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What Causes Tingling Sensation, Numbness And Burning Sensation In The Feet?
Question: Hello! I have had tingling numbness and burning in both my feet for quite some time. My feet are also frequently cold and I have to wear socks in our home all the time when I never used to have to. Today I noticed a good sized bruise on the top of my left foot...as the day has gone on it has gotten bigger. No pain with it though. In 2013 I was diagnosed with ITP but a platelet check last summer didn't indicate any further concern at that time. I am concerned about diabetes as I am overweight...but currently have no health insurance (another long story) until XXXXXXX 1. How concerned should I be? I am trying to hold off until XXXXXXX 1 to see a doc...
Brief Answer:
Tests
Detailed Answer:
Sorry to learn about your bothersome symptoms.
They are of concern, and enough to warrant a prompt evaluation.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) 12 hour Fasting Lipid profile
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Tests
Detailed Answer:
Sorry to learn about your bothersome symptoms.
They are of concern, and enough to warrant a prompt evaluation.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) 12 hour Fasting Lipid profile
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I understand that tests are necessary. However I am wondering if the new bruising means I should go in sooner or can I hold off until my health insurance is reinstated? Can diabetic neuropathy be a cause of this strange bruising? I can't think of anything I've dropped on my foot or hit it upon.
Brief Answer:
Follow up
Detailed Answer:
Sooner the better. Diabetic neuropathy does not directly lead to suc bruising. However, when protective sensation is lost, one becomes prone to injuries as there is no pain associated with them.
Follow up
Detailed Answer:
Sooner the better. Diabetic neuropathy does not directly lead to suc bruising. However, when protective sensation is lost, one becomes prone to injuries as there is no pain associated with them.
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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