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What causes intense fatigue, tingling sensation in the feet and leg pain?

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Posted on Fri, 13 Jan 2017
Question: I have been experiencing intense fatigue, tingling in feet, sensitive to the touch skin, and achy legs for going on 3 months now. My weekend immune system has also caused my rosacea to turn into ocular rosacea and my periods to become irregular (just got my second one in a month time span). My vitamin B and D levels are in normal range as are my thyroid levels: I have hypothyroidism and my current dosage of synthroid is 100mg. I sleep fine, meaning no sleep disturbances. I was also (a few months ago) tested for diabetes, and lyme disease. I do not have shortness of breath. It's essentially like waking up with the flu every day. I'm a 46 year old woman who is next scheduled to see a neurologist. Does this seem like the right next step to take to figure out what the heck is wrong?
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Answered by Dr. Olsi Taka (2 hours later)
Brief Answer:
Read below

Detailed Answer:
I read your question carefully and I understand your concern.

Generally the thyroid should be the first suspect in a situation such as yours. However since you say to have checked levels recently and they were fine it is less likely to be the cause and other possibilities should be considered.

I agree that if you are to consult a specialist a neurologist should be the first one to consider for your chronic fatigue and abnormal sensations. So it is the right step. Of course it is advisable that your GP prescribes some routine blood tests prior to that visit so that the neurologist has them at his disposal and no time is lost in waiting for them. By routine tests I mean blood count, erythrocyte sedimentation rate, c reactive protein, HbA1c, liver and kidney function, electrolytes, rheumatoid factor and antinuclear antibodies. Perhaps you've already done some of them along with those vitamin and thyroid levels, in that case not necessary.

I remain at your disposal for other questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3674 Questions

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What causes intense fatigue, tingling sensation in the feet and leg pain?

Brief Answer: Read below Detailed Answer: I read your question carefully and I understand your concern. Generally the thyroid should be the first suspect in a situation such as yours. However since you say to have checked levels recently and they were fine it is less likely to be the cause and other possibilities should be considered. I agree that if you are to consult a specialist a neurologist should be the first one to consider for your chronic fatigue and abnormal sensations. So it is the right step. Of course it is advisable that your GP prescribes some routine blood tests prior to that visit so that the neurologist has them at his disposal and no time is lost in waiting for them. By routine tests I mean blood count, erythrocyte sedimentation rate, c reactive protein, HbA1c, liver and kidney function, electrolytes, rheumatoid factor and antinuclear antibodies. Perhaps you've already done some of them along with those vitamin and thyroid levels, in that case not necessary. I remain at your disposal for other questions.