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What Causes Tingling Sensation In Hand And Face?

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Posted on Thu, 30 Oct 2014
Question: Hi there it s been ten days of migratory tingling burning bilat in hand and left face lips mri/ mra head normal. Neurologist said its migraine with prolonged sensory aura gave me elavil but the sx continue and i cant sleep
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Answered by Dr. Chintan Solanki (57 minutes later)
Brief Answer:
Propranolol can be added, go for Vitamin B12 & D

Detailed Answer:
Hi XXXXXXX

Thanks for writing to us.

Your sensory symptoms of tingling might be due to deficiency of Vitamin B12 or Vitamin D. Please go for its level and if deficiency is there, supplementation wll be too helpful.

In migraine Elavil(amitryptiline) is good drug.It will help to prevent headache as well as induce sleep.25 to 50 mg dose suffice before going to bed. However if headache symptoms not controlled by it completely, in the morning propranolol sustain release preparation of 40 mg daily will be helpful.

Please provide me some detail from your side to help further:

Dose and at which time are you taking Elavil?

Any past history of such problem?

What about your blood pressure?

Since last ten days are you facing problem daily?If yes frequency in ad day?

Any allergy or precipitating factors known to you causing migraine?

Provide some detail about symptomatology.

Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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What Causes Tingling Sensation In Hand And Face?

Brief Answer: Propranolol can be added, go for Vitamin B12 & D Detailed Answer: Hi XXXXXXX Thanks for writing to us. Your sensory symptoms of tingling might be due to deficiency of Vitamin B12 or Vitamin D. Please go for its level and if deficiency is there, supplementation wll be too helpful. In migraine Elavil(amitryptiline) is good drug.It will help to prevent headache as well as induce sleep.25 to 50 mg dose suffice before going to bed. However if headache symptoms not controlled by it completely, in the morning propranolol sustain release preparation of 40 mg daily will be helpful. Please provide me some detail from your side to help further: Dose and at which time are you taking Elavil? Any past history of such problem? What about your blood pressure? Since last ten days are you facing problem daily?If yes frequency in ad day? Any allergy or precipitating factors known to you causing migraine? Provide some detail about symptomatology. Regards, Dr.Chintan Solanki.