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What Causes Strong Pulse And Shooting Pain In Legs With Cold Extremities?
Question: Strong pulse in legs, shooting pains in legs now and again. Cold feet & just a strong pulse all over body. Any ideas? I am on omeprazole as I have had nausea recently in the mornings and awakening during the night, stomach is a little swollen/gassy
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would like to explain that facing your actual clinical scenario a careful differential diagnosis is necessary.
Your legs symptomatology (shooting pain, cold extremities, etc) needs differentiation between a radicular syndrome (caused by compression of a neural radix at the spinal column level), neural dysfunction or a peripheral arterial disease.
For this purpose a careful physical exam by your attending doctor (GP or internist) and additional medical tests would be helpful.
I recommend performing:
- a backbone X ray study,
- neural conduction study,
- Doppler ultrasound of lower limb vessels,
Also the strong pulse, cold extremities, nausea, etc. need to be further investigated.
After excluding a hyperkinetic condition characterized by hypertension, tachycardia, it is necessary to check:
- complete blood count (to exclude possible anemia),
- thyroid function tests (a possible thyroid dysfunction)
- fasting glucose (to investigate for possible glucose intolerance and diabetes)
If all the above tests result normal, an anxiety disorder should be ruled in/out.
In such case, if your symptoms persist, a consultation by a therapist (psychiatrist) would be useful.
Hope to have been helpful to you!
In case of further uncertainties, do not hesitate t oask me.
Best regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would like to explain that facing your actual clinical scenario a careful differential diagnosis is necessary.
Your legs symptomatology (shooting pain, cold extremities, etc) needs differentiation between a radicular syndrome (caused by compression of a neural radix at the spinal column level), neural dysfunction or a peripheral arterial disease.
For this purpose a careful physical exam by your attending doctor (GP or internist) and additional medical tests would be helpful.
I recommend performing:
- a backbone X ray study,
- neural conduction study,
- Doppler ultrasound of lower limb vessels,
Also the strong pulse, cold extremities, nausea, etc. need to be further investigated.
After excluding a hyperkinetic condition characterized by hypertension, tachycardia, it is necessary to check:
- complete blood count (to exclude possible anemia),
- thyroid function tests (a possible thyroid dysfunction)
- fasting glucose (to investigate for possible glucose intolerance and diabetes)
If all the above tests result normal, an anxiety disorder should be ruled in/out.
In such case, if your symptoms persist, a consultation by a therapist (psychiatrist) would be useful.
Hope to have been helpful to you!
In case of further uncertainties, do not hesitate t oask me.
Best regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have been diagnosed by GP as having health anxiety but would you say these symptons still need investigating? I have had many ecgs, 2 stress test ecgs and ultra sound of the heart, all clear over a 10 year period as this is my main worry but based upon current symptons should i be concerned? My GP doesnt seem to concerned but the symptoms are real and i worry i am missing my body telling me something. The pulse in legs has just come on today along with the quick shooting pains. Thoughts? Kind regards!
Brief Answer:
Your primary focus should be anxiety management.
Detailed Answer:
Hi again XXXXXXX
Your current symptomatology is much likely to be related to anxiety. You should consider a more serious strategy to manage your psychological situation with the support of your psychiatrist.
Nevertheless, metabolic disorders may trigger may be anxiety bouts. That's why I recommend checking those lab tests (thyroid function tests, fasting glucose, etc).
If topical legs symptoms persist, then the above mentioned medical exams (X ray study, Doppler ultrasound, ENG) would be necessary to assure that no organic disorders are present.
Meanwhile, try to focus on how to manage better your anxiety.
Besides, the valuable advices of your therapist, I would recommend to follow a physically active life style.
Try to exert sports like aerobics, yoga, swimming, cycling, etc. as they help to better overcome anxiety.
Regards,
Dr. Iliri
Your primary focus should be anxiety management.
Detailed Answer:
Hi again XXXXXXX
Your current symptomatology is much likely to be related to anxiety. You should consider a more serious strategy to manage your psychological situation with the support of your psychiatrist.
Nevertheless, metabolic disorders may trigger may be anxiety bouts. That's why I recommend checking those lab tests (thyroid function tests, fasting glucose, etc).
If topical legs symptoms persist, then the above mentioned medical exams (X ray study, Doppler ultrasound, ENG) would be necessary to assure that no organic disorders are present.
Meanwhile, try to focus on how to manage better your anxiety.
Besides, the valuable advices of your therapist, I would recommend to follow a physically active life style.
Try to exert sports like aerobics, yoga, swimming, cycling, etc. as they help to better overcome anxiety.
Regards,
Dr. Iliri
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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