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

180 Doctors Online
Doctor Image
MD
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.

Suggest treatment for persistent cramps in the legs and hands

Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

default
Posted on Wed, 8 Mar 2017 in Thyroid Problem and Hormonal Problems
Question: Good evening! I am a 67 y.o female that had my thyroid removed about 18 months ago. I take 0.100 mg of levo . I also take supplements i.e. multi vit for 50+ woman, magnesium, vit D, calcium, glucosamine, B-complex and 81 mg aspirin. I do have cramping several times a week and sometimes several times a day. The cramping is in my legs, toes and hands. Almost daily, my tongue and lips are numb or at least have a pin prickle sensation--typically in the eve. I exercise 3-4 times weekly and generally, I would state that I am in very good health. Before being dismissed by the endo, (about 8 months ago) I told him of the symptoms. My blood work however apparently was OK, Had some more routine blood tests in the Fall and my family Doc did not change the levo dosage nor request a follow-up so, I am assuming that blood work was again OK. However, I am getting concerned about the ongoing cramping and numbness--should I be?

doctor
Answered by Dr. Shehzad Topiwala 42 minutes later
Brief Answer:
Tests

Detailed Answer:
Sorry to learn about your bothersome symptoms. These can be a result of various reasons, some of which could be:

low blood calcium
low blood vitamin D levels
abnormal blood electrolyte levels
abnormal thyroid levels
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting and can be done at any time of the day Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shehzad Topiwala 1 hour later
Thank you. I have had all of the blood tests including Vit D , done in the Fall and pretty much fell within the normal range. However, I did not have the specific thyroid tests done. So, thank you, I will follow-up with the physician.

I am not concerned about fasting--I am pretty compliant.

Thanks, again.
doctor
Answered by Dr. Shehzad Topiwala 20 hours later
Brief Answer:
Best wishes

Detailed Answer:
for good health
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication ,   ,  
Lab Tests ,  
Medical Topics ,   ,  

Recent questions on  Glucosamine

doctor1 MD

I never had PCS growing up. I am a 34 year old male, and started taking a supplement of Glucosamine 1500 mg + MSM 1500 mg (2 tablets is the total dosage) daily. While taking this supplement, I started having sharp chest pains, and didn t know if I was going to die of a heart attack. I did figure out that if I took a deep breath, I would feel a sudden pop, and the pain would go away. I am so glad taking the deep breath worked, because the pain was crazy. This would give me relief for a while, until I got another episode (around a couple a day). After going through this for days, I decided to try and stop taking the supplement, along with the multi-vitamin I was taking, and the PCS completely stopped. I have not had any since I stopped taking them. I just wanted to see if you thought this may be some information that could be used to isolate a certain chemical that may be elevated in some people that may trigger episodes of PCS. Thanks.

doctor1 MD

I am a 61, slim, female. My only health history consists of a heart attack over 12 years ago and arthritis in the hands for which I take Glucosamine and no other medications at all. Therefore, I live a balanced healthy life style. I have been experiencing sloppy poo over the last few years. It is now consistant daily and I never have a formed poo. I feel great all the time & don't ever get sick, but have been thinking that maybe this indicates some narrowing of the bowels? Need I worry?

doctor1 MD

About a month ago, I started having mild widespread joint aches, and it has gotten worse. The neck and lower back are the most affected but at times my right knee and ankles are too. I had an exam with my family doctor, which found nothing wrong....

doctor1 MD

HI, I HAVE OSTEOARTHRITIS OF MY RIGHT KNEE. WHEN I WALK I SUDDENLY GET AN EXTREMELY SHARP PAIN IN THE BACK OF MY KNEE , ISTOP SUDDENLY & SCREAM @ THE SAME TIME. WHEN I SIT, [ [ESPECIALLY ON THE COMMODE] & START TO GET UP THE PAIN HITS ME SO BAD I...

doctor1 MD

my leg muscles and knees feel as if they need some lubrication. they are stiff and difficult to move, sometimes they are really painful. What can I do to fix this?

doctor1 MD

I have been constantly sick with colds, and fatigue since having three surgeries 3 years in a row. I weigh 125 pounds and am 5 7 . I have been told by many docs that this is due to much anethesia in too short of a time frame for my build and weight. I have been fighting bronchitis for going on 5 weeks now after 5 days of steroids and 9 days of antibiotics. Still have it. I want to find something to boost my immune system. Your thoughts on MSM combined with 50mg Zinc and Grapeseed extract which is also apparently good for detoxing the colon? Any problems in combining all of these/. I also take a B12 liquid supplement, E, D and calcium along w/a Glucosamine/chondroitin/msm (2 mg) arthritis in the hip socket.

doctor1 MD

Hello, is Boswellia serrate wood resin AKBA standardized extract 100mg and Boron 3mg that is included in a Glucosamine Chondroitin dietary supplement safe to take around or at all when you take 10mg Paxil and Claritin for allergies or has any known reactions together?