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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 48351
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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I have dizziness, difficultly thinking, weaknesses In legs,

Customer Question

I have dizziness, difficultly thinking, weaknesses In legs, pins and needles,.
Assistant: What seems to make the symptoms worse or better? Have you noticed any swelling?
Customer: Avoiding plain water, eating anything salty.
Assistant: Anything else in your medical history you think the Doctor should know?
Customer: Had GI problems for 6 weeks and history of ibs related problems and hypermobility. Nothing else
Submitted: 6 months ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 6 months ago.

What are your age and gender?

What are the investigations and treatments done?

Are you on any medications, supplements, herbs?

Customer: replied 6 months ago.
I am 34. Nothing only blood tests have been taken. No one has indicated to me that there is a problem however I am fairly sure it is with sodium. Mebeverine. I am due to have a colonscoopy next week. I have had symptoms of dirrehea, maldigeston and stomach cramps for previous 6 weeks.
Customer: replied 6 months ago.
Expert:  Dr. Arun Phophalia replied 6 months ago.

You may get a serum sodium estimation.

You may also have autoimmune panel and hormone panel done for the evaluation of these symptoms.

Serum cortisol is a sodium regulator and that may give you the diagnosis.

Customer: replied 6 months ago.
How would I obtain that? Could it be seen in previous blood tests.
Expert:  Dr. Arun Phophalia replied 6 months ago.

Yes, it may have been done. So see your previous reports.

Expert:  Dr. Arun Phophalia replied 6 months ago.

Dizziness, difficulty thinking, weaknesses In legs, pins, and needles, would need to rule out;

1) Hormonal issue

2) Neurological issue

3) Autoimmune

4) Deficiency disorder.

1) Electromyography/nerve conduction studies (EMG/NCS)

2) MRI of the spine and brain

3) blood glucose, glucose tolerance test and glycosylated hemoglobin

4) serum B12 level with methylmalonic acid (with or without homocysteine),

5) serum protein electrophoresis

6) Antinuclear antibody

7) Lyme testing

8) Rheumatoid factor

9) Sjogren's syndrome testing (Anti-Ro, Anti-La Antibodies)

The causes of dizziness according to the decreasing incidence are;

1) Benign paroxysmal positional vertigo (BPPV) 20%

2) Vestibular 15%

3) Migraine and motion sensitivity 15%

4) Anxiety and depression 10%

5) Meniere's disease 7%

6) Cerebellar disease 6%

7) Transient ischemic attacks 5%

8) Orthostatic hypotension 4%

9) Other.

The causes to rule out are;

1) Diabetes

2) An underactive thyroid gland

3) Excessive use of alcohol

4) Thiamine deficiency

5) Vitamin B 12 deficiency (pernicious anemia)

6) Vitamin B 6 (pyridoxine) taken in excessive amounts

7) Drugs, medications, herbs

8) Autoimmune diseases

9) Heavy metals such as lead and mercury.

Wishing you a speedy resolution and all the very best in life.

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Stay blessed.

Expert:  Dr. Arun Phophalia replied 6 months ago.

Wishing you a speedy resolution and all the very best in life.

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