyroid hormone levels for possible dysfunction
- PCR, ESR for inflammation
- a stool analysis for the presence of blood
- a stool bacterial culture for infection (which can cause stool color change).

Hope to have been helpful!

Kind regards,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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What Causes Dizziness, Tingling Sensation In The Extremities, Black Stools And Dry Mouth?

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that your symptoms could be explained with adverse effects related to low magnesium levels. I would like to directly review your ECG, if you can upload it for a more professional opinion. Prolonged ECG could be related to sinus bradycardia, but I would like to directly review your ECG. Regarding the cream that you are using, I would explain that the face surface is a small surface and the amount of cream absorbed into the circulating blood is really small to cause such adverse effects. Anyway, I would recommend taking some magnesium supplements for some times. If these symptoms occur again, I would recommend stopping the cream intake. If this does not help too, with your symptoms, further tests are needed to investigate for other possible causes underlying this clinical scenario: - thyroid hormone levels for possible dysfunction - PCR, ESR for inflammation - a stool analysis for the presence of blood - a stool bacterial culture for infection (which can cause stool color change). Hope to have been helpful! Kind regards, Dr. Iliri