Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

184 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Have bladder problem. Experiencing pain in penis and tingling sensation. Brain tumor or neuropathy?

Answered by
Dr. Sudhir Kumar


Practicing since :1994

Answered : 5723 Questions

Posted on Mon, 7 Jan 2013 in General Health
Question: I have tingling (no pain or numbness) on my head , around mouth, my left arm and right foot fingers. It started 2 days ago (12 december ) with just my head (next to the left ear) and then gradually around most of mouth, my right hand and left foot fingers. Now it seems that it does not progress anymore. It’s just there
Before this happened , a week before I have noticed that my last 3 fingers of my left foot were tingling and had a burning sensation. Same tingling was on my head but was very mild.

I should mention that this is my second “tingling event” First one was at the end of August 2012. Then on my second day of tingling I saw my family doctor. His suggestion was to wait and see if it gets worse and return within 2 weeks. I didn’t go back as everything was fine. 
Before the first event there was a little discomfort on my right foot when at rest before sleep where I usually bend my foot at 90 degrees under my left foot. This is true even now.

One last thing. Before the first event I used to workout with kettle bells. My doctor’s impression was that somehow these exercises induced my tingling.

I took a pause of 1 1/2 month from using kettle bells. Now I have started again (like 1 month ago) but with a smaller bell.

Other then tingling on my head, around my years and mouth , my left arm towards the fingers has somehow a week grip no pain . Swimming seems to ameliorate this discomfort.
One other thing that I've noticed is that when I wake up in the morning the tingling on my left foot toes are gone (it will came back later on the day) and the face tingling is almost unnoticeable.

Now I have read allot about MS and I am very scared. I am not sure if my symptoms will dictate such a diagnostic . I know how hard is to put such a diagnostic but still can you please tell me your opinion ? I don’t wanna do a MRI unless is absolutely necessary .

I am 35 years old , I have a bladder problem that I learn to keep it under control as no medication was suggested by my urology doctor, although I have to revise this issue as from time tot time my kidney/penis/scrotum hurts. I might have a non-bacterial prostatitis which some say can generate a tingling . This is just my suspicion base on what I have read over internet. My next doctor appointment is on 7 january 2012
I do not have blurry vision ( unless I don’t have my glasses on) I do not experience any lost of balance and I am not fatigue. Will you be so kind to comment on the MS possibility, brain tumor or neuropathy ? Looking over internet allot of people seems to have MS with less symptoms then mine. :(

I would very much appreciate your detailed comments on the issues described
Answered by Dr. Sudhir Kumar 2 hours later

Thank you for posting your query.

I can understand your anxiety, after having read so much on the Internet about various neurological disorders including like to reassure you that your symptoms are not suggestive of any serious neurological diseases.

The symptoms of tingling suggest involvement of sensory nerves (nerves that carry sensations from skin). This involvement most often occurs in peripheral nerves, however occasionally, it can occur due to involvement of sensory nerves in brain or spinal cord.

The commonest cause in your case could be peripheral neuropathy. This, in turn, can be due to vitamin B 12 deficiency or due to viral infections.

Other possibility could be lack of blood flow in certain parts of brain. This is more likely to happen, if there are risk factors such as diabetes, high BP, cholesterol, smoking, etc. If you do not have these risk factors, then the chance of lack of blood flow to brain is less. However, in young people, a rare disease called vasculitis may lead to decreased blood flow.

MS is a remote possibility in your case. However, the typical symptoms such as decreased vision, imbalance of gait, weakness of one half of body, weakness of both legs, etc are lacking.

As of now, you can get certain blood work done, such as vitamin B12 level, XXXXXXX profile, etc.

There is no urgency to do MRI. If your symptoms worsen, then it may be required at a later date.

I hope it helps. Please get back if you have more queries.

Wishing you good health,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Sudhir Kumar 33 minutes later
Thank you for your quick reply. Here are my last questions to you:

1. Are you not worried about the fact that I had a second event in less than 5 mounts apart ? I am on my second week now with these tinglings .

2. I did have some weakness in my legs, this happened once or twice just before I went to sleep. In the morning everything was fine. Any worries ?

3. It seem somehow that when I try to go to sleep my tingling is more persistent as I change my sleep position. For instance If I sleep on my back and my hands are fully extended next to my body the tingling is almost non present after a while. However if I am on my right side the tingling most surely will be on my right hand. Can you please what you would understand from this ?

4. What should I ask from my doctor (testing wise) I have an appointment an the beginning of January ?

5. Is peripheral neuropathy curable ? Or is just an other dead end

Looking forward for your answers . Your input has been great so far
Answered by Dr. Sudhir Kumar 14 minutes later

Thank you for getting back with more queries. I must add here that your questions are very thoughtful, and I appreciate them. My replies are below:

1. I am not worried regarding your symptoms. However, I would like to determine the reason of your symptoms and treat them. In any case, it seems to me like a minor illness.

2. Transient weakness that you noticed are possibly not of clinical significance. A neurological weakness generally affects the function of the affected limb, and should last for a significant amount of time. So, here again, I am not worried.

3. In certain types of neuropathies (nerve diseases), symptoms of numbness and tingling tend to get aggravated with change of posture and compression/pressure of nerves.

4. In addition to what the doctor would order after examining you, you should get a nerve conduction studies of arms and legs done. This would help in evaluating peripheral neuropathy.

5. Most cases of peripheral neuropathy are treatable or curable, and would improve a lot with treatment.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Sudhir Kumar 15 minutes later
Doctor XXXXXXX XXXXXXX thank you so much for amount of detail that you have put in your reply. Last question:
Is there any kind of medication (non-prescription) that would help me cope with this uncomfortable state until I see my doctor ? (1 month from now) Or do you recommend any kind of physical exercise or maybe some natural remedies ? Of course your reply is not equivalent with a diagnosis or a treatment option. I am only trying to understand my options.

Your input was very very good. You have presented not only a straight answer but you have made your argumentation easy to follow and logical. I will rated as such. Thank you !
Answered by Dr. Sudhir Kumar 22 minutes later
Thank you for getting back and your appreciation as well!

As of now, the only medication you can take is vitamin B12 supplementation, which we tend to use a lot in Asia, as many people are deficient (I know it is not a standard practice in North America), but it is harmless and you can take it.

In addition, sleep adequately (7-8 hours every night), as most nerve problems tend to worsen with less sleep.

Engage yourself in at least 30 minutes of physical exercises, at least five days a week; and eat healthy!

My best wishes are always with you,

Dr Sudhir Kumar MD (Internal Medicine) DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Lab Tests ,  

Recent questions on  Paresthesia

doctor1 MD

ataxia,numbness in legs,feet and hands.fibro broke foot badly got 3 breaks just getting out of bed plate fitted to leg and foot severe muscle loss from bum to ankles loss of power inlegs and arms hand degenerate disc disease and facet joint disease also fibromyalgia defiency in vd3 and folic acid

doctor1 MD

The question is about my son. 18 yr old athlete. He was lifting weights doing an overhead press. He felt a pop or crack in his neck and some pain. very soon after that he got a Migrane headache. He has got them before when he didn t have good sleep habits. This Migrane seemed stronger than previous ones but he did not throw up. The next day he woke up with a very sore neck and numbness on the left side of his body. The numbness was in the back of his arm and down his leg. We took him to the hospital and he started a bunch of tests. MRI s, Echo, ect. Things they found were. The possibility of two very small dots on the occiptial lobe of the brain which they said could be there and if so could represent a stroke but also could not really be there. They said he has Chiari Type 1 which could be the cause. They don t believe there has been a disection of arteries in the neck according to MRI s. He did not have a PFO. We left the hospital yesterday with a wide range of possibilities from very scary to no big deal. He continues to have numbness in his left arm and leg. Also he hasn t had a stool movement for a couple of days which is atypical. My questions are 1. If its just a pinched nerve then how long would the numbness typically last. 2. from looking at the information on the web is it possible he had a Sporadic Hemiplegic Migraine (SHM) and if so how long does the numbness usually last in those cases. 3. Does the Chiari have an effect on the nervous system after an injury. The web seems contradictory in this area. 4. Can a stroke or mini stroke be associated with a minor neck injury. 5. How do we know if the chiari is affecting his nervous system. My son is a college football player and its a big part of his life. So this has the family very concerned.

doctor1 MD

my husband has been having tingling/numbness in his hands and feet .... and his arms....almost as if he has slept on them and you get that tingly feeling. he hasn t really felt right since June....very light headed....has had to pull over when driving... the right side of his face has now started getting prickly now. 2 weeks ago he went to the doctor and she thought the tingling/numbness and the light headedness/dizziness are not related. she ordered blood work but they called and said it all was normal. she ordered a neck xray (thinking maybe a pinched nerve)...we haven t gotten the results of that yet. the past 2 days he has felt worse.....nausiated and hot flashes... last night, he woke at 4am and said his heart was racing and he just didn t feel right - his left arm was tingly again.

doctor1 MD

I am a 25 year old female with fibromyalgia. I am experiencing a new symptom, and am wondering if it is due to the fibro or something else. I have been experiencing numbness and pins/needles sensation in both hands and arms for the last few hours. No position makes it better. It s strongest in the last 3 fingers of each hand. I can barely hold anything in my hands without dropping. What s going on with me?

doctor1 MD

I had a pontine stoke 5weeks ago down my right side canwalk and talk and feel but have severe pins and needles in right hand and foot and numbness and feels frozen with sensations moving on right side of leg and arm. AM doing all exercises but...

doctor1 MD

Hi, earlier i had a buzzing sensation my right chest. what was that? the buzzing came more than 5 times. when it buzz its also radiates my left wrist. is this serious?

doctor1 MD

Systematic Skin Respomse test for small fibre neuropathy. Hello I am recently trying to get the diagnosis of my paresthesia problem and my Doctor suspected small fibre neuropathy. She ordered for sympathetic skin response test and found out it is...