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Suggest Treatment For Tingling Sensation On The Legs
Brief Answer:
Get blood pressure checked, some more information would help
Detailed Answer:
Hello XXXXXXX I am Dr Mody and I will be addressing your concern
Some important information I would request
1) what is your age and lifestyle
2) are you diabetic, hypertensive , are you taking any medication for any , so you smoke cigarette or do pot or any other drugs, alcohol intake per week and other relevant information you would like to add.
3) since when are all the symptoms and any other associated features
4) how are you coping with your work and stress in daily life
5) any recent visit to a doctor or any evaluation, blood test or anything available
Hoping I would be able to narrow down the diagnosis with the above info
Now the symptoms you describe are generalised, it happens to be segregated all over the body.
So here we should try to find a systematic cause, and hence all the problematic and severe local spine or nerve compression are pretty ruled out..
Now, if you are above 30 , most importantly get your blood pressure checked, as higher pressure will cause overall fuzziness in head and generalised . At the same time blood sugar, hemoglobin (complete blood count) , thyroid may help us finding a cause.
If you so not take enough meat or eggs in diet supplementation of vitamin b12 and vitamin D would help strengthen nerves and decrease symptoms if you are deficient for same.
I would wait for your reply so we can chalk out possible causes and the future plan of action.
Regards Dr Priyank Mody
Get blood pressure checked, some more information would help
Detailed Answer:
Hello XXXXXXX I am Dr Mody and I will be addressing your concern
Some important information I would request
1) what is your age and lifestyle
2) are you diabetic, hypertensive , are you taking any medication for any , so you smoke cigarette or do pot or any other drugs, alcohol intake per week and other relevant information you would like to add.
3) since when are all the symptoms and any other associated features
4) how are you coping with your work and stress in daily life
5) any recent visit to a doctor or any evaluation, blood test or anything available
Hoping I would be able to narrow down the diagnosis with the above info
Now the symptoms you describe are generalised, it happens to be segregated all over the body.
So here we should try to find a systematic cause, and hence all the problematic and severe local spine or nerve compression are pretty ruled out..
Now, if you are above 30 , most importantly get your blood pressure checked, as higher pressure will cause overall fuzziness in head and generalised . At the same time blood sugar, hemoglobin (complete blood count) , thyroid may help us finding a cause.
If you so not take enough meat or eggs in diet supplementation of vitamin b12 and vitamin D would help strengthen nerves and decrease symptoms if you are deficient for same.
I would wait for your reply so we can chalk out possible causes and the future plan of action.
Regards Dr Priyank Mody
Above answer was peer-reviewed by :
Dr. Yogesh D
I am 60 yrs old, currently working in the receiving department of the local community college. I drive a lot in this position so I need to be alert. I am not diabetic, do not have high blood pressure. I do not smoke, usually have a beer daily. I lift weights 2 times a week as well as play tennis weekly. I also walk every day for at least 45 minutes. I have been taking Atenolol for 20+ years and was started on Digoxin 1 1/2 months ago for a cardiac arrhythmia. atenolol is 50 mgm, dig is 0.25. there really is not much stress either with my job or my personal life. these symptoms began approx. 5 months ago with no warning and are occuring pretty much daily, worse in the morning. I have seen my PCP, cardiologist as well as a neurologist. the neuro put me on Zoloft 50 mgm which made the symptoms very much worse. fuzziness especially, I have had an EKG, Echo, stress test, haltor monitor, large amount of blood work, all of which I'm being told is normal. This is very frustrating for me as no one seems to be able to figure out what, if anything is wrong.
Brief Answer:
Medication review should be considered
Detailed Answer:
Thank you for the disclosure,
My opinion would stand as follows :
1) The fuzziness is for sure caused by zoloft, it's an anti depression, anti anxiety with anti - psychotic properties, it cause certain metabolic changes in the brain, which will result in fuzziness, I am not against its prescription as your neurologist must have had a strong reason for it. However you may start at a low dose, 12.5 to 25 mg and than built ot up so that you don't have side effects for the same.
2) now the paraesthesia, as you say you are on atenolol for 20 years, so was that for cardiac arrhythmia or blood pressure. Coz as I said fluctuations would the symptoms, as the same time many arrhythmia too can cause similar symptoms,
3) as you said Digoxin has been started recently, now Digoxin too is notorious of many side effects. Nausea and paraesthesia among them, now there are many safer alternative to Digoxin as hence it's use has gone down in all over Europe and usa.
So if you can send me the ecg for interpretation of your arrhythmia, I may be able to help with the alternative meds which you can discuss with your doctor .
4) commonly Digoxin is used for arrhythmia when your heart pumping is on lower side, if that's the reason, it may too results in the symptoms you describe
5) all said and done I would still recommend you to take supplement of vitamin b complex, b12 and vitamin D, for whatever benefit for atleast 6 weeks.
You may upload all your investigation report if you want my second opinion.
Hoping I could help.
Regards Dr Priyank Mody
Medication review should be considered
Detailed Answer:
Thank you for the disclosure,
My opinion would stand as follows :
1) The fuzziness is for sure caused by zoloft, it's an anti depression, anti anxiety with anti - psychotic properties, it cause certain metabolic changes in the brain, which will result in fuzziness, I am not against its prescription as your neurologist must have had a strong reason for it. However you may start at a low dose, 12.5 to 25 mg and than built ot up so that you don't have side effects for the same.
2) now the paraesthesia, as you say you are on atenolol for 20 years, so was that for cardiac arrhythmia or blood pressure. Coz as I said fluctuations would the symptoms, as the same time many arrhythmia too can cause similar symptoms,
3) as you said Digoxin has been started recently, now Digoxin too is notorious of many side effects. Nausea and paraesthesia among them, now there are many safer alternative to Digoxin as hence it's use has gone down in all over Europe and usa.
So if you can send me the ecg for interpretation of your arrhythmia, I may be able to help with the alternative meds which you can discuss with your doctor .
4) commonly Digoxin is used for arrhythmia when your heart pumping is on lower side, if that's the reason, it may too results in the symptoms you describe
5) all said and done I would still recommend you to take supplement of vitamin b complex, b12 and vitamin D, for whatever benefit for atleast 6 weeks.
You may upload all your investigation report if you want my second opinion.
Hoping I could help.
Regards Dr Priyank Mody
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
You have misunderstood. All off the symptoms I have described have been going on since Easter this year. I was only put on the Zoloft about 2 weeks ago & lasted only 4 days because it made my symptoms many times worse. The Atenolol is for an irregular heartbeat. I thought my symptoms were maybe from me being on Atenolol for so long my cardiologist tried to get me off of it slowly.I was off it completely for about a week when I experienced SVT and had to go to the ER to get it under control I am now on 50 mg of Atenolol along with the Dig. I have only been on the Dig a little over a month. I have started taking B12 & a Bcomplex for about a week now I just started a D today.
Brief Answer:
Continue supplements, do go through the detailed answer
Detailed Answer:
Hello I did go through your details.
U will be more elobrative
The symptoms you describe may fit into a condition called peripheral , considering all the basic investigation has been done and everything is normal.
Now zoloft may increase the fuzziness, hence I pointed that out to you. However as you have already stopped , no point discussing it further.
Now coming to atenolol,.
The drug belongs to the group called beta , you are true that long term use of beta blocker may cause similar symptoms, however atenolol is cardiac specific beta blocker and it causing the symptoms is very rare, secondly atenolol is safest alternative for treatment of Svt. All other drugs including Digoxin have far higher side effects. So here we have to balance benefits vs. Risk.
As you are on atenolol for so long, there is a phenomenon called receptor desensitisation, so the tapering of atenolol shower extremely slowly or you will have rebound svt. Again I will impress upon the fact that we should try other therapy and treatment of reversible causes before we decide on withdrawing atenolol.
Lastly Digoxin is not the best drug for treatment of svt, and there are safer alternatives. You may discuss on your nxt visit to your cardiologist, about verpamil or diltiazem which are better and far safer alternatives to atenolol than Digoxin.
Supplementation of the vitamin should help the symptoms to a large extent , do add vitamin E too in it. Nuts and omega 3 supplement s ( fatty fish like salmon, flax seeds) over all increase the nerve strength due to its anti oxidants properties.
If you take alcohol and smoke a lot, some moderation there will help.
Hoping I could help.
If any clarification needed do feel free to reciprocate.
Regards Dr Priyank Mody, Cardiologist, XXXXXXX
Continue supplements, do go through the detailed answer
Detailed Answer:
Hello I did go through your details.
U will be more elobrative
The symptoms you describe may fit into a condition called peripheral , considering all the basic investigation has been done and everything is normal.
Now zoloft may increase the fuzziness, hence I pointed that out to you. However as you have already stopped , no point discussing it further.
Now coming to atenolol,.
The drug belongs to the group called beta , you are true that long term use of beta blocker may cause similar symptoms, however atenolol is cardiac specific beta blocker and it causing the symptoms is very rare, secondly atenolol is safest alternative for treatment of Svt. All other drugs including Digoxin have far higher side effects. So here we have to balance benefits vs. Risk.
As you are on atenolol for so long, there is a phenomenon called receptor desensitisation, so the tapering of atenolol shower extremely slowly or you will have rebound svt. Again I will impress upon the fact that we should try other therapy and treatment of reversible causes before we decide on withdrawing atenolol.
Lastly Digoxin is not the best drug for treatment of svt, and there are safer alternatives. You may discuss on your nxt visit to your cardiologist, about verpamil or diltiazem which are better and far safer alternatives to atenolol than Digoxin.
Supplementation of the vitamin should help the symptoms to a large extent , do add vitamin E too in it. Nuts and omega 3 supplement s ( fatty fish like salmon, flax seeds) over all increase the nerve strength due to its anti oxidants properties.
If you take alcohol and smoke a lot, some moderation there will help.
Hoping I could help.
If any clarification needed do feel free to reciprocate.
Regards Dr Priyank Mody, Cardiologist, XXXXXXX
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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