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Dr. Andrew Rynne
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Dr. Andrew Rynne

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What do these following lab reports indicate?

Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2263 Questions

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Posted on Tue, 23 Aug 2016 in Brain and Spine
Question: Hello since 7 months ago i being feeling this symptoms
Crawling, Prickling, Burning, itching, tickling and
Fasiculations in all the body
somedays i feel pain in my legs when i go to sleep

I feel like insects crawling over me
or someone is pricking me a pin or ticling me and itch a lot

This symptoms occur all day, everyday specially the itching
somedays not so much and somedays pretty bad

I been to 3 neurologist

The first one told me that maybe i have a nerve inflammation and
prescribe me gabapentin 2 times a day for 2 months, then 3 times
a day for another 2 months in total 4 months and didnt see almost any improvement.

The second one say i have nothing wrong and told me that maybe its
anxiety and recomend me a psiquiatrist
The psiquiatrist give prescribe me pristiq for 2 months in total
and didnt see any results.

the third neurologist prescribe me me multivitamin + Carbamazepine (Tegretol)
didnt see any results and went back again after 1 month
i went back again and he prescribe me lyryca for another month
i have a date for 5 august so i can show him the new analisis of Electromyography
and some more blood test
im ataching all my analisis.

doctor
Answered by Dr. Neeraj Kumar 22 minutes later
Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
I have gone through your question,reports and understand your concerns.
There is nothing abnormal in reports.
The symptoms you describe are not specific to any particular neurological involvement.
You may be having neuropathy.
You should get a nerve conduction study to rule out any such possibility.
If nerve conduction study is normal then possibility of stress related symptoms are more likely.
You can continue lyrica and increase the dose.
SSRI like amitryptiline, nortryptiline, sertraline, paroxitine may be added too.
Take multi vitamin and calcium supplements too.
No emg report uploaded.
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 13 hours later
Hello thanks for the answear, for what symptoms is the calcium supplements?
and what should i take for the itch without a rash.
and the archieve 5,6,7 are the EMG results.
doctor
Answered by Dr. Neeraj Kumar 8 hours later
Brief Answer:
Get examined and investigated under a neurologist

Detailed Answer:
Hello,
You are having some changes in nerve conduction studies.
You need detailed examination and investigations under neurologist.
Routine testing like blood sugar, Thyroid profile, vitamin B 12, renal function test, liver function test are normal.
You need to get examined for other possibilities like myeloma, exposure to any drug or toxins.
For itching you can take levocetrizine, allegra.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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