Persistent Itching and Pain in Feet While Walking - Family Medicine

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It sounds like you are experiencing a complex set of symptoms that could be related to several underlying conditions. The persistent itching and pain in your feet while walking, along with the associated symptoms of dizziness, nausea, and gastrointestinal issues, warrant a thorough evaluation.


Possible Causes
1. Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can cause symptoms such as itching, pain, and tingling sensations in the feet. It can be caused by various factors, including diabetes, vitamin deficiencies (particularly B vitamins), and certain medications.

2. Circulatory Issues: Poor circulation can lead to discomfort in the extremities, including the feet. Symptoms may include pain, itching, and a feeling of heaviness or weakness in the legs. Conditions like peripheral artery disease (PAD) could be contributing to your symptoms.

3. Allergic Reactions or Dermatitis: Although you mentioned there are no visible rashes, it is still possible that you are experiencing a form of contact dermatitis or an allergic reaction to something you come into contact with while walking, such as certain types of shoes, socks, or even environmental allergens.

4. Anxiety or Panic Attacks: The combination of physical symptoms and feelings of dizziness and nausea could also suggest anxiety or panic attacks, especially if these symptoms occur in specific situations, such as during prolonged walking.

5. Gastrointestinal Issues: The gastrointestinal symptoms you mentioned, such as the urge to have a bowel movement and nausea, could be related to stress or anxiety, or they could indicate a separate gastrointestinal condition that needs to be addressed.


Recommended Actions
Given the complexity of your symptoms, it is advisable to consult with a healthcare professional who can perform a comprehensive evaluation. Here are some steps you can take:
1. Primary Care Physician: Start with your primary care doctor, who can assess your symptoms and may refer you to a specialist if necessary. They can perform blood tests to check for diabetes, vitamin deficiencies, and other potential causes.

2. Neurologist: If peripheral neuropathy is suspected, a neurologist can conduct nerve conduction studies and other tests to evaluate nerve function.

3. Vascular Specialist: If circulation issues are suspected, a vascular specialist can perform tests to assess blood flow to your legs and feet.

4. Dermatologist: If there is a possibility of skin-related issues, a dermatologist can evaluate your skin and recommend appropriate treatments.

5. Gastroenterologist: If your gastrointestinal symptoms persist, consulting a gastroenterologist may help identify any underlying digestive issues.


Management Strategies
In the meantime, here are some strategies that may help alleviate your symptoms:
- Foot Care: Ensure that you are wearing well-fitted shoes that provide adequate support. Consider using moisture-wicking socks to keep your feet dry and reduce irritation.

- Rest and Elevation: If you experience symptoms while walking, take breaks to rest and elevate your feet. This can help reduce discomfort.

- Hydration and Nutrition: Stay well-hydrated and maintain a balanced diet rich in vitamins and minerals, particularly B vitamins, which are essential for nerve health.

- Stress Management: If anxiety is a contributing factor, consider stress management techniques such as mindfulness, meditation, or yoga.

- Gradual Increase in Activity: If you are not used to walking for extended periods, gradually increase your walking duration to build endurance without overwhelming your body.


Conclusion
Your symptoms are multifaceted and could stem from various underlying conditions. It is essential to seek medical advice to determine the exact cause and appropriate treatment. Early intervention can significantly improve your quality of life and help you manage your symptoms effectively.