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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Neurology
Satisfied Customers: 59211
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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I have some weird feelings on my hands and legs for few days

Customer Question

I have some weird feelings on my hands and legs for few days now
JA: What seems to make the symptoms worse or better?
Customer: nothing. It is always here
JA: Thank you so much for your time. Finally, is there anything else in your medical history you think the Doctor should know?
Customer: no
Submitted: 18 days ago.
Category: Neurology
Customer: replied 18 days ago.
I have some numbness on both hands, sometimes on the front arms. I have also some tingling sensation on hands and foots. This is for the past 10 days. Also since a month ago one of my eye is closing by itself, a bit of improvement since i take magnesium. I am concern this could be related to a serious illness like charcot.
I am also having strong stomach pain for 2 months, under review by a doctor.
Expert:  Dr. Arun Phophalia replied 18 days ago.

What are your age and gender?

What are the investigations done for weird feelings in hands and legs and stomach pain?

Are you on any medications/supplements/herbs?

Customer: replied 18 days ago.
36 man
Stomach pain, blood test (all good) and scan. I was really constipated. Much better now but still stomach pain. I am going to have a coloscopy in two weeks.
For the weird feelings, nothing has been done as those are new symptoms.
No medication
Expert:  Dr. Arun Phophalia replied 18 days ago.

Thanks for the further information.

I am writing the answer for you and will get back to you in 5 minutes.

Unless you wish to speak in person, you can ignore the request for a phone call automatically generated by the website, not by me.

Thank you.

Expert:  Dr. Arun Phophalia replied 18 days ago.

Apologies for any intrusion of those automatic offers for phone calls. These are produced by the website automatically and outside of my control.

Customer: replied 18 days ago.
Ok clear, thank you very much.
I forgot to add that last time i got some of my leg and arm muscle contracting by itself. I was quite stressed and did not sleep at all. So might be it but I am concerned it could all be related to something more serious
Expert:  Dr. Arun Phophalia replied 18 days ago.

Numbness and tingling sensation on both hands and foot, front arms can be due to polyneuropathy or pinched nerves in the neck and back.

Following are the causes of common polyneuropathy;

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.

Following investigations are advised;

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

2) MRI of the spine and brain

3) blood glucose 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)

Supplements and alternative integrative therapy protocols are;

1) Evening primrose oil

2) Acetyl-l-carnitine

3) Alpha-lipoic acid

4) Benfotiamine (Milgamma), 100 mg, is a lipid-soluble vitamin B1 analog

5) Vitamin E

Following measures can be helpful for constipation;

1) Increased fluids

2) Prune juice and dried plums

3) Increased fiber; preparation like Benefiber can be tried.

4) An herbal tea, "Smooth Move," has been found to have a good result in moving the bowel.

5) Toilet after meals; Toileting 15 to 30 minutes after eating makes use of the gastrocolic reflex. The gastrocolic reflex results in propagating spikes in the colon and rectum within half an hour after a meal. When we eat, our stomach distends and this sends reflex signals to the large intestines (colon) facilitating their movements. If one utilizes the next half hour of a meal, for the toilet, the stool elimination time is decreased.

6) Increase in exercise

7) Stimulant laxatives stimulate intestinal motility and increase intestinal secretion. They are anthraquinones (cascara, aloe, and senna) and diphenyl methanes (bisacodyl, sodium picosulfate, phenolphthalein). These may be avoided more than twice a week, though they are effective but can be harmful in the long term.

8) Avoidance of stress

9) Wheat bran, 20 gms per day can decrease the rectal transit time

10) Vegetables,

11) Fruits (especially dried fruits)

12) Cereals like whole wheat, bran, or oatmeal

13) Celery

14) Grainy bread, such as whole wheat, rye, or pumpernickel

15) Legumes, such as chickpeas, baked beans, and lima beans

16) You can try ground flaxseed sprinkled on salads, cooked vegetables, and cereals.

Foods that cause constipation and should be avoided are;

Ice cream

Cheese

Meat / Red meat

Chips, cookies, and pizza

Pastries

Foods that contain white flour

Pasta

Junk food or fast food

Banana.

I hope your symptoms resolve soon.

I would be happy to assist you further if you need any more information.
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