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What Causes Numbness And A Sensation Of Tingling In The Hands And Feet?

Posted on Thu, 7 Jul 2016

Question: I have numbness, pins and needles feeling from my hands to my forearms along with from my knees to my feet. My lips and tongue feel the same as my hands and feet do. I feel fatigued and it has been hard to fall asleep. I drink a lot of energy drinks. two a day.. a lot of vitamin b6. I'm high stress/anx in my fam. I have been consuming many sugary products. at times obsessively.

Answered by Dr. Neeraj Kumar (21 minutes later)

Brief Answer:
Get investigated as advised and provide reports

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
You may be having neuropathy according to your symptoms.

You need to get examined in detail by a neurologist.
Investigations can be planned accordingly. Nerve conduction study for neuropathy should be done.
Blood investigation like blood sugar, vitamin B 12 levels, renal function test, liver function test should be done.

Any history of diabetes, alcohol intake, drug intake?
Any family history of such illness?
Any neck pain, walking difficulties, Urinary complains or weakness in limbs?

Provide more details and reports if available.
For symptomatic relief Pregabalin or Amitryptiline or Gabapentin can be used with Methylcobalamin.

Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Neeraj Kumar (14 minutes later)

How urgent is it that I go and see a doctor? can I see them a month from now?

Answered by Dr. Neeraj Kumar (6 minutes later)

Brief Answer:
Not urgent, get evaluated with appointment

Detailed Answer:
Hello,
Yes, it's not urgent as symptoms are sensory only without any motor weakness or urinary abnormalities.
Get evaluated in detail for optimal treatment.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Neeraj Kumar (0 minute later)

My cousin has type 1 diabetes. There is no history in my immediate family. No neck pain or walking difficulties.

Answered by Dr. Neeraj Kumar (1 minute later)

Brief Answer:
Get evaluated for diabetes

Detailed Answer:
Hello,
You should get evaluated for diabetes. Get blood sugar fasting, post prandial and HbA1c.
Regards
Dr N Kumar

Above answer was peer-reviewed by : Dr. Arnab Banerjee