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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Numbness And Tingling Pain In The Toes?

I have pernicious anemia, I have 0 IF, my toes and bottom of my feet by my toes are numb and tingly pains. My fingers are always cold and stiff, I drop things continually. I get B12 injections every 3 weeks 1.5 ml. Will going to every 2 weeks help get feeling back? How bad is the numbness going to get? I am 48 years old. 395lbs loosing mobility is a major concern.
Wed, 31 Oct 2018
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Pulmonologist 's  Response
Hello,

Your all symptoms are due to vitamin B 12 deficiency.

In pernicious anaemia, there is a defect in the absorption of vitamin B 12.

So patient needs to take vitamin B 12 injections.

I think you should increase the frequency of vitamin B 12 injection to twice weekly.

Along with this injection, also take pregabalin or gabapentin for tingling and numbness. Don't worry, you will be alright with all these.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Kaushal Bhavsar, Pulmonologist
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What Causes Numbness And Tingling Pain In The Toes?

Hello, Your all symptoms are due to vitamin B 12 deficiency. In pernicious anaemia, there is a defect in the absorption of vitamin B 12. So patient needs to take vitamin B 12 injections. I think you should increase the frequency of vitamin B 12 injection to twice weekly. Along with this injection, also take pregabalin or gabapentin for tingling and numbness. Don t worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Kaushal Bhavsar, Pulmonologist