[48M] Experiencing complex symptoms including leg numbness and skin rash

Question

Could contaminated water be the cause of these symptoms

Patient Description

A 48-year-old male has been experiencing a complex array of symptoms for the past two years, including tingling and numbness in the toes described as a pins and needles sensation, which worsens with activities such as bending over, riding a bike, or walking. The patient also reports mid-back pain that feels sore after being bent over for long periods, with the severity of the pain varying. Sitting down provides relief. Additionally, the patient experiences frequent urination, shortness of breath that worsened after consuming dirty water, fatigue, a skin rash with spots that appear to be eating at the skin located on the forearms, tops of feet, and calves, stiffness in the legs right above the knees and in the knees making it difficult to get out of a chair or walk, loss of balance, and muscle spasms. The patient has been exposed to lead, legionella, radium, arsenic, and many PFAS. Currently, the patient is taking antibiotics for a skin condition but could not recall the name. There's no reported family history of neurological diseases, no known allergies or adverse reactions to medications, and no other pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are several possibilities:

  • Spinal Stenosis: This condition occurs when the spaces within your spine narrow, which can put pressure on the nerves that travel through the spine. It often presents with pain, numbness, muscle weakness, and problems with bladder or bowel function. In severe cases, it can cause problems with balance and walking.

    • Treatment may include physical therapy, medications to relieve pain and inflammation, and in some cases, surgery.
  • Peripheral Neuropathy: This results from damage to your peripheral nerves, which often causes weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body.

    • Treatment typically involves managing the condition causing your neuropathy. Pain relievers, anti-seizure medications, and topical treatments may help reduce symptoms.
  • Multiple Sclerosis (MS): This is a potentially disabling disease of the brain and spinal cord (central nervous system). It can cause a variety of symptoms, including numbness or weakness in one or more limbs, tingling or pain, and problems with coordination and balance.

    • There's no cure for multiple sclerosis. However, treatments can help speed recovery from attacks, modify the course of the disease, and manage symptoms.
  • Exposure to Toxins: Given your exposure to lead, legionella, radium, arsenic, and PFAS, it's possible that these toxins could be contributing to your symptoms. Certain toxins can cause a range of health problems, including nerve damage and skin rashes.

    • Treatment involves removing the source of exposure and managing symptoms. In some cases, medications can help remove the toxins from your body.

Please note that these are possibilities based on the symptoms you've described, and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

  1. Schedule an appointment with your primary care doctor. They can perform a physical examination and potentially order tests such as blood work or imaging studies to help determine the cause of your symptoms.

  2. Keep a symptom diary. Note when your symptoms occur, what you're doing when they happen, and how long they last. This can provide valuable information to your healthcare provider.

  3. Try gentle exercises and stretching to help with stiffness and balance issues. However, don't push yourself if you're feeling weak or unsteady. Safety is most important.

  4. Stay hydrated and maintain a balanced diet. This can help support your overall health.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or you develop new symptoms
  • You experience severe pain
  • You have difficulty walking or moving
  • You have problems with bladder or bowel control

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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8 mo ago


People Also Ask


What are the common symptoms of spinal stenosis?

Common symptoms of spinal stenosis include pain, numbness, muscle weakness, and problems with bladder or bowel function. It can also cause issues with balance and walking.


How can exposure to toxins like lead and arsenic affect the body?

Exposure to toxins such as lead and arsenic can lead to a variety of health issues, including nerve damage, skin rashes, and other systemic effects. Long-term exposure can result in more severe health problems.


What are the treatment options for peripheral neuropathy?

Treatment for peripheral neuropathy often involves managing the underlying condition causing it. Pain relievers, anti-seizure medications, and topical treatments can help reduce symptoms. Lifestyle changes and physical therapy may also be beneficial.


How does multiple sclerosis typically present in patients?

Multiple sclerosis typically presents with symptoms such as numbness or weakness in one or more limbs, tingling or pain, and problems with coordination and balance. It can also cause fatigue and cognitive issues.

3 Comments


Patt#99

8 mo ago

Honestly yes given your exposures to various toxins and also legionella bacteria I think you should check your water supply, living environment, and occupational exposures

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Leo#17

8 mo ago

Not sure why chatbot didn't pick up on it but would recommend getting a blood sugar test (especially hemoglobin A1c) to screen for diabetes, which could explain both your toe tingling and numbness as well as frequent urination.

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Archie#12

8 mo ago

Also just blood sugar pin prick devices are cheap on Amazon

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