[60F] Experiencing widespread pins and needles and severe itching

Patient Description

A 60-year-old female presents with severe, widespread pins and needles described as tingling and prickling, as well as severe itching covering her entire body from head to toe. The patient reports that the symptoms have been progressively worsening and are particularly exacerbated by sitting. The patient has a medical history of fibromyalgia, a stroke in her late thirties, and type 2 diabetes. She also mentions a rash and pigmentation on her chins. The patient experiences difficulty moving her legs and has numbness in both her hands and feet. Medications include Metformin, Gabapentin, Amlodipine, Synthroid for an underactive thyroid, Atorvastatin, Naproxen, Cyclobenzaprine, Pilocarpine, and various supplements. The patient has discontinued Sertraline due to potential adverse interactions with her other medications.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Peripheral Neuropathy: This condition, which is often associated with diabetes, can cause tingling, prickling, and numbness in your hands and feet. It can also cause severe pain. You mentioned that you have diabetes, which could be contributing to these symptoms.

    • Treatment often involves managing the underlying condition (in this case, diabetes), as well as medications to manage symptoms.
  • Allergic Reaction or Dermatitis: The widespread itching and rash you're experiencing could be due to an allergic reaction or a type of skin inflammation called dermatitis.

    • Treatment typically involves identifying and avoiding the allergen or irritant causing the reaction, as well as topical creams or oral medications to manage symptoms.
  • Fibromyalgia: This chronic condition can cause widespread pain, fatigue, and other symptoms. You mentioned that you have a history of fibromyalgia, which could be contributing to your symptoms.

    • Treatment typically involves a combination of medications, exercise, stress-reduction measures, and cognitive behavioral therapy.

Please note that these are potential explanations based on the information you've provided, and they may not be the actual cause of your symptoms. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Consult with a healthcare provider: Given the severity and persistence of your symptoms, it's important to consult with a healthcare provider. They can perform a physical examination, order tests if necessary, and provide an accurate diagnosis and treatment plan.

  2. Manage your diabetes: If you're not already doing so, work with your healthcare provider to manage your diabetes. This could help alleviate some of your symptoms.

  3. Avoid potential allergens: If possible, try to identify and avoid any potential allergens or irritants that could be causing your skin symptoms.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Difficulty breathing
  • Swelling of your face, lips, tongue, or throat
  • Severe dizziness or fainting
  • Rapid, pounding, or irregular heartbeat
  • Changes in consciousness or alertness, such as passing out or unresponsiveness

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 accurate information.

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

People Also Ask


What is peripheral neuropathy and how is it related to diabetes?

Peripheral neuropathy is a condition that results from damage to the peripheral nerves, often causing weakness, numbness, and pain, usually in the hands and feet. It is commonly associated with diabetes because high blood sugar levels can damage nerves over time.


How can fibromyalgia contribute to widespread pain and tingling sensations?

Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas. It can contribute to sensations like tingling and pain due to its impact on how the brain processes pain signals.


What are common causes of widespread itching and rash on the body?

Widespread itching and rash can be caused by allergic reactions, dermatitis, infections, or systemic conditions. Identifying the underlying cause is crucial for effective treatment, which may involve avoiding allergens or using medications to reduce symptoms.


Why is it important to manage diabetes in relation to neuropathy symptoms?

Managing diabetes is crucial because high blood sugar levels can lead to nerve damage, exacerbating neuropathy symptoms. Proper management can help prevent further nerve damage and alleviate symptoms like tingling and numbness.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback