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;
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
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
11) Fruits (especially dried fruits)
12) Cereals like whole wheat, bran, or oatmeal
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;
Meat / Red meat
Chips, cookies, and pizza
Foods that contain white flour
Junk food or fast food
I hope your symptoms resolve soon.
I would be happy to assist you further if you need any more information.
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