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Dr. Hasan
Dr. Hasan, Doctor
Category: Medical
Satisfied Customers: 8580
Experience:  MBBS, FCPS, with experience in all fields of medicine and surgery
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From around one week I am feeling numbness and tingles in the

Resolved Question:

From around one week I am feeling numbness and tingles in the lower parts of my legs (feet to knees). I am feeling like walking on needles. I already had an appointment with two GPs and one of them told me this might be a neuropathic pain and I got tablets Amitriptyline 10mg. I am worrying not because of diagnosis but because of reason of getting it. Where I should look for a help? I am women, 27.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Hasan replied 2 years ago.
Dr. Hasan :

Hi, Thanks for your question. I'm Dr. Hasan and I'll try to help you.

Dr. Hasan :

Do you have a diagnosed medical problem like diabetes?

Dr. Hasan :

Have you started amitriptyline on your own?

Customer:

Hi thank you for contact. I don't have such diagnosis. Tablets were prescribed

Dr. Hasan :

They were prescribed to you for this same problem?

Customer:

because GP diagnose was neuropathic pain so I got them for this

Dr. Hasan :

You have this numbness and tingling just for one week?

Dr. Hasan :

Were you al right before that?

Customer:

yes, it started suddenly this has never happen to me before

Customer:

I am I can say rather healthy person

Dr. Hasan :

Any investigations done by your GP to diagnose you?

Customer:

I am rather active with sport, good diet

Customer:

they checked my general feeling of touch of hands and legs, spine, back

Dr. Hasan :

Do you feel this numbness anywhere else in body?

Customer:

like this type of investigation towards e.g multiple sclerosis

Customer:

3 days ago I started to feel this in the area of perineum and anus which is very uncomfortable

Dr. Hasan :

No like some x rays, blood work up etc?

Customer:

no, nothing

Dr. Hasan :

Do you have lower back ache as well?

Customer:

no, no back pain

Dr. Hasan :

Thanks a lot for your input. I am sorry to hear about your problem. I am going to address your primary concern but later you can ask anything you want.

Customer:

thank you

Dr. Hasan :

In my opinion your GP has diagnosed you without any investigations and I really don't think so that you have neuropathy or anything serious like multiple sclerosis.

Dr. Hasan :

There are reasons behind this;

Dr. Hasan :

You don't have any diagnosed risk factor for neuropathy like diabetes.

Dr. Hasan :

You have just a week history of these symptoms.

Dr. Hasan :

So now the point is this that what it can be?

Dr. Hasan :

This is clear that the problem is in nerves but this is not that neuropathy which we get as a result of serious lesions.

Dr. Hasan :

This can be secondary to nerve compression in your spine

Dr. Hasan :

or this can be due to vitamin and mineral deficiencies.

Dr. Hasan :

I suggest that you should talk to your doctor to refer you to a neurologist and get your blood work up for vitamin B12 and other vitamins and minerals.

Dr. Hasan :

Till then you should take any OTC multivitamin that contains vitamin B12 and it can help you as it is good for nerves.

Customer:

I was thinking to go to neurologist anyway

Dr. Hasan :

But I assure you not to be stressed for serious lesions.

Dr. Hasan :

Yes that's what you need to do.

Dr. Hasan :

We can't diagnose neuropathy just by a touch

Customer:

but I coudn't get it from my GP - actually this was hard to get because I asked

Customer:

no I am not.

Customer:

But what can be the reason of secondary to nerve compression in spine?

Dr. Hasan :

In that case, you should see a neurologist privately or request your GP again

Customer:

and do you think I should still take Amitriptyline?

Dr. Hasan :

Since your doctor has advised this medicine, yes you should take it because on web I can't interfere in your treatment but can give my suggestions.

Customer:

thank you

Customer:

could you tell me please what can be the reason of secondary to nerve compression in spine?

Dr. Hasan :

Yes

Dr. Hasan :

The nerves which supply our legs start from spine and if they get compressed due to any lesion in spine like some disc problem, we can feel the numbness and tingling in the areas supplied by those nerves.

Dr. Hasan :

You got my point?

Customer:

yes

Customer:

but in case of discproblem should I feel pain?

Customer:

because I am nor suffering from any pain now

Dr. Hasan :

Yes but not necessarily

Dr. Hasan :

It is just one possibility I have shared with you

Dr. Hasan :

There are other causes like vitamin B 12 deficiency which can do so.

Dr. Hasan :

The point is that you shouldn't be labelled with neuropathy without proper examination and investigations.

Dr. Hasan :

It is a big undertaking.

Customer:

this is what I was thinking honestly I was unsatisfied with these two GPs but what in this case I should do

Customer:

only one way is to go for private visit with neurologist

Dr. Hasan :

I strongly suggest you to visit a neurologist in any way.

Dr. Hasan :

Nothing is important than your health

Customer:

I will do this. Thank you Dr Hasan

Dr. Hasan :

You are too young to have anything like neuropathy

Customer:

I hope you will have nice day

Dr. Hasan :

You are most welcome

Dr. Hasan :

Thank you

Dr. Hasan :

Anything else? :)

Dr. Hasan :

I wish you good luck and that you get well soon. My goal is to provide you with excellent service – if you feel you have received anything less, please reply back as I am happy to address follow-up questions. Kindly rate me when you are done. You can come back here to ask anything even after you have rated the answer. I will be glad to help you always.

Customer:

I tink I know what to do further

Customer:

thank you once again.

Dr. Hasan :

You are always welcome.

Dr. Hasan :

Your feedback is requested and will be appreciated.

Dr. Hasan :

Regards

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