Hi, Welcome to icliniq.com. You have calf muscle spasm and twitches all over the body, and you do not have weakness, loss of muscle mass, and the duration of illness is around one year. Please tell me, when do you feel spasm, mostly daytime, nocturnal, or early in the morning? How long does it continue, and how does it relieve? Please try to remember where the twitches started and how they progressed. I mean, did it start from one place and progress to other parts gradually, or is it a random twitch happening here and there? I would also like to know the status of the thyroid since you had Graves' disease. The calf muscle spasms are the commonest complaints and are mostly benign in nature, either due to physical stress or due to some other reason, and out of stress, fear, and anxiety, you are probably having twitches.
Hi, Welcome to icliniq.com. I understand the situation. I have seen the reports and documents (attachment removed to protect the patient's identity). It shows carcinoma of the lung, probably small cell carcinoma associated with peripheral neuropathy and paraneoplastic syndrome due to Carcinoma of the lung itself (I did not find the biopsy report). Numbness of limbs are challenging to treat.
Hi, Welcome to icliniq.com. You have been evaluated extensively, but I need a detailed history. Kindly provide a complete history. Based on your reports, the abnormality observed in the MRI of the brain suggests a demyelinating disease (attachment removed to protect patient identity). For this, you have to do IgG (immunoglobulin G) index, oligoclonal bands, and NMO (neuromyelitis optica) antibody and you need to do an ophthalmology evaluation.
Hi, Welcome to icliniq.com. Temperomandibular disorders do not cause pulsatile tinnitus. But temporomandibular joint can cause tinnitus and it occurs in association with the movement of TMJ. It does not cause pulsations. It should have some relationship with jaw movement by increasing or decreasing in intensity with jaw repositioning.
Hi, Welcome to icliniq.com. With the given information I think you are having a migraine. Please tell me what is the current frequency of headache per month? Additionally please answer the following questions. Do you have nausea or vomiting like sensation with a headache? Is it a throbbing type or tension-type? Is it mostly one side? Is there irritation to light and sound? How long it goes? Do you have disturbed sleep? Any visual disturbances?.
Hi, Welcome to icliniq.com. So the problem here is right ear tinnitus. Regarding this I need to know is there hearing difficulty in the right ear? What type of tinnitus, swishing, or continuous? How long it lasts? Is there any vertigo associated with tinnitus? Is there any discharge or fullness of the right ear? Regarding bursts of light, Which eye? Single eye or both eyes? At the same time of tinnitus or at a different time? Are flashes colored or black or white? Is burning on the back of tongue one-sided or both sided? Is there any redness on the tongue? Is there hoarseness of voice or throat pain? Please answer all these questions..
Hi, Welcome to icliniq.com. This is acute onset localized twitches, started after strenuous activity. This seems to be physiological twitches that are occurring due to minor muscle or nerve injury. Just check for any weakness or loss of muscle mass in the region where you are developing twitches, if they are not then no need to worry. Excess consumption of coffee and smoking can cause the same so avoid excessive coffee and smoking if any is there.
Hello, Welcome to icliniq.com. Your physician has rightly said, it seems that nerves are adjusting to the calcium metabolism, in addition to your medication you can take tablet Pregabalin 50 mg along with tablet Mecobalamin 1500 microgram for about one month to alleviate your symptoms, by that time it should get relieved. You can always come back and reach me at icliniq.com. Thank you for consulting me.
Hi, Welcome to icliniq.com. I understand your problem but it is difficult to arrive at a conclusion with limited information. Please tell me in detail. Tell me where exactly you have numbness, I mean where in the head, on top on right, or left, or front, or back of the head? Which nerve path do you feel pressure? Is it in the whole head or on the side? Similarly where exactly is the tingling? Do you have nausea or vomiting sensation? Do you have blurring of vision or irritation with light or sound? Did you take any medicines in the past for the same? If yes, what was the result? How is your sleep? What is your profession?.
Hi, Welcome to icliniq.com. It is difficult to comment on limited information. I need more clarity on the symptoms. Where is the pain? Is it in the pulp of the finger, or joints, or whole of the finger? Is there pain on touching or movement? Is there any tenderness or numbness? Do you experience pain in the morning? Does the electric shock sensation come only on tapping or on some activity such as acceleration of bike, holding some heavy objects for a prolonged duration, etc.? Regarding the micturition problem, do you have urinary frequency, or urgency, or incontinence? What is the level of hemoglobin and bilirubin? Please answer my queries.
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