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Dr Uzair
Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 6588
Experience:  MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.
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I have been having a lot of muscle twitching (inner ear, arms,

Resolved Question:

I have been having a lot of muscle twitching (inner ear, arms, chest, neck, face etc) over last 3 months along with cramps in chest, and down both sides. I have had blood tests performed and they came back as low for Vitamin D3. After taking some strong Vitamin D3 supplements (50,000IU) , my symptoms increased dramatically, which got me thinking that it could be due to Magnesium. I have been taking Mg supplements (Mg malate; 400mg) for just over a week and if anything the symptoms have beome worse, after an initial period of good results.
The constant twitching, cramping and light-headed feeling is affecting all aspects of my work and home life.
Is there anything obvious that I could be missing or that I could try? (I am 44 year old male and over last few months have radically changed my lifestyle, stopping smoking, eating healthily, reduced alcohol consumption and reduced all work stress to bare minimum)
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Uzair replied 2 years ago.
Dr Uzair :

Hi. Welcome to JustAnswer. I shall try my best to assist you while you are corresponding with me.

Dr Uzair :

How would you describe your twitching?

Dr Uzair :

Does it involve the whole region affected?

Dr Uzair :

Or just simple undulating movements?

Customer:

Intermittent, does not affect whole area. Can affect anywhere on whole body.

Dr Uzair :

Alright, do you see the twitch or is it just felt?

Customer:

Both depending where the twitch is. The strangest one is in the left ear but I can see twitches on arms/shouldres etc

Dr Uzair :

Any other symptoms like numbness, pins and needles, pain accompanied?

Customer:

Yes, some dull aches, the odd shooting pain and a lot of numbness and pins and needles, mostly in arms or forehead

Dr Uzair :

Okay. Besides the supplements recently started are you on any medication?

Customer:

Just propanolol

Dr Uzair :

Okay, why are you on propanolol?

Customer:

When I first decribed my symptoms to Dr they prescribed me this as originally the symptoms were causing me great concern.

Dr Uzair :

And is it helping?

Customer:

Probably more psychologically than physically, but a little.

Dr Uzair :

Okay, Propanolol is also known to cause tremors and restlessness as a side effect, so not really a good choice, given for muscle fasciculations unless your doctor was suspecting hereditary essential tremor, which I do not think is the case here.

Dr Uzair :

What tests have you had so far?

Customer:

The only tests I have done are standard blood tests, done privately.

Dr Uzair :

Okay, have you had an electrolyte panel? Renal function tests, liver functions tests, thyroid function tests?

Customer:

Al those tests were included and came back normal, except VItD which was very low.

Dr Uzair :

Alright, then this isn't due to electrolyte deficiency and there doesn't seem to be a renal or hepatic cause.

Dr Uzair :

The possibilities are myriad here and this warrants a visit to the Neurologist, since the symptoms are generalized and an MRI of the brain is required along with an Electromyogram (EMG).

Customer:

OK, shall I arrange through my doctor or go private?

Dr Uzair :

The most common causes (most of which can be alleviated by OTC medication) have been ruled out by the tests you have had.

Dr Uzair :

I would suggest that you arrange through your GP.

Dr Uzair :

Your panel, insurance, NHS should cover you since you might need tests that are a little expensive like an MRI.

Customer:

Thanks, ***** ***** to finally get some answers.

Dr Uzair :

It was a pleasure to help.

Dr Uzair :

Please do leave a positive rating for the service.

Dr Uzair :

If you have any future concerns let me know.

Dr Uzair :

Best wishes.

Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 6588
Experience: MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.
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