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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I have numbness and tingling in hand, mouth and feet. Why?
Query: Hello doctor,I am 23 years old. Recently I have had strange symptoms. Firstly I had numbness in my left hand and then in my right hand. Then I had the same symptoms in my legs and feet. I have numbness and also tingling. Then I had a headache, mouth numbness, and right face numbness. I have been che... Read Full »
Answer: Hello, Welcome to icliniq.com. I thoroughly read your query and understand your concern. Firstly, the complaints of tingling and numbness indicate some neuronal insufficiency which could be due to various reasons including vitamin B12 deficiency, multiple vitamin deficiencies, and thyroid dysfunc... Read Full »
Vitamin B12 is not being absorbed in my body. What can I do about that?
Query: Hi doctor, I have a few problems. Vitamin B12 is not being absorbed in my body. CRP level is high. Vitamin D is low. MPV is high. Platelet count is normal but has elevated homocysteine levels. Kindly suggest what has to be done. Read Full »
Answer: Hi, Welcome to icliniq.com. Vitamin B12 needs a high oral dose that has to be taken. Moreover, PPI (proton pump inhibitor), antibiotic therapy, intense gastritis, etc., further reduce its absorption. I suggest taking intravenous (IV) Vitamin B12. Take it according to the local guidelines. CRP (C-r... Read Full »
Are white bumps under the tongue normal?
Query: Hi doctor, I am a 28 year old female, and I have white bumps on the back of my tongue. I also have painful white sores on the sides of the tongue. I have been getting painful sores on the tip of my tongue quite frequently for the past two months. But this time, the pain was severe. I did get some re... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your complaint and also the photos (attachment removed to protect patient identity) that you provided of the lesion. As far as your history of painful sores on tongue tip is concerned, there can be various reasons. Most common are vitamin B12 deficiency,... Read Full »
Why has the color of my skin changed?
Query: Hello doctor, After working out at a gym for three months, the color of my skin has changed. It is darker now as compared to earlier. I want to know the reason behind this and the solution of this problem too. Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern very well, but let me make it very clear to you that working out in the gym will not have any sort of effect on skin color. Going to the gym is a step closer to a healthy life. Skin color is determined by melanin, a color pigment which i... Read Full »
My mom has been suffering from head spinning. Why?
Query: Hi doctor, My mom is suffering from sciatica pain. She is 45 years old. Her doctor suggested complete bed rest for two months. It has been a month for now. She is facing trouble to take breath properly (night times). She is having head spinning and a sensation of falling from bed. She is having hi... Read Full »
Answer: Hi, Welcome to icliniq.com. The possibilities for her head spinning are as follows. Probably, your mom is suffering from benign paroxysmal positional vertigo (BPPV). It can be controlled by a tablet like Vertin16 mg (Betahistine) or Stugeron (Cinnarizine) at bedtime or twice daily. The second po... Read Full »
I hear some sounds in both ears. How to manage it?
Query: Hi doctor, I am getting some sound in both the ears. It continues as a mild sound of high frequency and another sound like humming, vibrating and pulsating sound. This becomes noticeable in the quiet zone and less prominent in working or outside areas. It is mild tinnitus, but bothersome in the ni... Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, you have tinnitus and many medicines are available to cure it. First, get an audiometry done to see if there is any associated hearing loss. I suggest tablet Cinnarizine twice daily for at least three weeks and tablet Vitamin B12 1500 mcg daily. Consult your docto... Read Full »
What can be done for my daughter's pernicious anemia?
Query: Hello doctor, I hope you will be able to help me with my daughter's health. The summary of her health is as follows: She was born prematurely at 25 weeks. She had to undergo PDA surgery soon after. She had Hashimoto's hypothyroidism when she was 8 years of age. She had urticaria and angioedema for m... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and the medical history of your daughter. I have seen the detailed reports (attachment removed to protect patient identity) as well. Let me answer each one of your questions. Her raised cortisol is likely to be due to exogenous steroids use, ... Read Full »
Can low levels of vitamin D and testosterone cause forgetfulness?
Query: Hi doctor, I am 50 year old. My height is 179 cm and weight 85 kg. Recently, I have tested for free testosterone and vitamin D. Both are on lower side. I am also taking Thyronorm 75 mg since last 7-8 years. I have attached my medical file of past health issues. After 7 PM, I feel very low and confu... Read Full »
Answer: Hi, Welcome to icliniq.com. Well, for your low testosterone and low vitamin D you need to take supplements. For vitamin D, I recommend Cholecalciferol sachets or tablets 60000 units weekly once for three months. Also take Calcium supplements every night. For testosterone, you need to get Testoster... Read Full »
What could cause random muscle twitching and shaking feeling all over the body?
Query: Hi doctor, I hope you are well and hopefully will be able to answer some of my concerns. For the past three months, I have been experiencing some unusual symptoms which have given me cause for concern. First of all, I am a 28-year-old female. Before three months, I started to experience a sort of ... Read Full »
Answer: Hello, Welcome to icliniq.com. I passed carefully through your question and would explain that we can exclude ALS (amyotrophic lateral sclerosis), considering the fact that you have sensory complaints (tingling and burning sensation). From the other hand, this would be an exceptional diagnosis at ... Read Full »
What could be the reason for anxiety, swollen lymph node and spasm in calves?
Query: Hello doctor, I have a question regarding ALS vs BFS. I have severe anxiety, a kind fo shakes when arms are crossed, swollen lymph node on the left side of neck, sore wrists, muscle spasms in calves, and on outstretch the left arm gets fatigued. I have done MRI, EKG, and MRI cervical spine. Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and would explain that ALS (amyotrophic lateral sclerosis) does not usually cause just fasciculation. It is usually associated to progressive paralysis and muscle wasting in the hands and legs. Other symptoms like troubles with swallowing, ... Read Full »