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What Causes Tingling In Hands And Feet, Fatigue, Hoarseness And Sore Throat?

Posted on Thu, 12 Nov 2015

Question: I drive unusual long shifts of 18 hrs three times a week and last year my body shut down from exhaustion,since then I get tingling in my hands and feet ,a constant sore croaky voice and painful neck and heavy feeling in my head...is this all linked to stress and fatigue from the job

Answered by Dr. Dr. Muhammad Sareer Khalil (26 minutes later)

Brief Answer:
Organic cause for the symptoms should be addressed

Detailed Answer:
Hello and Welcome

I appreciate your concern

These symptoms are related to stress and fatigue. However, an organic cause should be ruled out primarily. Blood counts and ESR/CRP to look for anemia, infectious or inflammatory cause should be done. Basic metabolic panel including electrolytes and blood sugar should also be done. If no physical cause for the symptoms is found then fatigue and stress should be addressed. Sertraline is an SSRI mainly used in treatment for major depression, social anxiety disorder, post traumatic stress, panic disorder and OCDs. It would be advisable to undergo a XXXXXXX mental state exam with a psychiatrist to assess for any anxiety or depression. Life style changes, flexible work hours, behavioral cognitive therapy, psychotherapy and medication(if needed) can be advised accordingly.

Let me know if you have any query

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

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Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Why do I get the pain just at the side of the neck and shoulders and my voice is constantly croaky and want to clear it,on a few things I typed in search engines its come up with all sorts of illnesses but the timeline all points to stress and long hours rather than things like cancer and hiv etc

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

As I mentioned in the previous answer, long working hours are definitely a contributing factor and flexible working hours are likely to contribute towards improvement in stress levels.

As for the voice, acute onset of hoarseness or croakiness can be due to a throat infection, laryngitis or vocal cord pathology and would need to be examined by an ENT doctor. Antibiotics, decongestants and PPIs +/- steroids can be decided upon , based upon the cause.

For the side of the neck and shoulders pain, NSAIDs and muscle relaxants like diclofenac and tizanidine can be empirically advised for 2 weeks to see for improvement. Multivitamins especially B complex vitamins should be added if any recent illness was there as they are water soluble and can become deficient in the body very easily. If the pain persists , then imaging investigations i.e x ray cervical spine , MRI +/- EMG/NCS can be advised after consulting your doctor.

Let me know if you have any query

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar