Recently Answered Questions
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Query: Hi doctor,I am a 50-year-old male. I am diabetic for the past ten years. I have had severe foot pain for the past 15 days. The pain in my left foot is more severe compared to my right foot. The pain is like pins and needles and is also intermittent. This foot pain often occurs at night. My doctor di... Read Full »
Answer: Hi, Welcome to icliniq.com. Diabetic peripheral neuropathy is not a curable condition. With available medications, symptoms of pins and needle sensation can get improved. If you have doubts about diagnosis, then I would like to know some further details about your symptoms, 1. Did the foot pain ... Read Full »
Can vitamin B12 deficiency damage the nerve and affect the feet?
Query: Hi doctor,I am diabetic, suffering from left side chest pain for the past 1.5 years, and have high triglycerides. I have symptoms like fatigue, breathlessness, anxiety, and numbness in the legs. I did a CT angiography test, lipid profile, ECG, ECHO, and TMT. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. From the reports attached (attachment removed to protect the patient's identity), your ECG (echocardiography) and TMT (treadmill test) are all normal but triglycerides are on higher side due to obesity with fatty liver changes and gallbladder stone. Your symptoms are no... Read Full »
How do we manage neuropathy in diabetic patients?
Query: Hi doctor, My mother is a 55-year-old female who took her first dosage of the vaccine before 25 days. Now she suffers from hand and leg pain on the side the vaccine was taken. She is not having a proper sleep because of this pain. If the spray is used, she is getting relief, but the pain is once ag... Read Full »
Answer: Hi, Welcome to icliniq.com. Which part exactly is she having pain? Pain may be due to neuropathy or reduced Calcium and Vitamin D (possibly). In diabetics, it is more likely to be neuropathy. Therefore, she needs Calcium supplements and high-dose Vitamin D. I suggest her with Tablet Shelcal 500 (C... Read Full »
Which is better for diabetic neuropathy, Gabapentin or Pregabalin?
Query: Hi doctor, I am a 52-year-old male with a weight of 176 pounds. I am diabetic. My doctor advised me to take Gabapentin NT 400 for neuropathy. Previously, I was taking Pregabalin 150 mg. On seeing some reviews online, I found that ninety percent of patients are against taking Gabapentin. It causes co... Read Full »
Answer: Hi, Welcome to icliniq.com. Gabapentin is more potent than Pregabalin. It is an excellent drug. The possible side effect is dizziness. As you have taken Pregabalin 150 mg previously and so Gabapentin suits you. Gabapentin NT contains Nortryptilline which helps with neuropathic pain. Most of the di... Read Full »
How can my diabetes develop into diabetic neuropathy?
Query: Hi doctor, Can you tell me, do all the diabetics develop diabetic neuropathy? My relative is 25 years old and just got diagnosed with type 2 diabetics. Will she definitely develop neuropathy? Can you also tell me the estimates of the number of diabetics developing it? She is diabetic but is not a BP... Read Full »
Answer: Hello, Welcome to icliniq.com. Almost all the people having diabetes will sometime during the course of the disease will develop diabetic neuropathy. The reason is damage to microvasculature (small blood vessels supplying the nerves) get affected. Even with fairly well controlled diabetes this doe... Read Full »
Why is there diabetic neuropathy in spite of being on insulin?
Query: Hello doctor, Although my mother is on insulin for seven years, she has diabetic neuropathy and some complications since one week. Also, the doctor tried but the complications are not going. Read Full »
Answer: Hello, Welcome to icliniq.com. You have not mentioned the age of your mother. Diabetic neuropathy is a common complication seen in patients who have long-term or uncontrolled diabetes. It may not be completely reversible. However, talk to your doctor about taking Vitamin B12 supplements and Gabape... Read Full »
How to treat the nerve pain in the foot of my mother, who is diabetic?
Query: Hello doctor, My mom is diabetic for last 11 years. She is on insulin for the last six years. Now, she is not feeling well, as she has a nerve pain in her foot and ankles. The skin of her foot is getting rough from the last year. She is losing her appetite and is very weak. She is currently on Novom... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query about your mother and saw her reports (attachment removed to protect patient identity). It appears that she has uncontrolled diabetes as well as diabetic neuropathy. I would suggest adding the following to her existing medications. Take Tablet Vilda... Read Full »
Why do I have severe toe burning after getting diabetes?
Query: Hi doctor, I am suffering from severe and continuous toe burning for the last two years. It spread up to the middle of the feet. After 30 to 45 minutes of walking the burning becomes more intolerable. I wake up in the night due to disturbed sleep. My age is 69 years, and weight is 182 pounds. I am d... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. It seems that you have been suffering from diabetic neuropathy. However, I would like to exclude vitamin B12 deficiency as well as high uric acid before stating this. So, I would like you to get the following investigations. Serum vitamin B12 assa... Read Full »
Why does my diabetic mother have a numb feeling in her lower limbs?
Query: Hello doctor, However, my mother is a known diabetic, defaulted in her medication, leading FBS (fasting blood sugar) level of 17 mg/dl and causing severe weight loss and cataract. She was placed on Insulin Aspart (Novomix), which she took for two months. However, after every insulin injection, she... Read Full »
Answer: Hello, Welcome to icliniq.com. You mentioned 17 mg. Maybe you are confused and should be 17 mEq/L, I think. Maybe pain is due to the nerve, which may hit accidentally during injection, especially as your saying it is radiating pain. It may be sharp and like an electric current. If so, she can take... Read Full »
Why do I suffer from numbness and itching in my hands?
Query: Hello doctor, I am suffering from anxiety and depression from past few years. I took various antidepressants. Now I am taking Vilazodone, one tablet in the morning and Lonazep 0.25 mg from last ten days. But I am having breathlessness and palpitations when I do any small physical activity and irrita... Read Full »
Answer: Hello, Welcome to icliniq.com. I am sorry to know that despite the best efforts you are not responding with current antidepressants and there are active symptoms. I suggest the following treatment given a diagnosis of diabetes with depression. Take Tablet Duloxetine (Duzela M) 30 mg in the morning... Read Full »