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What Causes Prolonged Hotness In Hands And Feet During Night?
Hi, My hands and feet, especially feet, get VERY red and hot. Emphasis on hot. It has happened for probably 20 years or more. ( I am currently 35 years old.) Recently, the past few months, it has gotten worse. It happens every night. Normally, throughout the day my hands and feet are VERY cold unless I get hot. Regardless of the reason for being hot, over dresses, heats on too high, AC not working, etc... my feet and hands will start burning. I often have to get ice or go to the bathroom and run them under cold water. No one else around me seems to experience this. Most recently it is happening EVERY night like clock work. I should mention that I do not have diabetes.
Fri, 28 Oct 2022
Hello,
Your symptom of feet getting hot especially during nights is a unique symptom. It is most probably due to peripheral neuropathy. The causes are alcohol use disorder, athlete's foot, charcot-Marie-Tooth disease, chemotherapy, chronic kidney disease, complex regional pain syndrome (chronic pain due to a dysfunctional nervous system), diabetic neuropathy (nerve damage caused by diabetes), hypothyroidism (underactive thyroid), tarsal tunnel syndrome, vitamin deficiency (B12, folic acid and B6 deficiency), amyloid polyneuropathy, heavy metal poisoning like lead, mercury, chronic inflammatory demyelinating polyneuropathy (CIDP), Guillain Barre syndrome, and small fiber neuropathy.
Peripheral arterial disease can also cause burning feet. The following investigations help in diagnosing neuropathy causes which are EMG, nerve conduction studies, nerve biopsy, various blood tests like thyroid tests and levels of vitamins. Treatment depends on the cause of neuropathy. I recommend tab. Neurobion Forte daily once for 3 months. Tab. Evion LC daily for 3 months.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
Your symptom of feet getting hot especially during nights is a unique symptom. It is most probably due to peripheral neuropathy. The causes are alcohol use disorder, athlete's foot, charcot-Marie-Tooth disease, chemotherapy, chronic kidney disease, complex regional pain syndrome (chronic pain due to a dysfunctional nervous system), diabetic neuropathy (nerve damage caused by diabetes), hypothyroidism (underactive thyroid), tarsal tunnel syndrome, vitamin deficiency (B12, folic acid and B6 deficiency), amyloid polyneuropathy, heavy metal poisoning like lead, mercury, chronic inflammatory demyelinating polyneuropathy (CIDP), Guillain Barre syndrome, and small fiber neuropathy.
Peripheral arterial disease can also cause burning feet. The following investigations help in diagnosing neuropathy causes which are EMG, nerve conduction studies, nerve biopsy, various blood tests like thyroid tests and levels of vitamins. Treatment depends on the cause of neuropathy. I recommend tab. Neurobion Forte daily once for 3 months. Tab. Evion LC daily for 3 months.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
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