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Had DVT. On warfarin. Feeling imbalance while walking. Why am I exhausted?

hii am atul kulkarni here from mumbai. am 29 years old,weight 72 kg. medical history:- Recent had DVT & PE right now on warfarin . Current problem:- Felling imbalance while walking (feel like walking on water filled bed) & while seating & sleeping feels like am seating in ship. i had taken out spinal cord MRI , brain scanning all are normal. only one report came with increased level of homocystin- 39 & VIT b12 deficiency. i had consult with astrophysian he precribd 8mg vertin tab..after 2weeks still feeling same am exhaused now with this symtoms pls help.
Fri, 25 Oct 2013
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Internal Medicine Specialist 's  Response
Hi Atul,
Thanks for using Healthcaremagic,

After going through your available details, you have suffered DVT(Deep vein Thrombosis) and (PE) Pulmonary embolism and taking anticoagulant treatment(Warfarin).

If your Vitamin B12 is low and Homocysteine is high it may be due to Neuropathy and nerve damage what is known as subacute combined degeneration of spinal cord.Imbalance in walking is ataxia.

Nerve conduction study and EMG may be required and consult a Neuro physician
Correction of deficiency of B12 with injections should be helpful to you.

Hope this information helps to take proper decision regarding future action and
I wish you good health.

Take care.
Good Luck.
Dr.Akhilesh Dubey M.D

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