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Dr. Andrew Rynne

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What causes tingling sensation in feet and numbness in arms while sleeping?

Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2263 Questions

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Posted on Wed, 24 Aug 2016 in Brain and Spine
Question: I am 41, male, generally healthy. Two weeks back I started feeling gentle pins and needles in both my feet, latterly expanding to my arms too. Then I started getting numb arms during sleep. At first I tested for uric acid which was 8.1. Doctor put me on Zyloric 100mg once a day and the uric acidcame down to 5.4 in a week's time. The symptoms didn't improve much. I then underwent further blood work: all came back normal except Vitamin D3 which was 25, and TSH which was 5.1, and Vitamin B12 which was 229. My doctor has put me on vitamin d3 supplements - 5,000 once a week and a mix of calcium, magnesium, zinc and vitamin d3. One week later, not much improvement yet. Do you think the doctor's diagnosis and prescription is correct? How long will it take for the symptoms to ease or disappear? Do you think this is peripheral neuropathy? Can this be treated / cured?
doctor
Answered by Dr. Neeraj Kumar 20 minutes later
Brief Answer:
Continue medication and get nerve conduction study

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
These symptoms of pins and needle sensation may be neuropathy related or non specific.
For neuropathy clinical examination and nerve conduction study is required.
Is there any sensation loss, weakness, ataxia?
Any history of diabetes, drug intake, toxin exposure, alcohol abuse?
The blood reports are nearly normal and doesn't explain the symptoms.
You can get nerve conduction study and blood sugar measurement if symptoms doesn't improves with these vitamin supplements.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Neeraj Kumar 1 hour later
An internal medicine practioner has provisionally diagnosed this as idiopathic peripheral neuropathy. He has prescribed me Neurobion 3 times a day and Lyriga 75 X 2 for two weeks. do you agree?

No weakness, no loss of sensation, no diabetes history, no smoking, no alcohol. Had glucose intolerance while my weight was 110kgs. Lost 25 kgs five years back and since then no issues. My current HbA1C is 5.5.
doctor
Answered by Dr. Neeraj Kumar 8 hours later
Brief Answer:
Continue medication, consult a neurologist for examination

Detailed Answer:
Hello,
You can continue lyrica.
Neurobion forte can be used once or twice daily.
Visit and consultation with a neurologist may lead to evaluation and diagnosis of neuropathy.
Nerve conduction study may be done.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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