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Peripherial neuropathy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
Doctor :   Hi
User :   Hi Doctor
Doctor :   How can i help you today ?
User :   Could you please ref the chat of 2.04.2011
Doctor :   please give me a few minutes
User :   please sir
Doctor :   So u are a diabetic and a hypertensive
User :   yes sir
Doctor :   what are your current issues ?
User :   yesterday due to low BP i was having some problem which I had chated
User :   Since festival holidays and sunday I could not consult my regular dr last two days
Doctor :   ok
Doctor :   may i know if u have had a HBA1C test anytime ?
Doctor :   ok
Doctor :   8.6
Doctor :   it is very high and u need proper control of your diabetes
User :   but due to low BP I had reduced my BP TAb of night dose to half and
Doctor :   ok
User :   Yesterday and to day I am not having the giddiness and triedness
Doctor :   ok
User :   But since yesterday I am having very pain in left leg that is from hip to leg and it is paining like horrible
Doctor :   can u describe the pain ? and how long have u had this ?
User :   But I have not slipped nor any physical injury
Doctor :   and have u had this before ?
Doctor :   from your past symptoms and a long history of diabetes, your symptoms could be due to diabetic neuropathy
User :   No it naver before pain like this, but i use to have pain little due diabetic NURO
Doctor :   diabetic neuropathy is a major problem that can cause neuropathic pain
User :   Dr is this pain also due to low BP or NURO
Doctor :   low BP DOES not cause this pain
Doctor :   but D neuropathy does cause such pain
Doctor :   are you taking any medications for neuropathy ?
Doctor :   If u are not, then prescription medications like duloxetine or gabapentin might be helpful to relieve them
User :   But now days my sugar is much any time it will be less than 200, still this pain Dr
User :   No medicines for NURO Dr
Doctor :   please note, long term of Diabetes can cause nerve damage and this damage is usually irreversible
User :   Can I take today to get relief pain
Doctor :   for now, you can use capsaicin cream for local application to relieve the pain
Doctor :   once you see ur doctor, he can prescribe you the medications that i mentioned earlier
Doctor :   the cream is FDA approved for diabetic neuropathy
User :   But all of sudden so much pain will come Dr?
Doctor :   yes . it will present very soon
User :   Though my Sugar level comes down cpmpare to earlier
User :   Is nuropathy managable without tab with proper diet
Doctor :   yes , since the nerve damage is very severe and has occured over the years, it will take time
Doctor :   you will benefit by taking meds like , gabapentin, by prescription by your doctor
User :   Thanks Dr
Doctor :   without meds, it will be hard to control it
Doctor :   you are most welcome
Doctor :   take care and hope you get well soon
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