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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Sensation Of Worms Crawling Under The Skin?

My mother is 80 years old and she is a diabetic. She told me That inside her body or skin feels like she has worm inside her skin. I checked her skin and I see no sign of a worm, went to the doctor with her and the doctor told her the same thing. Weeks later, she keeps telling me that she feels there is a worm inside her. Do you think is psychological or something else is wrong with her.
Mon, 12 Sep 2016
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General & Family Physician 's  Response
This is something called paresthesia. It can occur in a patient with diabetes due to diabetic neuropathy. Diabetic neuropathy occurs due to uncontrolled diabetic. There are chances of other complications of diabetes such as retinopathy and nephropathy.
Advice
1.     Take rest
2.     Methylcobalamin 500 mcg once daily per oral for 3 months
3.     Gabapentin 300 mg (Capsule Neuronti 300 mg) every 8 hours per oral for 15 days
4.     Consult your endocrinologist for proper management of diabetes
5.     Consult an eye specialist for eye check up
6.     Investigation
a.     blood sugar (F & PP)
b.     lipid profile
c.     serum creatinine

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What Causes A Sensation Of Worms Crawling Under The Skin?

This is something called paresthesia. It can occur in a patient with diabetes due to diabetic neuropathy. Diabetic neuropathy occurs due to uncontrolled diabetic. There are chances of other complications of diabetes such as retinopathy and nephropathy. Advice 1. Take rest 2. Methylcobalamin 500 mcg once daily per oral for 3 months 3. Gabapentin 300 mg (Capsule Neuronti 300 mg) every 8 hours per oral for 15 days 4. Consult your endocrinologist for proper management of diabetes 5. Consult an eye specialist for eye check up 6. Investigation a. blood sugar (F & PP) b. lipid profile c. serum creatinine Thanks