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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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 83 kg. I am diabet...  Read Full »

Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to 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 ass...  Read Full »

After doing filling, I have numbness in my tongue sometimes. Why?

Query: Hi doctor, For about a week, the right end of my tongue has been feeling just like a little numb and swelling. It would come and go a little bit throughout the day. It does not hurt, but it is just annoying. Sometimes, I will rub the end of my tongue on my teeth, and I did not know if that would cau...  Read Full »

Dr. Geeth Sadasivam


Answer: Hi, Welcome to I have read through your complaint and the relevant details. You have mentioned that you are experiencing this kind of tongue numbness only for a week and also had a filling done recently. So, my question to you is, did you get any injections in the mouth during your dent...  Read Full »

Why am I experiencing pain and weakness with on and off cramping in my biceps?

Query: Hello doctor, I have been experiencing pain and weakness with on and off cramping in my biceps. And I also feel fatigued all over my body. I am afraid. Are these symptoms of ALS?  Read Full »

Dr. Aida Quka


Answer: Hello, Welcome to I understand your concern and would explain that your symptoms are not typical of ALS because the location of the biceps weakness is not typical of this disorder. The fatigue may be related to different possible causes: - Anemia. - Vitamin B12 or Vitamin D deficie...  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 »

Dr. Priyanka Aggarwal

ENT Otolaryngologist, Audiologist

Answer: Hi, Welcome to 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 doc...  Read Full »

What causes burning sensation in the hands and feet?

Query: Hello doctor, I hope you are doing well. I would extremely appreciate any advice on this topic right now. My close friend has had pressure on his face recently. Now he complains of a burning sensation in his feet and hands and pain in his back and legs. So he is taking Amitriptyline. He said he fee...  Read Full »

Dr. J N Naidu

Family Physician, General Practitioner

Answer: Hi, Welcome to You mentioned blood tests show everything normal. But what are the blood tests done? If you can share the details, I can study the problem and ask for more tests or information, if necessary and evaluate the problem and suggest appropriate treatment.  Read Full »

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 »

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Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.