HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes Tingling Sensation In Feet, Weakness And Memory Loss?

Posted on Thu, 3 Dec 2015

Question: Hi I am 27 year male, having tingling in lowest of my feet. Also feeling weekness, memory lost
My b12 level is 287 pg/ml, near border line.
Please suggest me treatment of tingling.
No diabetes, no hormone disorder.

Answered by Dr. Neeraj Kumar (12 minutes later)

Brief Answer:
Get homocysteine tested and then start supplementations

Detailed Answer:
Hello XXXXXXX
I have gone through your question and reports.
You are having normal tests. For B12 deficiency you may additionally get serum homocysteine levels in case of low normal B12.
Your MCV is high and vitamin B12 levels may have reached in normal range due to some supplementation.
You can start vitamin B12 injectables or oral after blood testing for few months.
Additionally you can take pregabalin 75 mg in night for tingling sensations inlet.
Nothing serious seems to be present.
If very concerned then consult a neurologist for detailed examination and any nerve conduction required may be advised.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Neeraj Kumar (16 hours later)

As I am currently taking medicines
1) Cap Vitcinox
2) Tab D3 Must 60K

May Be the reason my B12 level is showing up.
You advised me to take b12 injactables, can you please advise me which injection i need to take and how many doses I need, as I worried about my health and want immediate and short term treatment.

Answered by Dr. Neeraj Kumar (7 hours later)

Brief Answer:
Get tested for homocysteine

Detailed Answer:
Hello XXXXXXX
You can get tested for serum homocysteine levels.
For injectable supplementation of vitamin B12 I prescribe in my patients inj vitcofol 2ml intramuscular alternate day 7 injection then once weekly for 4 weeks then if required 3 monthly.
Later on oral supplementation may suffice.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Neeraj Kumar (16 days later)

Hi sir...... as advised I have done with serum homocystein test as well and it is 15.30 umol/L
I have attached the report ..... please review and suggest me the treatment for tingling

Answered by Dr. Neeraj Kumar (2 hours later)

Brief Answer:
Take treatment as advised

Detailed Answer:
Hello XXXXXXX
Your homocysteine is in range but higher normal cut off.
You can either take injectable schedule of 7alternate day injection course and then continue vitamin B12 supplementation orally for atleast 3-6 months like tetrafol plus or rejunex CD 3 once daily
OR alternatively you can only take this oral drugs for 6 months.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Neeraj Kumar (23 hours later)

could I need to consult any doctor first for prescription....... or start taking injections and oral supplements.???
Is there any precaution needed before taking injection, please advice me if is there any side effect of injections???

Answered by Dr. Neeraj Kumar (1 hour later)

Brief Answer:
Get it prescribed by doctor

Detailed Answer:
Hello dear,
Injection has to be prescribed by a doctor and should be injected intramuscularly by a trained paramedics.
If finding it difficult you can straight away start with oral drugs as advised previously.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj