Vitamin B12 Deficiency

Vitamin B12 is normally found in animal-based foods, like meat, egg, fish, milk, and dairy, so most vegetarians suffer from vitamin B12 deficiency. The symptoms are tiredness, feeling lightheaded, pale skin, tingling sensation, muscle weakness, etc.

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What could be the reason for my headache, dizziness and breathing difficulty?

Query: Hello doctor, I got symptoms of an anxiety attack, fatigue, and exhaustion after my periods. I was very tired, and could not walk properly. I was walking in a zig-zag manner and had balance problems. I used to wake up with a numb arm in the morning, and I was having insomnia and tingling in my arms...  Read Full »

Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to Your attached CBC (complete blood count) report does not show a low hemoglobin level. So, your headache and dizziness plus difficult breathing could not be due to iron deficiency. However, your iron and transferrin saturation are low, so iron tablets can be taken for...  Read Full »

What helps numbness in the entire body?

Query: Hello doctor, A few weeks ago, I had frequent urination, once in 10 minutes for 48 hours. I do not have any pain, but just a big urge to urinate. After seeing a urologist and doing blood and urine work, he concluded everything is normal. For the last six days, my complete body from head to toe is n...  Read Full »

Dr. Aida Quka


Answer: Hello, Welcome to I passed through your question carefully and recommended performing further tests to investigate possible causes underlying your complaints. 1. Vitamin B12 and Vitamin D plasma levels for possible deficiency. 2. Antibodies for Lyme disease. 3. Vitamin E pla...  Read Full »

How to manage body pain and fatigue present for many years?

Query: Hello doctor, The primary concern surrounding my inquiry is body pain and fatigue. I have lymphedema in my lower legs since eight years. Intermittently, the condition is mediated with compression stockings, massage therapy and occasional stationary exercise. The swelling persists with activity, just...  Read Full »

Dr. Naresh Kumar Monigari

General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to The laboratory reports (attachment removed to protect patient identity) show mild anemia and microscopic hematuria. The anemia looks like dual deficiency (iron and B12), but we need to do reticulocyte count, peripheral smear, serum iron, total iron binding capacity (TIBC...  Read Full »

How to treat a painful tongue with bumps and patches?

Query: Hello doctor, I am 31 years old. A few months ago, I seemed to catch a virus where I had to force myself to eat for weeks because I had no appetite. After my appetite came back, I had a patchy tongue (geographic tongue). It hurt on the right side randomly and still does to this day, unfortunately. ...  Read Full »

Dr. Nasir

Pain Medicine Physician, Internal Medicine Physician, General Medicine Physician

Answer: Hello, Welcome to It would be really helpful if you send the picture of your tongue along with picture of the teeth. Kindly send the picture of the tongue (few months back when it started if you have) because you said it has changed a little. I will try my best to help you out.  Read Full »

What can cause shoulder twitching while walking?

Query: Hi doctor, I am a 32-year-old woman. I recently saw a doctor for my shoulder twitching. It happens whenever I walk and move around my body. I just cannot relax. The doctor prescribed me 2 mg Benzhexol tablets daily, did a blood test, and said my blood test results are normal. I have been taking the ...  Read Full »

Dr. Gursimran


Answer: Hi, Welcome to Sorry to know regarding your symptoms. And twitching of shoulders can be because of various reasons, namely vitamin D deficiency, vitamin B 12 deficiency, anxiety, and benign fasciculation syndrome. Since you have not mentioned the side of the shoulder twitching, I assu...  Read Full »

Why do I have terrible cramps on my left leg after sudden indentation?

Query: 63 years old, had back injury before 10 years, left partly paralyzed on right side from hips down , just complete 2 years chemo for triple negative breast cancer feeling absolutely fine , suddenly have indentation on outer side of lower left leg terrible cramps under left ankle, should I be con...  Read Full »

Dr. Nasir

Pain Medicine Physician, Internal Medicine Physician, General Medicine Physician

Answer: Hello Ma'am the symptoms that you are describing Ma'am most likely fall into two big categories 1. it can either be peripheral neuropathy that is causing sensory and motor disturbances. the most common causes of this can be b12 deficiency. The other symptoms that can be present along with this ar...  Read Full »

Why do I get tingling in right hand, arm, neck and face?

Query: Hello doctor, I have tingling in my right hand, right arm, neck and around the face, pressure in stomach until I burp. Tingling stays there until my heart fluttered and then it went away momentarily.  Read Full »

Dr. Zubayeralam

Family Physician, General Medicine Physician, General Practitioner, Pulmonologist, Internal Medicine Physician

Answer: Hi, Welcome to I can understand your concern. According to your statement, you have been suffering from tingling in right hand, right arm, in the neck and around the face, and pressure in stomach. Such clinical features may develop from poor blood circulation due to DM (diabetes mell...  Read Full »

How long does it take for hemoglobin to improve after blood transfusion?

Query: Hello doctor,I did my blood test. The hemoglobin is astonishingly low at 4.1. I did ferritin test and B12 test and the results are attached. Blood transfusion was done - one bottle. The hemoglobin increase to 5.5, but again reduced to 5.1. I have a fever on and off. What problem do I have? I am feel...  Read Full »

Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to Your hemoglobin level is very low. In low hemoglobin state, the oxygen-carrying capacity of blood is affected and so weakness and other symptoms occur. You need to be given blood transfusion or iron injections. But, your ferritin level is high. So hemolytic anemia...  Read Full »

What could be the cause for my various neurological problems?

Query: Hello doctor, I am a 29-year-old female. I am an occasional drinker and social smoker (pack a week). Until the last 4 years, I jumped from career to career due to the inability to perform duties. No prior surgeries or diagnoses other than EDS (idiopathic hypersomnia) at the age of 23. I take multi ...  Read Full »

Dr. Aida Quka


Answer: Hello, Welcome to I read carefully your question and would explain that your situation seems to be really complex. Coming to this point, I would recommend checking some blood lab tests: 1. Vitamin B12 and D plasma levels for possible deficiency. 2. Thyroid hormone levels for po...  Read Full »

What should I do for enlarged tongue papillae with redness and burning sensation?

Query: Hello doctor, I am a 31-year-old male. I do not use any medications except vitamin B complex for three weeks now. But the problem is my tongue has enlarged papillae (taste buds), and it is red on the sides and the whole front of the tongue. It is also a bit white on the top (it was more white in co...  Read Full »

Dr. B Vageesh Padiyar

ENT Otolaryngologist

Answer: Hi, Welcome to Thanks for briefing the problem in concern. I had a detailed look at the pictures you have sent (attachment removed to protect patient identity). There are no abnormalities that I can see on the dorsal or ventral aspect of your tongue. It does not look like candidiasis...  Read Full »

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