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Suggest Treatment For Tremors, Excruciating Pain Throughout The Body, Slurred Speech And Hyperventilation

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Posted on Thu, 2 Nov 2023
Question: TREMORS, EXCRUCIATING PAIN FROM MY HEAD TO MY FEET, PLUS NUMBNESS TO ALL EXTRIMITIES, MY SPEECH CAN BE SLURRED AT TIMES
IS THERE ANY WAY THAT WE CAN SPEAK ON PHONE, BECAUSE IM TREMORING AND HYPERVENTILATING AS WE SPEAK THERE IA A LONG LIST OF SYMPTOMS I CANT TYPE ANY LONGER
IM SORRY

I CAN HARDLY WALK WHATSOEVER OR USE MY HANDS DUT TO SHAKING SOO BAD!

IVE HAD A NECK SURGERY IN OCTOBER 2017, AND A FUSION IN MY BACK IN DECEMBER 2016
IM 100% WORSE THAN WHAT I WAS WHEN THIS ALL STARTED A COUPLE OF YEARS AGO
doctor
Answered by Dr. Shyam B. Kale (2 hours later)
Brief Answer:
It may be due to spinal nerve compression. see detailed answer.

Detailed Answer:

Hello,

I can understand your concern. As per your history I think that your condition get worsened after neck and back surgery. I think symptoms like excruciating pain, numbness, tingling sensation are all because due to spinal nerve compression. Other causes may be diabetic neuropathy, vit. B12 deficiency, any CNS pathology. I'd suggest you to do MRI neck, back, brain to rule out other possibilities and consult with neurosurgeon. I think you will get relief after decompression surgeries. Kindly try to do regular physiotherapy after consultation with physiotherapist.

Kindly do vit. B12 level, blood calcium level, serum electrolytes, complete blood count, random blood sugar. Kindly follow up with reports. You can take tab. Gabapentin plus tab. nortryptiline 75 mg after consultation. For severe pain you can take tab. etoricoxib or fentanyl patch after consultation with neurosurgeon. As these are prescription medication, kindly consult with doctor. Continue other medications as advised. Along with that, drink lot of fluids. Apply diclofenac gel or ointment. If along with slurred speech, if you are feeling severe weakness or unable to do limbs movements, I'd suggest you rush to ER and get examined urgently. I think this will clarify your concern. Take care.

Regards,
Dr. Shyam Kale
Family and General physician.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
Dr.
Dr. Shyam B. Kale

General & Family Physician

Practicing since :2011

Answered : 3856 Questions

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Suggest Treatment For Tremors, Excruciating Pain Throughout The Body, Slurred Speech And Hyperventilation

Brief Answer: It may be due to spinal nerve compression. see detailed answer. Detailed Answer: Hello, I can understand your concern. As per your history I think that your condition get worsened after neck and back surgery. I think symptoms like excruciating pain, numbness, tingling sensation are all because due to spinal nerve compression. Other causes may be diabetic neuropathy, vit. B12 deficiency, any CNS pathology. I'd suggest you to do MRI neck, back, brain to rule out other possibilities and consult with neurosurgeon. I think you will get relief after decompression surgeries. Kindly try to do regular physiotherapy after consultation with physiotherapist. Kindly do vit. B12 level, blood calcium level, serum electrolytes, complete blood count, random blood sugar. Kindly follow up with reports. You can take tab. Gabapentin plus tab. nortryptiline 75 mg after consultation. For severe pain you can take tab. etoricoxib or fentanyl patch after consultation with neurosurgeon. As these are prescription medication, kindly consult with doctor. Continue other medications as advised. Along with that, drink lot of fluids. Apply diclofenac gel or ointment. If along with slurred speech, if you are feeling severe weakness or unable to do limbs movements, I'd suggest you rush to ER and get examined urgently. I think this will clarify your concern. Take care. Regards, Dr. Shyam Kale Family and General physician.