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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Pernicious Anaemia, Tremors, Tingling In Hands. Taking B12 Injections. Suggestions?

I have been diagnosed with pernicious anemia and am being treated with vitamin B12 injections. It took quite a time before being diagnosed and I still have tingling in my hands and arms, tremors in my hands and upper body which are quite severe if I am stressed or tired. I have constantly cold hands and feet . When the tremors are severe I get bad back pains in the lower back area and in my neck almost as though my mucles have frozen up. Trying to use the mouse on the computer is difficult as the tremors in my hand wont let me direct it properly. All this has been going on for 6 months. Thankfully the depression and tearfulness have now gone but I am so fed up with not feeling really well.
Tue, 25 Jun 2013
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Psychiatrist,  's  Response
Hi,

Thanks for using healthcare magic.

I have gone through your available history.

It seems that you have anxiety disorder alongwith pernicious anemia. In fact anemia itself may be the reason for anxiety.

While continuing vitamin B 12 injections, You may consult psychiatrist for detailed evaluation and management.

Doctor may offer you drugs like clonazepam or lorazepam or antidepressant drugs like peroxetine or sertraline etc.

You may get benefit by doing stress management, relaxation tehrapy like breathing exercise and yoga.

You may increase intake of food containing Vitamin B12 or food fortified with Vitamin.

I hope it will help you.

Thanks.

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Diagnosed With Pernicious Anaemia, Tremors, Tingling In Hands. Taking B12 Injections. Suggestions?

Hi, Thanks for using healthcare magic. I have gone through your available history. It seems that you have anxiety disorder alongwith pernicious anemia. In fact anemia itself may be the reason for anxiety. While continuing vitamin B 12 injections, You may consult psychiatrist for detailed evaluation and management. Doctor may offer you drugs like clonazepam or lorazepam or antidepressant drugs like peroxetine or sertraline etc. You may get benefit by doing stress management, relaxation tehrapy like breathing exercise and yoga. You may increase intake of food containing Vitamin B12 or food fortified with Vitamin. I hope it will help you. Thanks.