[37F] Experiencing burning and tingling sensations in limbs

Patient Description

A 37-year-old female has been experiencing a non-painful burning and tingling sensation in her legs and arms, particularly when lying down, persisting for a few weeks. The tingling is more pronounced in her palms. Additionally, she has varicose veins with some redness on the inner side of her thigh near the knee. She has experienced numbness in her fingers at night in the past. The patient has no known muscle weakness, coordination or balance changes, facial sensation changes, or bowel or bladder function alterations. She has a sulphur allergy but is not on any medications and has no known pre-existing conditions or chronic illnesses. There is no recent change in diet, and the patient is unsure about a potential vitamin B12 deficiency. No family history of neurological diseases is reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Peripheral Neuropathy: This condition results from damage to the peripheral nerves and often leads to symptoms of numbness and tingling in the hands and feet. It can be caused by a variety of factors including certain diseases, infections, vitamin deficiencies, or exposure to toxins.

    • Treatment typically involves managing the condition causing the neuropathy. In some cases, medications or physical therapy may be recommended.
  • Vitamin B12 Deficiency: This can cause a variety of symptoms including tingling and numbness in the hands and feet, difficulty walking, and anemia. Given that you're unsure about your B12 levels, this could be a possibility.

    • Treatment involves taking B12 supplements or increasing dietary intake of B12.
  • Varicose Veins: These are dilated, tortuous veins that can cause a variety of symptoms including pain, burning, and itching. The redness you're seeing could be related to your varicose veins.

    • Treatment options include lifestyle changes, compression stockings, or medical procedures.

What you can do

You should consult a healthcare professional about your symptoms. They can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following:

  1. Keep a symptom diary. Note when your symptoms occur, what you're doing at the time, and what foods you've eaten. This could help identify any patterns or triggers.
  2. Try to maintain a balanced diet to ensure you're getting enough vitamins and minerals. If you're concerned about a potential vitamin B12 deficiency, foods high in B12 include meat, eggs, and fortified cereals.
  3. Regular exercise can improve circulation and may help alleviate some of your symptoms.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen or you develop new symptoms.
  • You experience severe pain.
  • You notice changes in your coordination or balance.
  • You experience changes in your bowel or bladder function.

Please remember that while I strive to provide accurate information, I am not a doctor and this advice should not replace a consultation with a healthcare professional.

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10 mo ago

People Also Ask


What are the common causes of peripheral neuropathy?

Peripheral neuropathy can be caused by diabetes, infections, autoimmune diseases, vitamin deficiencies, certain medications, and exposure to toxins. It results from damage to the peripheral nerves, leading to symptoms like numbness and tingling.


How can a vitamin B12 deficiency affect the body?

Vitamin B12 deficiency can lead to symptoms such as tingling and numbness in the hands and feet, fatigue, weakness, anemia, and in severe cases, neurological changes. It is important for nerve health and red blood cell production.


What are the treatment options for varicose veins?

Treatment options for varicose veins include lifestyle changes like exercise and elevating the legs, wearing compression stockings, and medical procedures such as sclerotherapy, laser treatments, or surgery to remove or close the veins.


When should I seek medical attention for tingling and numbness?

You should seek medical attention if your tingling and numbness worsen, if you experience severe pain, changes in coordination or balance, or changes in bowel or bladder function, as these could indicate more serious conditions.


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