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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31319
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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All fingers in both hands tingling and have numb sensation,

Customer Question

All fingers in both hands tingling and have numb sensation
JA: What seems to make the symptoms worse or better? In general, how would you describe your health lately?
Customer: Health good and just started like 20minutes ago
JA: Anything else in your medical history you think the doctor should know?
Customer: No
Submitted: 3 months ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 3 months ago.

I am Dr. Arun and will be helping you today.

The sudden appearance of these symptoms are likely due to pinched nerves in neck. Usually this resolve spontaneously in some time (less than 12 hours). But if this (tingling and numbness in both the hands) persists for more than this duration or increases, this will require following investigations;

1) Electromyography/nerve conduction studies (EMG/NCS)

2) MRI of the spine and brain

3) blood glucose, glucose tolerance test and glycosylated hemoglobin

4) serum B12 level with methylmalonic acid (with or without homocysteine),

5) serum protein electrophoresis

6) Anti-nuclear antibody

7) Lyme testing

8) Rheumatoid factor

9) Sjogren's syndrome testing (Anti-Ro, Anti-La Antibodies).

Following are the other causes to be considered if this does not resolve:

1) Diabetes

2) An underactive thyroid gland

3) Excessive use of alcohol, if you smoke.

4) Thiamine deficiency

5) Vitamin B 12 deficiency (pernicious anemia)

6) Vitamin B 6 (pyridoxine) taken in excessive amounts

7) Drugs, medications, herbs

8) Autoimmune diseases

9) Heavy metals such as lead and mercury.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  Dr. Arun Phophalia replied 3 months ago.

People may sometimes worry about the stroke with these symptoms. But stroke symptoms are usually dizziness, balance and speech issues, unsteady gait and weakness on one side of body. So this is unlikely to be stroke.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

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Thank you.

Wishing you all the very best in life.

Expert:  Dr. Arun Phophalia replied 3 months ago.

Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited and paid for my work.

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- if you would like to schedule a new, private email session or to ask me directly a new question. It's up to you.

Thank you.

Expert:  Dr. Arun Phophalia replied 2 months ago.

Let me know if you have any further questions.

A positive rating would be appreciated as this is the only way experts are credited and compensated.