Brief Answer:
Seems to be due to electrolytes imbalance in your serum, needs evaluation!!

Detailed Answer:
Warm Welcomes. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services.
I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems.

There may be some important reasons for such kind of issue:
1. Related to the serum electrolytes especially the important ones like Calcium levels. They are all needed for normal contraction of muscles and muscles twitches involuntarily if there is an imbalance.
2. Loss of higher control of muscles right from the spinal cord level. This may be due to irritation or compression of the nerves supplying the area. There is actually a reflex XXXXXXX that controls the reflex activities of the legs. Problem anywhere in this system is the cause for such symptoms.
3.Liver functions if go deranged, may cause muscle symptoms like this due to toxins accumulation. Liver detoxifies chemical in body and if there is liver damage e.g. in heavy alcohol drinkers, it may lead to musculoskeletal manifestations.

Please consult your Primary Care Physician for thorough evaluation and management. He will do all baseline tests and if needed may refer to the Neurologist for further evaluation of higher mental functions and spinal cord integrity.


Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. Please give your 'rating' (if agreed, Five Stars) to help me assist patients in a better way; and, please don't forget to click on 'Close The Discussion'.
For any disease you have, a timely follow-up is necessary regarding the treatment efficacy and to see if there is a need to change treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).


Regards!
DR. HANIF
USA

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Brief Answer:
Yes, it is necessary to visit and have an evaluation and management !!!

Detailed Answer:
Welcome back and thanks for your continued trust in HCM.

I am glad to assist you again with answering the follow up doubts you have. Yes, it is necessary for you to go for an evaluation by your Physician as thyroid is necessary for proper bodily functions including muscle movements.

He will have to evaluate thyroid functioning and if necessary he will refer you to an Endocrinologist for proper management of the case. Endocrinologist will assess your case issues and will put you on or adjust your dosage for supplemental thyroid drugs.

I appreciate you have maintained yourself so perfectly that everybody gets deceived of your actual age. Keep it up by managing these issues too according to our detailed discussion.


Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. Please give your 'rating' (if agreed, Five Stars) to help me assist patients in a better way; and, please don't forget to click on 'Close The Discussion'.
For any disease you have, a timely follow-up is necessary regarding the treatment efficacy and to see if there is a need to change treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).


Regards!
DR. HANIF
USA

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