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What could cause alternating freezing or burning pain in the hands and feet in an anemic person?

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Posted on Thu, 15 Nov 2018
Question: I have been having burning in my hands and feet, i will also have lower back aches and other pains throughout my body, i just went to see my neurologist through a referral and told him about my feet and hands burning, they will alternate throughout the day with a freezing and burning ache. He completed a EMG and physical exam which didn't show anything, he told me burning hands and feet are two different things. I'm confused on how this is possible. How can I have freezing and burning pain, especially at night or when i stand too long and not have a nerve problem, my mom also has neuropathy but from lupus. My grandmother as well. This has been going on for about 2 years now and the freezing pain has started recently from what i can tell. It also feels like I'm walking on a pin or something. How can this all be in my head, this makes no sense, i need a second opinion.

Almost forgot, I've been tested for B12 which is good, I am anemic but I've been anemic from birth. Also my feet and hands get really sweaty.
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Answered by Dr. Ishu Bishnoi (37 minutes later)
Brief Answer:
Symptoms conclusion and approach

Detailed Answer:

Hi,

Your symptoms are similar to sensory neuropathy and you have a family history of the same. Neuropathy must be thoroughly checked in you. Your neurologist did an EMG and B12 analysis and ruled out it. My opinion differs from him/her.

Your complete neurological examination, which should include sensory system, must be done.

After that, nerve conduction velocity of tibial and perineal nerve is needed to find out the type of nerve damage. Even if it is negative, a few blood tests must be done which can cause intermittent neuropathy like symptoms.

These are:
- Blood sugar analysis
- Antibody tests for lupus, Sjogren's Syndrome, autoimmune neuropathy
- Complete blood count with peripheral blood smear to know the type of anemia and red blood cells shape.
- If there is doubt, sural nerve biopsy can be done to confirm the type of neuropathy.

I think you can discuss it with your doctor and ask for it.

I hope it will help you.

Thanks. Take care.

Regards,
Dr. Ishu Bishnoi,
Neurologist, Surgical
Above answer was peer-reviewed by : Dr. Prasad
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Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 830 Questions

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What could cause alternating freezing or burning pain in the hands and feet in an anemic person?

Brief Answer: Symptoms conclusion and approach Detailed Answer: Hi, Your symptoms are similar to sensory neuropathy and you have a family history of the same. Neuropathy must be thoroughly checked in you. Your neurologist did an EMG and B12 analysis and ruled out it. My opinion differs from him/her. Your complete neurological examination, which should include sensory system, must be done. After that, nerve conduction velocity of tibial and perineal nerve is needed to find out the type of nerve damage. Even if it is negative, a few blood tests must be done which can cause intermittent neuropathy like symptoms. These are: - Blood sugar analysis - Antibody tests for lupus, Sjogren's Syndrome, autoimmune neuropathy - Complete blood count with peripheral blood smear to know the type of anemia and red blood cells shape. - If there is doubt, sural nerve biopsy can be done to confirm the type of neuropathy. I think you can discuss it with your doctor and ask for it. I hope it will help you. Thanks. Take care. Regards, Dr. Ishu Bishnoi, Neurologist, Surgical