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Suggest Treatment For Knee Pain In A Hypertensive Person
Question: Hello Dr.,the question is that from my feet to the top of my head there is alot of tingle like somethings crawling in my skin and I also feels it down there. went to my Dr.had a pap smear nothing, they did blood work nothing, I'm on light high blood pressure and that is named Hydrochlorothiazide-12.5 tb,had kidneys and liver checked they say nothings wrong,but Ifeel different and I feel the pain in both knees please Dr.can you help a little its my health,thanks
Brief Answer:
Paraesthesia
Detailed Answer:
Hello and Welcome
I appreciate your concern
The sensations and symptoms you are referring to are known as paraesthesia. The numbness and tingling that you described required that renal and liver function tests be done. Fasting blood sugar, HBA1C ,Thyroid profile and electrolytes especially calcium should have been checked. If all the investigations were normal then you can relax. I hope your doctor screened you for the above labs that I mentioned.
Empiric therapy with duloxetine or gabapentin B 1, 6 and 12 supplementation can be done if the tingling sensations are bothersome and affect daily life activities. Vitamin D supplementation should be done if the levels are low.
If despite the above the symptoms persist then a neurological examination would be required. Possibly an NCS or EMG can also be advised to determine the cause of persistent paraesthesia.
Wishing you best of health
Thanks
Let me know if you have any query
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
Paraesthesia
Detailed Answer:
Hello and Welcome
I appreciate your concern
The sensations and symptoms you are referring to are known as paraesthesia. The numbness and tingling that you described required that renal and liver function tests be done. Fasting blood sugar, HBA1C ,Thyroid profile and electrolytes especially calcium should have been checked. If all the investigations were normal then you can relax. I hope your doctor screened you for the above labs that I mentioned.
Empiric therapy with duloxetine or gabapentin B 1, 6 and 12 supplementation can be done if the tingling sensations are bothersome and affect daily life activities. Vitamin D supplementation should be done if the levels are low.
If despite the above the symptoms persist then a neurological examination would be required. Possibly an NCS or EMG can also be advised to determine the cause of persistent paraesthesia.
Wishing you best of health
Thanks
Let me know if you have any query
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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