[41F] With burning sensation in foot and associated symptoms

Patient Description

A 41-year-old female reports a sudden onset of a burning sensation in the bottom of her foot near the front part, which started today. The sensation feels like standing on something hot and is exacerbated by walking or standing. The foot is slightly swollen, and there is tingling all over the foot that is sometimes hard to alleviate. Additionally, the patient has been feeling off balance and lightheaded with a spinning sensation for about 2 days, rated as a 4 out of 10 in severity. The lightheadedness does not improve with any specific actions. The patient also experiences frequent headaches, blurriness in vision, and ringing in the ears. There have been no recent injuries, changes in footwear, or new medications or supplements. However, the patient has been exposed to insecticides and weed killers, though specifics are unknown. The patient has a history of heart issues, including two heart murmurs and a tachycardia episode a few months ago, which resulted in high blood pressure and an increased heart rate. Blood pressure has been on the high side recently due to extra stress and tension. The patient has A.D.D., asthma, and bronchial asthma since childhood but is not currently taking any medications and has no known allergies.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Burning Sensation in Foot

  • Peripheral Neuropathy: This condition can cause burning, tingling, and numbness in the feet. It can be due to various causes, including diabetes, vitamin deficiencies, or exposure to toxins.
  • Morton's Neuroma: This is a thickening of the tissue around one of the nerves leading to your toes, which can cause a burning pain in the ball of your foot.

Nausea, Vomiting, and Lightheadedness

  • Gastroenteritis: This could be a viral or bacterial infection causing nausea and vomiting. The lightheadedness could be due to dehydration.
  • Vertigo: The spinning sensation and lightheadedness might be due to an inner ear issue, such as benign paroxysmal positional vertigo (BPPV).

Blurry Vision and Ringing in Ears

  • Migraine: Migraines can cause a variety of symptoms, including headaches, blurry vision, and ringing in the ears.
  • Hypertension: High blood pressure can also cause headaches, blurry vision, and ringing in the ears.

Swollen Foot

  • Edema: Swelling in the foot could be due to fluid retention, which can be caused by various conditions, including heart issues or prolonged standing.

What you can do

Burning Sensation in Foot

  • Peripheral Neuropathy:
    • Avoid tight shoes and high heels.
    • Consider over-the-counter pain relievers like acetaminophen or ibuprofen.
    • Consult a healthcare provider for a proper diagnosis and treatment plan.
  • Morton's Neuroma:
    • Wear shoes with a wider toe box.
    • Avoid activities that put pressure on the ball of your foot.
    • Consider seeing a podiatrist for further evaluation.

Nausea, Vomiting, and Lightheadedness

  • Gastroenteritis:
    • Stay hydrated by drinking clear fluids like water, broth, or oral rehydration solutions.
    • Eat bland foods like crackers, toast, or rice.
    • Rest as much as possible.
  • Vertigo:
    • Avoid sudden movements and get up slowly from lying down.
    • Consider seeing an ENT specialist for further evaluation.

Blurry Vision and Ringing in Ears

  • Migraine:
    • Rest in a dark, quiet room.
    • Use over-the-counter pain relievers like ibuprofen or acetaminophen.
    • Consult a healthcare provider for a proper diagnosis and treatment plan.
  • Hypertension:
    • Monitor your blood pressure regularly.
    • Reduce salt intake and manage stress.
    • Consult a healthcare provider for medication adjustments if needed.

Swollen Foot

  • Edema:
    • Elevate your foot when sitting or lying down.
    • Wear compression stockings.
    • Reduce salt intake.
    • Stay active and avoid prolonged standing.

What you should look out for

Given the severity and variety of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:

  • Severe or worsening symptoms: If your symptoms become more severe or do not improve with home care.
  • New symptoms: If you develop new symptoms such as chest pain, shortness of breath, or severe headache.
  • Signs of infection: If you notice signs of infection such as fever, redness, or warmth in the swollen foot.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare provider for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

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5 mo ago

People Also Ask


What could cause a burning sensation in the foot?

A burning sensation in the foot can be caused by conditions like peripheral neuropathy, which may result from diabetes, vitamin deficiencies, or toxin exposure, and Morton's neuroma, which involves thickening of tissue around a nerve in the foot.


How can I manage lightheadedness and a spinning sensation?

To manage lightheadedness and a spinning sensation, stay hydrated, avoid sudden movements, and get up slowly from lying down. If symptoms persist, consider consulting an ENT specialist for further evaluation.


What are the possible reasons for blurry vision and ringing in the ears?

Blurry vision and ringing in the ears can be caused by migraines or hypertension. Migraines may also cause headaches, while high blood pressure can lead to similar symptoms.


How can I reduce swelling in my foot?

To reduce swelling in the foot, elevate the foot when sitting or lying down, wear compression stockings, reduce salt intake, and stay active while avoiding prolonged standing.


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