Systemic Tingling: Possible Causes and Next Steps

Q: Systemic Tingling: Possible Causes and Next Steps

Hello： You are currently on too many medications, and many gastrointestinal drugs can actually be adjusted. <br>For example, the side effects of EPILON may include dry mouth, vomiting, constipation, urinary retention, blurred vision, headache, fatigue, and skin flushing, among ot

Generalized tingling and numbness?

Hello Dr.
Jiang, this is Mr.
Wu, who inquired about multiple sclerosis last time.
I had a follow-up appointment on May 6th, and the cervical MRI report showed normal results.
I informed the physician about the tingling sensation in the soles of my feet.
Preliminary reflex tests were conducted, and I was scheduled for nerve conduction studies and electromyography on May 20th.
I was prescribed Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), including Tuning Tablets, Fuluxi Coated Tablets, and Ucurilin Sugar-Coated Tablets.
That first night, I slept through until morning and noticed that the medication reduced the frequency of the tingling in my feet, but it transformed into a generalized, migratory tingling sensation (in my chest, back, dorsum of the feet, back of the hands, wrists, calves, and forearms).
The tingling in my torso lasts only a few seconds, but the sensations in my limbs are prolonged and frequent.
I often wake up startled due to my entire leg being numb, although it’s not due to pressure.
Even when lying flat, I still experience this.
I have also been taking traditional Chinese medicine (related to nerve inflammation) and medications from an ENT specialist, including Moker Film Coated Tablets, Nidolium Tablets, SuFlex Tablets, and Magnesium Oxide Tablets.

About 3-4 years ago, I frequently experienced soreness and swelling in my right calf, which would last half a day to 1-2 days.
At that time, my job required prolonged standing, and my weight was primarily on my right foot.
After changing job positions, those episodes ceased.
I feel this is very similar to multiple sclerosis.

I would like to ask Dr.
Jiang if these symptoms could be due to a drug allergy or interactions from taking too many medications? Since my symptoms have not improved, should I stop the medication immediately and return for a follow-up, or should I wait for the May 20th examination and follow-up? If I opt for an out-of-pocket brain MRI at this stage, will the absence of other symptoms prevent the detection of lesions? Can a diagnosis be made solely from the MRI, or are additional tests required for assistance? Could you recommend an experienced and authoritative physician for these symptoms? (I live in Chiayi City).
I appreciate your professional assessment and advice.
I apologize for bothering you again, but I am anxious about waiting until May 20th.
Thank you!

Wu, 30~39 year old female. Ask Date: 2022/05/08

Dr. Jiang Junyi reply Neurology

Hello: You are currently on too many medications, and many gastrointestinal drugs can actually be adjusted.
For example, the side effects of EPILON may include dry mouth, vomiting, constipation, urinary retention, blurred vision, headache, fatigue, and skin flushing, among others.
Multiple medications can lead to various complications.
It is recommended to seek care at a nearby hospital with an emergency department to consolidate your medical information in one place (regardless of whether it is traditional or Western medicine).
Please ensure to practice self-protection and maintain cleanliness and disinfection before and after your medical visit.
Thank you for your inquiry, and feel free to discuss any related questions further! Wishing you good health, safety, and happiness.
Dr.
Jiang Junyi from Taoyuan Medical Center cares about you.

Reply Date: 2022/05/08

More Info

Hello Mr. Wu,
Thank you for reaching out with your concerns regarding your symptoms and the recent developments in your health. It sounds like you are experiencing a complex array of symptoms, including widespread tingling sensations in various parts of your body, which can be quite distressing. Let's break down your situation and address your questions systematically.

Understanding Your Symptoms
The tingling sensations you describe, which have become more generalized and frequent, can be attributed to several potential causes. Given your history and the normal MRI results of your cervical spine, it is essential to consider other factors that could contribute to these symptoms.
1. Peripheral Neuropathy: This condition can cause tingling, numbness, and pain in the extremities. It can result from various causes, including diabetes, vitamin deficiencies, and certain medications.

2. Medication Side Effects: The medications you are currently taking, including non-steroidal anti-inflammatory drugs (NSAIDs) and other treatments for nerve inflammation, could potentially lead to side effects that manifest as tingling or numbness. It is crucial to review these medications with your physician to determine if they might be contributing to your symptoms.

3. Anxiety and Stress: Psychological factors can also play a significant role in physical symptoms. Anxiety can lead to heightened awareness of bodily sensations, which may exacerbate feelings of tingling or discomfort.

4. Multiple Sclerosis (MS): While you mentioned concerns about MS, it is essential to note that a definitive diagnosis typically requires more than just symptom observation. MRI findings, particularly of the brain and spinal cord, are crucial in diagnosing MS, as they can reveal lesions characteristic of the disease.

Next Steps
Given your current situation, here are some recommendations:
1. Follow-Up with Your Physician: It is essential to communicate your ongoing symptoms to your healthcare provider. If you feel that your symptoms are worsening or not improving, it may be appropriate to discuss the possibility of adjusting your medications or exploring alternative treatments.

2. Consider Additional Testing: If you are concerned about the possibility of MS or other neurological conditions, discussing the option of a brain MRI with your physician may be beneficial. While a brain MRI can provide valuable information, it is often interpreted in conjunction with clinical symptoms and other diagnostic tests, such as lumbar puncture or evoked potentials.

3. Evaluate Medication Interactions: Since you are taking multiple medications, it would be prudent to have a thorough review of these with your doctor or a pharmacist. They can help identify any potential interactions or side effects that might be contributing to your symptoms.

4. Monitor Symptoms: Keep a detailed log of your symptoms, including when they occur, their duration, and any potential triggers. This information can be invaluable for your healthcare provider in determining the best course of action.

5. Seek Specialist Consultation: If your symptoms persist or worsen, consider asking for a referral to a neurologist who specializes in conditions like MS or peripheral neuropathy. They can provide a more in-depth evaluation and tailored management plan.

Conclusion
Your symptoms are understandably concerning, and it is essential to approach them with a comprehensive evaluation strategy. While waiting for your scheduled tests on May 20, I recommend maintaining open communication with your healthcare provider about your symptoms and any changes you experience. If you feel that your condition is deteriorating or if you have significant concerns, do not hesitate to seek immediate medical advice.

Please take care of yourself, and I hope you find relief from your symptoms soon. If you have any further questions or need clarification, feel free to reach out.

Best wishes,
Doctor Q&A Teams

Similar Q&A

Understanding Random Numbness: Causes and Next Steps in Diagnosis

Hello Doctor, I have recently experienced some random tingling sensations throughout my body. It hasn't reached a point where I can't take care of myself, but it occurs quite frequently. I recently visited a neurologist and underwent an MRI of my cervical spine and nerv...

Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned experiencing some slight tingling sensations throughout your body. You have already undergone examinations to rule out structural abnormalities, including magnetic resonance imaging (MRI) of the cervical spine and nerve conduction studies of the limbs. A...

Understanding Facial and Limb Numbness: Possible Causes and Solutions

Recently, I have been experiencing frequent episodes of dizziness, tinnitus, and palpitations, which have made me very anxious. I constantly worry about whether I might be ill, and it has even affected my daily life, leading to emotional instability. I researched online and found...

Dr. Jiang Junyi reply Neurology
Dear Miss Chi, Regarding your mention of "early symptoms of multiple sclerosis," your symptoms do not align with this issue, as they do not present as lesions in a single area of the nervous system. Multiple sclerosis is caused by inflammation in the central nervous sy...

Understanding Body Tingling: Possible Causes and Recommendations

Hello Doctor, about a month ago I suddenly felt a tingling sensation all over my body, without a specific area, almost like it was moving around. I even experienced tingling in my face and head. For a period of time, I often had palpitations and chest tightness (I had been under ...

Dr. Jiang Junyi reply Neurology
Hello: Your symptoms appear at the extremities, which may suggest a deficiency in B vitamins or abnormal electrolyte levels causing peripheral neuropathy. Clinically, many conditions can lead to hyperventilation, including sepsis, significant blood loss, hypoxia, and acute myocar...

Understanding Systemic Electric Pain: A Rare Disease Overview

Symptoms: Hello, I experience a tingling, electric shock sensation and a crawling pain in my limbs and back when exposed to higher temperatures or during times of stress. I have been hospitalized multiple times for tests, including blood tests, immunological assessments, and nerv...

Dr. Chen Shunsheng reply Rare Disease
Pure sensory polyneuropathy and/or sympathetic autonomic neuropathy. The causes include congenital or hereditary factors, metabolic disorders (such as amyloidosis), toxic factors (such as tropical marine toxins), and immune abnormalities, among others. Please visit the neurology ...