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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes muscle twitching in upper lip and cramps in toes?

CC: 2 weeks of twitching muscle on top lip, 2 days of toes cramping on right foot, today, I had trouble speaking it seemed like (was hard asking a pt if they had any drug allergies , I felt like I was tonge tide; or that my tough was thick) I am 43 white female, began atorvastaton 7 months ago, lipids are 100% perfect for the first time of being elevated for 6 years. Only other meds I take is ibuprofin PRN and Norco birth control. I am a medical assistant for a surgeon. WebMD kept coming up with low calcium for the first 2 symptons and so yesterday I took 2 Caltrate calcium OTC that I had. I do not drink water that much, only Sunkist daily, but I had been drinking 1-2 glasses of water for past 2 days. I have noticed an increase in urine over past week. It was a little on the med to dark side which is why I usually will drink a glass of water and resolves it. I have notice that when I urinate, it was a heavy amount at one time, no odor. Just alot and probably 3-4 times more in a day than usual. Because of my age , I assume, I noticed that I cant hold out as long as I used to. Urine was clear today, slightly bright yellow which happens anytime I take a vitamin. I have not been sexualy active in past 2 years. My mom has a history of TIA once a week for 4 weeks in a row, but it completely stopped and never had again. She is a bypass patient. Mom history is hypothyroid and CAD, Dad is Prostate ca at age 80, elevated cholesterol and thyroid as well (he had graves Ds in past). I have had my Thyroid checked yearly for past 7 years with nothing out of range. Last yearly workup was February, clean bill of health, Pap normal (never had an abn) and MMG normal, well, Birad 2 after 2 years of a birad 3. I did go and have some labs today because I was concerned of calcium and possibly Mg level. Lab results will be tomorrow. LIPID, TSH, Vit D, Vit B, CBC, CMP. My mom and step dad have me concerned with the speech problem. All CC above are not constant, but through out the day prominate at times. Oh and my other shame: I am a smoker, Capri, tiniest cigarette ever made! Less than pack a day. Last 5K I ran was in March, 41 minutes, shamed from prior one at 36 and prior to that 30minutes, last year. I am not a run daily person, only at the 5K s. I am an active person though. Past surgeries, 1 c-section, augmentation, 1 natural birth (2 boys). What do you think about the twitching, cramps, and tonge tide?
Tue, 26 May 2015
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi,
Thanks for your query.
From the description provided it seems that you have muscle twitches or fasciculations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. Fasciculations have a variety of causes, the majority of which are benign.
The most likely and common causes for these are
1... High levels of stress,anxiety,nervousness or excitement or anger.
2... Consumption of excess of alcohol or caffeine.
3...low levels of calcium,potassium,magnesium etc
4... Low levels of VIT B12
5... Use of medicines like anti asthmatics,anti seizure,weight loss medicines etc
6.. Certain disorders like hyperthyroidism or hypoparathyroidism.
I would advise you to get tested for above mentioned causes,stop alcohol and caffeine,do regular stress buster exercises like breathing exercises and yoga and taking good nutritious diet. Taking methylcobalamin supplements and electrolyte fluids will be helpful.
If some deficiency comes in your tests,then take those supplements.

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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What causes muscle twitching in upper lip and cramps in toes?

Hi, Thanks for your query. From the description provided it seems that you have muscle twitches or fasciculations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. Fasciculations have a variety of causes, the majority of which are benign. The most likely and common causes for these are 1... High levels of stress,anxiety,nervousness or excitement or anger. 2... Consumption of excess of alcohol or caffeine. 3...low levels of calcium,potassium,magnesium etc 4... Low levels of VIT B12 5... Use of medicines like anti asthmatics,anti seizure,weight loss medicines etc 6.. Certain disorders like hyperthyroidism or hypoparathyroidism. I would advise you to get tested for above mentioned causes,stop alcohol and caffeine,do regular stress buster exercises like breathing exercises and yoga and taking good nutritious diet. Taking methylcobalamin supplements and electrolyte fluids will be helpful. If some deficiency comes in your tests,then take those supplements. I do hope that you have found something helpful and I will be glad to answer any further query. Take care