Common Symptoms: Cramps, Itching, and Eye Twitches - Family Medicine

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Hello, Dr.
Liao.
I apologize for the interruption.
Recently, I have been experiencing three main symptoms, and I would like to ask what possible issues they might indicate:
1.
Occasional calf cramps, especially at night while sleeping (about 2-3 times every 2-3 weeks over the past three months, whereas previously it was infrequent).
2.
Frequent itching in my neck (just itching, no rashes).
It turns red when I pinch it, but the skin looks normal shortly after.
3.
Twitching under my left eyelid (this has been happening for about two weeks, occurring intermittently for a few seconds each time).
Which specialties should I consult for these issues? Thank you for taking the time to respond despite your busy schedule.
Thank you.

Xiao Bai, 30~39 year old female. Ask Date: 2016/09/12

Dr. Liao Yaopan reply Family Medicine


Hello, for leg cramps and eyelid twitching, it is recommended to first seek evaluation from a neurologist.
For skin itching, it is advisable to consult a dermatologist for confirmation.
Changhua Hospital cares about you.

Reply Date: 2016/09/12

More Info


Hello! Thank you for reaching out with your concerns regarding the symptoms you've been experiencing. Let's break down each of your symptoms and discuss potential causes, as well as the appropriate specialists you might consider consulting.

1. Leg Cramps: Experiencing cramps, especially at night, can be quite common and may be attributed to several factors. These can include dehydration, electrolyte imbalances (such as low potassium or magnesium), prolonged sitting or standing, or even overexertion during physical activities. In some cases, leg cramps can also be associated with conditions like peripheral artery disease or nerve compression. Given that you've noticed an increase in frequency over the past few months, it would be advisable to consult a primary care physician or a neurologist. They can perform a thorough evaluation, including blood tests to check for electrolyte levels and other underlying conditions.

2. Itchy Neck: The itching sensation on your neck without any visible rash could be due to several reasons. Common causes include dry skin, allergic reactions (possibly to soaps, detergents, or fabrics), or even conditions like eczema or contact dermatitis. Since you mentioned that the skin appears normal after scratching, it might be a case of localized irritation or sensitivity. A dermatologist would be the most appropriate specialist to consult for this symptom. They can assess your skin and recommend treatments or lifestyle changes to alleviate the itching.

3. Eye Twitching: The twitching of your eyelid, known as myokymia, is often benign and can be triggered by factors such as stress, fatigue, caffeine intake, or eye strain. In most cases, it resolves on its own. However, if the twitching persists or is accompanied by other symptoms (such as drooping of the eyelid or vision changes), it may warrant further investigation. An ophthalmologist or a neurologist would be suitable specialists to consult for this issue. They can evaluate your eye health and determine if there are any underlying neurological concerns.

In summary, while your symptoms may seem unrelated, they could be interconnected through factors such as stress, lifestyle, or underlying health conditions. Here’s a suggested approach:
- Primary Care Physician: Start with a visit to your primary care physician. They can evaluate all your symptoms in a holistic manner, perform necessary tests, and refer you to specialists as needed.

- Dermatologist: For the itching on your neck, a dermatologist can provide targeted treatment options.

- Neurologist/Ophthalmologist: For the leg cramps and eye twitching, a neurologist or ophthalmologist can help determine if there are any neurological issues at play.

It's important to keep a record of your symptoms, including when they occur, their frequency, and any potential triggers. This information can be invaluable for your healthcare providers in diagnosing and treating your conditions effectively.

Lastly, don’t hesitate to express your concerns and ask questions during your appointments. Clear communication with your healthcare providers can lead to better understanding and management of your symptoms. I hope this information helps you navigate your health concerns, and I wish you the best in finding relief!

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