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What Causes Burning Feet In A Liver Transplant Patient?

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Posted on Tue, 3 Feb 2015
Question: I am a liver transplant patient. Have burning feet all night such pain is such pain I should see if I get in to see my Hep doctor I have an appointment for XXXXXXX 22 shoud I just wait until then .Is their something I could get for pain (Burning)
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Answered by Dr. Ronald Schubert (1 hour later)
Brief Answer:
Neuropathy

Detailed Answer:
Thanks for contacting HCM with your health care concerns.

You are experiencing burning sensation in your feet that can be quite painful at times. This is called peripheral neuropathy. It is caused from nerve ending damage from either medication or disease. Most common cause is diabetes but transplant patients can also get neuropathy from transplant medication or from underlying medical conditions.

Usually for treatment of neuropathy we recommend using anti-seizure medications like gabapentin. This medication helps stabilize nerve endings and help reduce the pain and burning. The usual starting dose is 100mg three times a day but can be increased until pain is improved. Other medications for neuropathy include Lyrica and amitriptyline.

You can wait until your appointment on XXXXXXX 22. To help reduce the pain in the mean time there is a medication over the counter called capsaicin. This is hot pepper juice and helps deaden the nerve impulses in the feet. Use this as per package instructions and use gloves to apply when you apply the cream. The hot pepper juice on your hands can easily be transferred to your face and cause significant burning. You may not feel relief with capsaicin immediately but after several applications over a few days you will begin to feel relief.

I hope I answered your question. Please contact HCM again with your health care concerns or questions.
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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Ronald Schubert

General & Family Physician

Practicing since :1984

Answered : 2407 Questions

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What Causes Burning Feet In A Liver Transplant Patient?

Brief Answer: Neuropathy Detailed Answer: Thanks for contacting HCM with your health care concerns. You are experiencing burning sensation in your feet that can be quite painful at times. This is called peripheral neuropathy. It is caused from nerve ending damage from either medication or disease. Most common cause is diabetes but transplant patients can also get neuropathy from transplant medication or from underlying medical conditions. Usually for treatment of neuropathy we recommend using anti-seizure medications like gabapentin. This medication helps stabilize nerve endings and help reduce the pain and burning. The usual starting dose is 100mg three times a day but can be increased until pain is improved. Other medications for neuropathy include Lyrica and amitriptyline. You can wait until your appointment on XXXXXXX 22. To help reduce the pain in the mean time there is a medication over the counter called capsaicin. This is hot pepper juice and helps deaden the nerve impulses in the feet. Use this as per package instructions and use gloves to apply when you apply the cream. The hot pepper juice on your hands can easily be transferred to your face and cause significant burning. You may not feel relief with capsaicin immediately but after several applications over a few days you will begin to feel relief. I hope I answered your question. Please contact HCM again with your health care concerns or questions.