[68M] Experiencing leg pain, numbness, and gastrointestinal changes

Patient Description

A 68-year-old male reports sharp pains in the legs and feet, numbness and tingling in the same areas, and fluctuations in bowel movements characterized by urgency and varying stool consistency. He has also experienced a loss of appetite and changes in taste, particularly finding chocolate unpalatable, which he suspects might be a lingering effect of COVID-19. Despite these changes, he has not noticed significant weight loss but mentions a shift from muscle mass to fatty weight. The patient has not been diagnosed with any chronic medical conditions, has no known allergies or adverse reactions to medications, and is not currently taking any medications. He is considering the use of Alpha Lipoic Acid R-ALA for his leg pain and is seeking advice on its efficacy.

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Arora's Assessment

What might be happening

Based on the information you provided, here are some possibilities:

  • Peripheral Neuropathy: This condition can cause tingling, numbness, and sharp pains in the legs and feet. It can be associated with a variety of conditions, including diabetes, certain infections, and vitamin deficiencies.

    • Treatment often involves managing the underlying condition and may include medications to control symptoms.
  • Gastrointestinal Issues: Changes in bowel movements and loss of appetite could be related to a variety of gastrointestinal conditions, such as Irritable Bowel Syndrome (IBS), Inflammatory Bowel Disease (IBD), or even a food intolerance.

    • Treatment often involves dietary modifications, medications, and managing stress.
  • Post-Acute Sequelae of SARS-CoV-2 infection (PASC) or "Long COVID": Some people who have recovered from COVID-19 continue to experience symptoms or develop new ones well past their recovery from the acute phase of the virus. This can include a variety of symptoms, including changes in taste and smell, fatigue, and gastrointestinal issues.

    • Treatment is largely supportive and symptom-based at this time, as more research is being done to understand this condition.

What you can do

  1. Consult with your healthcare provider about your symptoms. They may want to run some tests or refer you to a specialist for further evaluation.
  2. Keep a symptom diary, noting when your symptoms occur, their severity, and any potential triggers (such as food or activity).
  3. If you're considering starting a new medication like Effexor or a supplement like Alpha Lipoic Acid R-ALA, discuss this with your healthcare provider first. They can provide guidance on the potential benefits and risks.

What you should look out for

Contact your healthcare provider if:

  • Your symptoms worsen or you develop new symptoms
  • You experience severe pain
  • You have difficulty walking due to the numbness or pain in your legs and feet
  • You notice significant changes in your bowel movements, such as blood in your stool or severe constipation or diarrhea

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal situation. Always consult with a healthcare provider for accurate information.

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11 mo ago

People Also Ask


What are the common causes of peripheral neuropathy?

Peripheral neuropathy can be caused by diabetes, infections, vitamin deficiencies, and certain medications. It results in symptoms like tingling, numbness, and sharp pains, particularly in the extremities.


How can changes in bowel movements be related to gastrointestinal issues?

Changes in bowel movements can be related to conditions like Irritable Bowel Syndrome (IBS) or Inflammatory Bowel Disease (IBD), which affect how the intestines function. Symptoms can include urgency, varying stool consistency, and abdominal discomfort.


What is Long COVID and how does it affect taste and smell?

Long COVID, or Post-Acute Sequelae of SARS-CoV-2 infection (PASC), refers to symptoms that persist after the acute phase of COVID-19. It can include changes in taste and smell, fatigue, and gastrointestinal issues, among others.


Is Alpha Lipoic Acid R-ALA effective for treating leg pain associated with neuropathy?

Alpha Lipoic Acid R-ALA is an antioxidant that some studies suggest may help reduce symptoms of neuropathy, such as pain and tingling. However, its efficacy can vary, and it's important to consult with a healthcare provider before starting any new supplement.


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