Brief Answer:
Need liver function test; Neurological evaluation

Detailed Answer:
Hi
Thanks for your query.
     I have gone through your suffering, the whole body cramps are caused by hyper excitability of the nerves that stimulate the muscles. They are overwhelmingly the most common type of skeletal muscle cramps. Cramps at rest are very common, especially in older adults, but may be experienced at any age, including childhood. Sometimes, such cramps are initiated by making a movement that shortens the muscle. An example is pointing the toe down while laying in bed, which shortens the calf muscle, a common site of muscle cramps.

The cause of cramps is as following-
1. Liver disorder along with neurological disorder- This may happen in person taking excess of alcohol. You may get blood test to assess the liver function like SGOT/SGPT, serum bilirubin, serum proteins especially albumin level. ALS that is amyotrophic lateral sclerosis which affects the motor nerves supplying muscle may lead to whole body cramps. This requires evaluation by a Neurologist.

2. Low blood levels of either calcium or magnesium directly increase the excitability of both the nerve endings and the muscles they stimulate. This may be a predisposing factor for the spontaneous true cramps experienced by many older adults. Cramps can also occur in excessive vomiting, dehydration.

3. On drugs which causes excessive urination. Leading to low calcium, magnesium, potassium level. Drugs given for hyperlipidaemia like statins, asthma, angina and Parkinsonism also lead to cramps.

4. Several vitamin deficiency states may directly or indirectly lead to muscle cramps. These include deficiencies of thiamine (B1), pantothenic acid (B5), and pyridoxine (B6).
      Most cramps can be stopped if the muscle can be stretched. For many cramps of the feet and legs, this stretching can often be accomplished by standing up and walking around. Gently massaging the muscle will often help it to relax, as will applying warmth from a heating pad or hot soak. If the cramp is associated with fluid loss, as is often the case with vigorous physical activity, fluid and electrolyte (especially sodium and potassium) replacement is essential. Certain drugs like baclofen are helpful. You may have a word with your physician to change to new generation of statin drugs.
I hope this information will be helpful to prevent cramps. If you have further query I shall be glad to answer.
Take care
Regards
Dr XXXXXXX chugh, orthopaedic surgeon

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Brief Answer:
Statins may be a cause

Detailed Answer:
Hi
it’s good to see you
After going through the whole discussion we had, these drugs may be a cause of your symptoms. The side effect of statin increases with daily use of alcohol which may increase your risk for liver problems, especially when combined with rosuvastatin. Older adults may be more sensitive to the side effects of this drug, especially muscle problems.
Having said that other reason needs to be found out by detail neurological examination liver function test.
Hope this helps
Take care
Regards
Dr.chugh, Orthopaedic surgeon
Virtual clinic http://bit.ly/drmchugh

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