Dr. Hitesh Kumar
Neurology
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Patient's Query
Hi doctor,
I am a 19-year-old male, my height is 6'2 and weight is 314 lbs. I have been dealing with muscle twitching for several years. I have been to a doctor and a neurologist, and they have not been able to find the reason for my issue. I get seven to eight hours of sleep a night, and I do not consume caffeine. It only happens after I masturbate. I will go two to three days without doing it, and the twitching goes away. I then masturbate, and it comes back. I am currently taking 250 mg magnesium once a day, and I use fish oil for cooking. I am taking Men's one daily.
Hi,
Welcome to icliniq.com.
I would like to know some further details about your symptoms: Since when you started to have these twitchings? How many years? In which body parts you get these twitches? As you mentioned, it has been since many years, are these twitching increasing with time or is it the same or decreasing with time? Are these twitches visible by eyes or only felt inside by you? Have you noticed any other factor aggravating it (apart from masturbation)? Do you have any limb weakness or thinning of limb? Have you undergone any investigative work up for these twitches? If yes, please send here as attachment. How is your sleep commonly? How long time it takes to get sleep after laying in bed? Once sleepy, do you have sound sleep or have frequent awakenings? How is your mood commonly? Happy or sad or worried? Do you have any other significant medical history (apart from these twitches)? What is the content of medicine you named "men's one" and for what reasons are you taking that?
Regarding follow up
Patient's Query
Hi doctor,
The muscle twitching started in middle school, and I am currently a sophomore in college. I would say about seven years now. I get the muscle twitching everywhere in the feet, eyelids, hands, chest, arms, back, thighs, face, calf, etc. They have been about the same, and I get these moments where I get muscle twitching in one area for a few days straight, then it goes back to everywhere. They are visible by the eye and felt inside also. I am not sure if my diet is the reason for the muscle twitching, but I have had a high sugar diet. I also notice when I press on the twitching muscle, it gets worse and more intense. I had it years ago, they did some blood work, and I had a neurologist do something to eliminate more serious issues. I do not have any documents from that. I am usually sleepy 5 to 10 mins after going to bed. I sleep well other than going to the bathroom; I do not have awakenings. I wake up feeling rested and full of energy. My mood is happy, I occasionally worry about certain things, but I am happy for the most part. I have an easy semester, and a lot is going well in my life, so I am not stressed. A few years ago, I was diagnosed with borderline diabetes. I have since controlled my sugar. I occasionally check it to make sure it is good to go. The last time I checked, it was in the '90s. Men's one a day is a multivitamin for men. I take it to ensure I am getting the vitamins and nutrients I need each day. I take my supplements every morning after breakfast. I recently started taking these about a month ago.
Hi,
Welcome back to icliniq.com.
As per your information, I would suggest you some investigative work up to rule out and to search for few causes.
Investigations to be done
Differential diagnosis
Probable diagnosis
Treatment plan
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Neurology
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