Brief Answer:
Kindly view the details

Detailed Answer:
Dear XXXXX,

Thanks for your query.

A. Regarding the problem of pain in legs, kindly let us know about the following:

1. Any recent history of injury or wear & tear?
2. Any history of systemic disease like Diabetes, Hypertension, Hypo/Hyperthyroidism?
3. Lack of adequate hydration, proper nutrition & good sleep?
4. Any emotional factors like stress/tension?
(It can also lead to such symptoms)
5. In your history, you have mentioned about an episode of seizure disorder. Kindly let us know when did it happen & are you presently taking any medication for the same?
(Prolonged intake of anti epileptic drugs is known to produce such effects)
6. Habit of smoking or alcohol consumption?

If your answer to the above mentioned questions is NO, then the symptoms can be attributed to muscle spasm or deficiency of certain essential nutrients in your diet.

Symptomatic relief can be obtained by intake of anti spasmodics like Dicyclomine preparation (to be taken after food) & application of analgesic+muscle relaxant gel.
You can also add multivitamins & multimineral supplement to your diet, take good rest, maintain adequate nutrition & hydration status and avoid stress.

If symptoms still persist after 15 days, you need to get certain investigations like complete blood count, nerve conduction studies (to rule out any neurological cause for the symptoms) & estimation of serum electrolytes (sodium, potassium, calcium).

B. Regarding the problem of varicocele, the management depends on the Grade of the varicocele.
Majority of the Varicocele are asymptomatic, incidentally detected & do not need treatment.
However, symptomatic cases need to be managed surgically to prevent any damage to testes & sperm production.

If possible kindly attach the report of Colour doppler study.
It will help us in understanding your concern better & help in formulating a proper management plan.

Wishing you a good health.
Take care.

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Brief Answer:
detailed below

Detailed Answer:
Dear XXXXX,

Thanks for your follow up query.

Carbamazepine is prescribed in cases of neurological pain (like trigeminal neuralgia). So, your treating Doctor has prescribed it thinking the same.

To rule out any neurological cause for your leg pain, you need to get consult a Neurologist & get a proper clinical examination done, including nerve conduction studies. MRI of the lumbosacral spine may also be needed to detect any compression of nerve.
Along with Carbamazepine, you also need to take Nervigenic agents like Vit B6, Vit B12 & Folic acid under the guidance of your treating physician.

The testicular pain seems to be due to the varicocele.
Symptomatic relief can be obtained with analgesics & anti spasmodic preparations, but definitive management should be taken depending upon the severity & grading of the varicocele.

Meanwhile, maintain adequate hydration & take a healthy balanced diet, get good sleep and avoid stress.
There is no need to worry, you will be fine.

Wishing you a Good Health.
Please let me know if I need to clarify further.
Thanks & take care.

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Brief Answer:
Thanks for your appreciation.

Detailed Answer:
Dear XXXXX,

Thanks for your appreciation.

Wishing you a Healthy life.

Regards,
Dr Polash

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