Suggest Treatment For Tingling Sensation And Stress

Posted on Mon, 12 Oct 2015

Question: You answered a question about the tingling sensation that I have been experiencing. It seems to come and go. My physical was normal. Blood work showed no high blood sugar, no elevated uric acid levels, everything else normal. I thought the sensation was going away but it came back after drinking 2 beers on 2 consecutive nights with little sleep. I also went on a 2 hour hike yesterday and the next day as i took a nap the sensation was there. My job has been very demanding and stressful for the past year and a half so I asdume that its stress relatef. I'm just really nervous that it's something serious like MS. It should also be noted that I had the same symptoms but much worse 7 years ago during a time of lots of stress.

Answered by Dr. Saddiq Ulabidin (57 minutes later)

Brief Answer:
Follow up queries and lab tests

Detailed Answer:
Hi! Welcome again. Thanks for sharing the details of tests.

Since your laboratory indices are fairly in normal range, for baseline investigations of common disorders, that calls for next step of investigations and referrals to specialist clinics.

The pattern of your symptoms, specially the ones aggravating with hike, or other strenuous activities and triggered by restlessness erases the possibility of psychological origin of the symptoms, and that can be a rare possibility in your case.

The relapses of your symptoms with restlessness and relapsing remitting pattern raises few eye brows to think about MS. Even if it is, the releasing remitting one has a good treatment outcome. You need to visit a neurologist and discuss for any need of either nerve conduction studies, MRI or lumbar puncture of oligocolonal bands.

Meanwhile keep using supplements for B12, B6, B1 and folic acid. Using gaba pentins during tingling spells may help. Keep me posted. Hoping you a speedy recovery.

Above answer was peer-reviewed by : Dr. Sonia Raina