Brief Answer:
Weird feelings over whole body

Detailed Answer:
Good morning.

There is some information that would be nice to know about you such as your age, gender, and past medical history such as hypertension, diabetes, heart problems, etc. and whether any of those disorders may run in your family.

Nonetheless, if you are describing tingling feelings and they happen to be present on both sides of the body then, you may be describing what we refer to as PARESTHESIAS or PARESTHETIC SENSATIONS.

The complete workup for such a set of symptoms can often be accomplished by a NEUROLOGIST so if your doctor is having a difficult time trying to figure out what's going on then, their next referral move could be to a neurologist of confidence for an opinion.

In the mean time, you should know that paresthesias are generally associated with metabolic problems that involve not only Vitamin D levels but should also look at things such as Vitamin B12 and Folate levels in the bloodstream. When assessing for Vitamin B12 levels standards nowadays for the purposes of normal or not look at values of at least 400 whereas in the past 220-350 were generally considered adequate. So, your primary doctor may want to review these levels. Vitamin C doesn't play much of a role in these types of sensations you're describing so that parameter doesn't contribute very much to the study.

Other things very important to check would be whether or not the condition of diabetes or PRE-diabetes may exist. For this we would need a Hemoglobin A1c, fasting serum glucose, and possibly a Glucose Tolerance Test since if the latter is abnormal even if a person clears for XXXXXXX diabetes the condition of Glucose Intolerance (abnormal GTT) can be associated with paresthesias or neuropathies.

Another important set of parameters to check are in the thyroid gland and again the standard test of TSH is what most people will get done but it's much more sensitive and specific for thyroid disease if at least a serum FREE T4 is added to the usual TSH test. If there were any question at all about the functioning of the thyroid there are even more sophisticated tests that can be added.

By the way, as a side note...levels of Vitamin D in serum have not really standardized to this point and so not all physicians necesssarily agree on what's sufficient or what's optimal. But in my practice and with my NEUROLOGICAL PATIENTS with low or threshhold vitamin D levels I always get them to boost up to at least 45-50 while my target for everyone is 60-80. So, if you were being worked up by myself I would probably look at your Vitamin D levels (if < 40) and recommend they be boosted. That doesn't necesssarily that your problem will become solved but it puts your Vitamin D levels in a much better place so at least that's not a concern anymore when it comes to neuropathy workups.

Finally, if all the above metabolic parameters are normal and if it is true that you are not taking any medications that could potentially cause these feelings as a side effect such as cholesterol lowering agents, methotrexate, and others. If it is true that you do not drink excessive amounts of alcohol which can be notorious in causing these types of issues or using recreational drugs, etc. then, the final step I might suggest to look at this problem if it remains ongoing (aside from getting you to see a neurologist) would be to order an MRI of the brain with gadolinium contrast. Again, I would only undertake this study after having ruled out everything else metabolically I mentioned above AND after a thoroughly complete neurological examination because there are instances of what we refer to as central neuropathy or central demyelinating disease that could also be responsible for the symptoms you describe.

An MRI would be an excellent study to obtain and I would also include the CERVICAL CORD in that study which is often excluded but can be positive for traces of pathology which otherwise would be missed if only a head study were performed.

If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating? Again, many thanks for submitting your inquiry and please let me know how things turn out.

Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 40 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.

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Brief Answer:
Many thanks for the additional information

Detailed Answer:
Thank you for the additional information. That helps consider just a couple of other things.

The only thing I would check on for the MRI study that was done would be to see if GADOLINIUM contrast were injected or not. Also, I would include a cervical spinal series IF a NEUROLOGICAL EXAMINATION suggested this might help....but again that would require that you be referred for a solid physical assessment. The one thing that makes a BRAIN cause unlikely is the fact that you are stating that your tingling sensations are from HEAD TO FOOT. This would imply that THE ENTIRE somesthetic cortex in both hemispheres were involved and that there were no other symptoms of motor, proprioceptive, or other sensory involvement. This is very unlikely to be the case....and so we drop back to either something purely metabolic or something out of the physical realm....read on....

Not being on medications can certainly help rule out side effects as a possible cause. Also, if the MRI was obtained for the symptom of headaches and nothing was found AND if the metabolic workup I've suggested also pans out to be absolutely normal and and if an MRI with gadolinium fails to reveal any type of demyelinating process in the brain/spinal cord THEN, I would say that the headaches and tingling were likely due to stress and anxiety issues and not a physical cause. If we add to the mix the fact that you had a baby 8 months then, the chance of feeling stressed, fatigued, and anxious increases even more and the diagnosis of a POSTPARTUM type of depression may be worth considering.

You'll want to check with your primary doctor to find out if they were thinking along the same lines and if they would also consider making that referral to the neurologist if there is a chance that still something neurological were possibly in the mix.

All the best to you and hopefully you will discover the origin of these sensations which often tend to be self limited when no organic cause can be found (i.e. they go away on their own).

If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating? Again, many thanks for submitting your inquiry and please let me know how things turn out.

Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 53 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.

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