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A 28-year-old female asked:

i am experiencing slurred speech, weakness on one side of body, foot numbness, decreased mental status, facial numbness, one sided weakness, confusion, change in vision, numbness or tingling, hand weakness, cloudy or blurred vision, and foot tingling.

1 doctor answer3 doctors weighed in
Dr. Shitel Patel
Plastic Surgery 14 years experience
Stroke: You should go to the hospital as soon as possible to make sure you are not having a stroke. The time to treatment is crucial for recovery.
Dr. Ashesh Patel
Internal Medicine 25 years experience
Go to the emergency room IMMEDIATELY!
Apr 19, 2020

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A 28-year-old female asked:

Pregnant with severe sore throat, body aches badly, lack of energy, headaches, night time sweats and chills, tight chest and lack of appetite?

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Dr. Romanth Waghmarae
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Pregnant: You more than likely are coming down with a "bug" . What you are having is quite typical of a viral infection with viremia.
A 30-year-old female asked:

Dry eyes & sore throat in morning, eat a lot but losing weight, sore joints & weak muscles, acne, but normal TSH (2.25) and glucose (76). What is it?

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Get checked: Get checked for autoimmune disorders like rheumatoid arthritis, sjögren's syndrome, scleroderma, lupus, etc, see a rheumatologist they will examine you and order appropriate tests if needed.
A 41-year-old member asked:

Why do I have muscle weakness? I have researched that muscle weakness is a severe side effect from azithromycin.I have recently started taking azithromycin 250 mg tablets for my sore throat. I am also taking amethyst birth control. On my second day i noti

1 doctor answer2 doctors weighed in
Dr. Laura McMullen
Pediatrics 21 years experience
Muscle : Muscle weakness on one side of the face should be evaluated by a doctor immediately. It could be a medication side effect or bell's palsy, or it could be something very serious such as ramsey-hunt syndrome or a stroke. The treatment depends on the cause and with many of these problems, the sooner they are diagnosed and treated, the better!
A member asked:

Can i be pregnant? I had my tubes tied 3 1/2 years ago. I am exhibiting several signs of being pregnant. I have swollen feet, breast leakage, nail and hair changes, nausea, facial acne (which i don't normally have), movement in my stomach daily, heartburn

2 doctor answers5 doctors weighed in
Dr. Mark Stern
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Unlikely but...: Take a pregnancy test and see your gynecologist.
A 39-year-old female asked:

Is there any relief for my neuropathy? I have pain in my hands and feet with numbness in both legs I am unable to walk without a walker because of the numbness in legs and I have tightness and pressure in my neck, shoulders and chest area. Do you addition

2 doctor answers4 doctors weighed in
Dr. Howard Fox
Podiatry 42 years experience
I : I am going to make an assumption here that you're a diabetic because you listed this under "endocrinology." the word “neuropathy” is a general term that simply means something is “wrong” with the nerves. It’s not well understood and can be frustrating to both doctors and patients alike. There are three different types of nerves in our bodies, and diabetes can affect each: the first kind of nerve are sensory nerves. These nerves carry impulses from a location toward the brain, and let us know about the presence of a stimulus. When sensory nerves are affected by diabetes, there is some kind of change in sensation. Sometimes this means decreased or even absent sensation (the story of the diabetic who steps on a nail and walks around all day without knowing it and finds blood in his sock when he goes home and takes his shoe off), or some sort of altered sensation, like burning, tingling, pain, numbness, etc. The second kind of nerve are motor nerves. Motor nerves send impulses from the brain to a muscle and when fired, results in some kind of muscle motion. When motor nerves are affected by diabetes, it usually is only one nerve, not a general weakness like what's found in ms or other degenerative diseases. The surrounding (unaffected) muscles try to compensate for the weakness, and become a bit "too" strong. This leads to a muscle imbalance, which can produce various deformities, like hammertoes or bunions, etc. Where a weak muscle group is lying next to a strong muscle group that's trying to make up for the weaker group. The third kind of nerve are autonomic nerves. Autonomic nerves control things we don’t have direct control over: how fast our hearts beat, sphincter control, “goose bumps, ” orgasms, how our pupils dilate, the rate by which our intestines digest food, etc. What autonomic nerves control in the foot are the smooth muscles that surround the arteries. More often than not, when there is an autonomic neuropathy, the larger blood vessels dilate, causing “too much” blood to flow in the foot, while the tiny capillaries just under the skin constrict, leading to dry skin. What’s so bad about “too much” blood? When there is a large flow of blood through one particular area, it can "wash out" the minerals from our bones and lead to osteoporosis, which predisposes that bone to fracture with even minor trauma. Diabetics with all three types of neuropathy have the "perfect storm:" the motor neuropathy leads to deformities, lumps and bumps and such. In the presence of a sensory neuropathy, the patient doesn't feel any irritation from rubbing on the bump, and an autonomic neuropathy will cause the bone underneath the bump to become brittle. Unfelt pressure from the bump can cause the underlying bone to fracture, and in the presence of a sensory neuropathy, there is little or no pain, so the patient merrily walks on the fracture until they notice swelling or even an ulcer. This is why diabetics with neuropathy must look at their feet at least once a day, run their hands over them, and check for things that may be going on that your nerves aren't telling you. Now, the kind of pain you're having is from a sensory neuropathy. Our cells require glucose for energy. Type 2 diabetics, who have a resistance to insulin, can't get the glucose into the cell (the function of insulin). Nerve cells are special, though, because they're so important. Nerves have the ability to use other energy sources besides glucose, but when they do, they don't function the way they're supposed to, and the result is pain, burning, numbness, etc... In short: "neuropathy." there are many drugs and treatments for neuropathy, but it's very frustrating. In general, the single most important thing you can do is make certain your diabetes is as controlled as possible. Usually, when the glucose levels are well controlled, neuropathy symptoms abate. Certain antidepressant medication can help (elavil (amitriptyline) and others). I hope this helped.

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Last updated Apr 21, 2020


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