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Hello, I Am Having Pain And Heaviness On The Right

Posted on Mon, 29 Oct 2018

Question: Hello,

I am having pain and heaviness on the right side of my body. It has started from the toe and has reached my head, my right ear, right side of my teeth feels in pain pain and also heavy. I do have a medical history of PCOS and prediabetic. I used to have nerve pain during Oct 2017 and was told to take Gabapentin 100mg and now I have stopped taking aper doctor's advise. I also did a nerve conduction test which came out negative.

Kindly advise what is going on with me as I am very scared. Please let me know is there anything serious. I can upload the lab results if required.

Thanks & Regards,

Anupriya

Answered by Dr. Dr.Dorina Gurabardhi (8 hours later)

Brief Answer:
Peripheral neuropathy due to prediabetes, follow the advice below.

Detailed Answer:
Hello and welcome to ‘Ask A Doctor’ service. I reviewed your query and here is my advice.

Your symptoms seem to be related to peripheral neuropathy due to prediabetes.
Diabetes can cause nerve damage, especially on the peripheral parts of the body.

Some examinations that should be done to precisely confirm the diagnosis are:
-a regular measurement of blood glycemic level
-an electromyography to check the muscles
-Quantitative sensory testing, which tells how your nerves respond to vibration and changes in temperature.

Meanwhile, some advice that I can give to you are:
-Continue taking Gabapentin 100 mg to relieve the pain
-Try Capsain cream for local application at the area of pain
-Eat a balanced diet
-Exercise
-Physical therapy and acupuncture are also recommended as an alternative treatment.

Hope I have answered your query. Let me know if I can assist you further.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr.Dorina Gurabardhi (3 days later)

Doctor,

Can this peripheral neuropathy be a serious concern and can this be cured? Do I need to see any specialist. Since last 2 weeks I am experiencing lot of pain in the right side of my head. It has spread from abdomen and has moved up to my head. I feel scared as it includes brain.

Sometime the pain is dull and sometimes is shooting, but the pain is always there. It feels like my body is divided into 2 parts right side is in pain and left side is normal. but I'm afraid if the pain spreads to that side also.

Thanks & Regards,
Anupriya

Answered by Dr. Dr.Dorina Gurabardhi (43 minutes later)

Brief Answer:
You should see a neurologist, treatment consists in relieving the pain.

Detailed Answer:
Hi again dear Anupriya,

Peripheral neuropathy can be a serious concern because of progressive pain in different parts of the body.
There are certain examinations that can be done to confirm the peripheral neuropathy.
The most important examinations are nerve function tests.
You should consult a neurologist which is the specialist who take care about this diagnosis.

Treatment is mostly focused on relieving the pain.
The recommended treatment is :

-Pain killers such as antiinflammatory medication. If the pain is not relieved you can try oxycodone which is a prescribed medication
-Gabapentin is also recommended to relieve the pain.It is also a prescribed medication
-Topical treatment such as capsain cream.

You should consult the neurologist about these treatments.

Hope my answer was helpful.
Wish you all the best dear,
Dr.Dorina Gurabardhi

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr.Dorina Gurabardhi (1 hour later)

Hello,

Is it possible to provide a good diet plan to help my situation. I have PCOS and my gall bladder ejection fraction is 46%, according to the HIDA scan in May 2017. I try healthy food diet but once in a while if I eat food which little high on fat content, I get pain in my right side. Can you please recommend a good diet plan. I am an XXXXXXX more specifically from Eastern part of XXXXXXX I do get these cravings so if you can kindly help me with a good plan that will be hugely helpful.

Thanks & Regards,
Anupriya

Answered by Dr. Dr.Dorina Gurabardhi (8 hours later)

Brief Answer:
Diet suggestions as below.

Detailed Answer:
Hi again dear,
I understand your concern.

Some advice that I can about the diet are :
-consume vitamin B12, which is in fish, lean red meat and poultry without skin.
-spinach, broccoli and yeast, which contain alpha-lipoic acid
-Vegetables, fruits, legumes are very important
-You can also consume whole grain.

I also suggest you to consume fat free or low fat products which have a positive effect in gallbladder function.

Hope my answer was helpful.
Take care dear,
Dr.Dorina Gurabardhi

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr.Dorina Gurabardhi (3 days later)

Hello,

My PCP has ordered for Brain MRI as of now. I will try to schedule an appointment with a Neurologist but this requires referral. I will have to get that to schedule.

Can I keep this thread open to discuss with you with the results.

Thanks & Regards,
Anupriya

Answered by Dr. Dr.Dorina Gurabardhi (2 hours later)

Brief Answer:
You are welcome.

Detailed Answer:
Hi again dear,

I am glad I could help you.
You are welcome for any other queries.

Take care,
Dr.Dorina Gurabardhi

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr.Dorina Gurabardhi (2 days later)

Hello,

Thank you doctor I will try to provide the result to you asap. I have the report in disc is it possible to share that anyway.

Thanks & Regards,
Anupriya

Answered by Dr. Dr.Dorina Gurabardhi (2 hours later)

Brief Answer:
You can upload reports through 'Upload' feature at the right side of the page

Detailed Answer:
Hi again dear,

I am glad I could helped you.
You are welcome for any other queries you may have.

You can upload images/ reports with the help of the 'Upload 'feature available on the right side of your page.

Take care dear,
Dr.Dorina Gurabardhi

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T