Numbness and Redness in Fingers: A Guide for Farmers - Family Medicine

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Numbness and redness in the fingers?


Hello Doctor: My father is a farmer and frequently comes into contact with pesticides and other chemicals, and he often drinks excessively.
Recently, he has noticed that the fingers on his right hand are red but not painful.
He believes it is related to pesticide exposure.
I would like to take him to see a doctor, but I'm not sure which specialty to register for.
Also, I wonder if this is related to diabetes.

Xiangzi, 20~29 year old female. Ask Date: 2008/08/11

Dr. Lai Hexian reply Family Medicine


Hello: For all medical conditions with unclear symptoms, I would recommend that you first consult a family medicine specialist.
After all, family medicine physicians have a broader training background and can provide a more comprehensive evaluation.
As for the relationship with diabetes that you mentioned, it is advisable to clarify the nature of the finger lesions after seeking medical attention before making any conclusions, to avoid jumping to unfounded judgments.

Reply Date: 2008/08/11

More Info


When it comes to understanding the symptoms of numbness and redness in the fingers, especially in the context of your father's occupation as a farmer, there are several important factors to consider. Given his frequent exposure to pesticides and alcohol consumption, it is crucial to evaluate the potential impact these factors may have on his health.

Firstly, the redness and numbness in your father's fingers could be indicative of several conditions. One possibility is contact dermatitis, which can occur from exposure to chemicals such as pesticides. Symptoms of contact dermatitis include redness, swelling, and sometimes itching or burning sensations. If your father has been handling pesticides without proper protective gear, this could certainly be a contributing factor.

Another potential cause of his symptoms could be related to peripheral neuropathy, which is a condition that affects the peripheral nerves and can lead to numbness, tingling, and pain. This condition can be caused by various factors, including diabetes, alcohol abuse, and exposure to toxins. Given your father's history of alcohol consumption, it is important to consider that chronic alcohol use can lead to nutritional deficiencies (such as vitamin B12 deficiency) and nerve damage, which could explain the numbness he is experiencing.

Regarding the connection to diabetes, it is well-known that diabetes can lead to peripheral neuropathy as well. If your father has undiagnosed or poorly managed diabetes, it could certainly contribute to the symptoms he is experiencing. Diabetes can cause damage to blood vessels and nerves, leading to reduced blood flow and sensation in the extremities.

In terms of seeking medical attention, it would be advisable to start with a visit to a primary care physician or a family medicine doctor. They can conduct a thorough evaluation, including a physical examination and possibly blood tests to check for diabetes, vitamin deficiencies, and other underlying conditions. If necessary, they may refer your father to a specialist, such as a neurologist, for further evaluation of his nerve function.

In addition to seeking medical attention, there are some steps that can be taken to help manage his symptoms. If the redness is due to contact dermatitis, avoiding further exposure to the irritant (in this case, pesticides) is crucial. Wearing protective gloves and clothing while handling chemicals can help prevent future occurrences. If the numbness is related to alcohol use, reducing or eliminating alcohol consumption may also be beneficial.

Furthermore, ensuring that your father maintains a balanced diet rich in vitamins and minerals, particularly B vitamins, can support nerve health. If he is diagnosed with diabetes, managing his blood sugar levels through diet, exercise, and medication (if necessary) will be essential in preventing further complications.

In summary, the symptoms of numbness and redness in your father's fingers could be related to several factors, including exposure to pesticides, alcohol consumption, and potential underlying conditions such as diabetes. It is important to seek medical evaluation to determine the exact cause and appropriate treatment. Taking preventive measures, such as using protective gear and maintaining a healthy lifestyle, can also help manage and reduce the risk of further symptoms.

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