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My symtoms are of diabetic neuropathy but all treatments…

Customer Question
My symtoms are of...

My symtoms are of diabetic neuropathy but all treatments have failed. What could it be?

Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?

Yes, I've seen Morphine, Oxycodone and Hemp Oil.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I have a history of seizures.

Submitted: 8 months ago.Category: Medical
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Answered in 5 minutes by:
9/20/2017
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 38,064
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified

Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

What are your symptoms?

What are the investigations done?

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Customer reply replied 8 months ago
Numb, stabbing, feels like I'm walking on a pillow, burning. Neuropathy. I am borderline diabetic. A1C is 5 and I take Buspirone. Also Gabapentin.
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

Thanks for the additional information. I am writing the answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

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Customer reply replied 8 months ago
Phone reply not needed.
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

Apologies for any intrusion of those automatic offers for phone calls. These are produced by the website automatically and outside of my control.

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Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

Your diabetes is nicely controlled. You may get the following investigations which have not been done;

(some of which may have been done for you);

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

2) MRI of the spine and brain

3) Toxic panel

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)

Skin and nerve biopsy are recommended after the results of these investigations.

Commonly used medications for neuroapthy are;

1) amitriptyline (Elavil, Endep),

2) nortriptyline (Aventyl, Pamelor)

3) desipramine (Norpramin)

4) pregabalin (Lyrica)

5) phenytoin (Dilantin)

6) carbamazepine (Tegretol)

7) venlafaxine (Effexor)

8) duloxetine (Cymbalta)

For the local application; Capsaicin, an extract of chili peppers, when applied topically, has been demonstrated to relieve neuropathic pain by affecting sensory fibers, especially C-fibers in peripheral neuropathy.

Other supplements and alternative integrative therapy protocols are;

1) Evening primrose oil

2) Acetyl-l-carnitine

3) Alpha-lipoic acid

4) Benfotiamine (Milgamma), 100 mg, is a lipid-soluble vitamin B1 analogue

5) Vitamin E

Acupuncture too may help you.

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.

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Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

Was this information helpful to you? I would be glad to answer any further questions.

It is privilege assisting you.

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

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The rating button is on the left upper side of this thread.

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Wishing you all the very best in life.

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Category: Medical
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Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

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