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Suggest treatment for profuse night sweats and tingling sensation in the left arm

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Posted on Sat, 19 Nov 2016
Question: I have recently been having severe night sweats and a tingling numbness along the inside of my left arm from arm pit to the thumb and first finger. It feels like something is pressing on a nerve and I can get to stop by repositioning my arm. In addition to that I have been seeing a perfectly aligned grid of small white dots against the dark ceiling of my room when I first wake up. The grid is about 50 X 50 a a guess,
My e-mail address is YYYY@YYYY
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Answered by Dr. Dariush Saghafi (32 minutes later)
Brief Answer:
Nerve compression

Detailed Answer:
Good morning. Thank you for your question and concerns about the tingling and numbness you are feeling along the inner left arm from axilla to the thumb and index finger. I agree with you that at first glance some type of compression of a nerve or nerve root coming from your cervical spinal cord sounds as if it were being compressed or pinched. As far as the night sweats and the visual phenomenon are concerned I can't see a direct relationship with what's going on in the arm without a bit more information and test results.

My recommendation is that you see your doctor and get a good neurological examination of that left arm in terms of the motor strength and sensory capacity of the major nerves in the brachial plexus. Specifically, I would focus on the C6 and C7 nerve roots coming from the neck as they course into the arm through the axilla. The best tests to look at that sort of thing would be an EMG and Nerve Conduction Study as well as an MRI of the cervical spine.

Depending upon what you find there or what the suspicion may be after examination I would also recommend a CHEST X-ray to see if anything could be pressing upward from the apex of the lung such as a cyst, abscess, or tumor. Any of those types of things could also explain nightsweats though not the gridlike pattern you're seeing.

For that phenomenon you will first need to have an ophthalmologist or optometry check the integrity of your eyes and go from there.

If I've adequately answered your questions could you do me a huge favor by CLOSING THE QUERY and being sure to include some fine words of feedback along with a 5 STAR rating if you feel my suggestions have helped? Again, many thanks for posing your questions and please let me know how things turn out.

Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 15 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 2473 Questions

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Suggest treatment for profuse night sweats and tingling sensation in the left arm

Brief Answer: Nerve compression Detailed Answer: Good morning. Thank you for your question and concerns about the tingling and numbness you are feeling along the inner left arm from axilla to the thumb and index finger. I agree with you that at first glance some type of compression of a nerve or nerve root coming from your cervical spinal cord sounds as if it were being compressed or pinched. As far as the night sweats and the visual phenomenon are concerned I can't see a direct relationship with what's going on in the arm without a bit more information and test results. My recommendation is that you see your doctor and get a good neurological examination of that left arm in terms of the motor strength and sensory capacity of the major nerves in the brachial plexus. Specifically, I would focus on the C6 and C7 nerve roots coming from the neck as they course into the arm through the axilla. The best tests to look at that sort of thing would be an EMG and Nerve Conduction Study as well as an MRI of the cervical spine. Depending upon what you find there or what the suspicion may be after examination I would also recommend a CHEST X-ray to see if anything could be pressing upward from the apex of the lung such as a cyst, abscess, or tumor. Any of those types of things could also explain nightsweats though not the gridlike pattern you're seeing. For that phenomenon you will first need to have an ophthalmologist or optometry check the integrity of your eyes and go from there. If I've adequately answered your questions could you do me a huge favor by CLOSING THE QUERY and being sure to include some fine words of feedback along with a 5 STAR rating if you feel my suggestions have helped? Again, many thanks for posing your questions and please let me know how things turn out. Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. This query has utilized a total of 15 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.