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Dr. Frank
Dr. Frank, Board Certified Physician
Category: Neurology
Satisfied Customers: 9000
Experience:  Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
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I clench my fists very tightly when sleeping and wake up in

Customer Question

i clench my fists very tightly when sleeping and wake up in the middle of the night with fist clenched and pain. My hands hurt during the day too and the toes on my left foot are now starting to clench as well during the day.
Submitted: 4 years ago.
Category: Neurology
Expert:  Dr. Frank replied 4 years ago.

Hello. You need to see your doctor if not done previously to be screened for an electrolyte imbalance. You could be hypocalcemic, from a variety different conditions, and you are having Carpopedal spasm. I will attach a webpage on the reasons behind hypocalcemia. this is a very serious and can be life threatening condition, so please review this information and contact your doctor. There are other illnesses, like tetany (rare) that can mimic this condition, as well as the parathyroid diseases that can give this as a secondary effect. I hope this answers your question Dr Frank T

Customer: replied 4 years ago.

Can this condition also cause pins and needle feeling in my scalp?

Should i contact my general MD or a specialist? If a specialist, should I go to a neurologist, internal medicine or ?

Expert:  Dr. Frank replied 4 years ago.
You can start out with the internal medicine doctor. Yes, if you look at the presentation page of hypocalcemia on that webpage I sent you, you can have "neuropathic" symptoms that would be numbness and/or tingling on your scalp. The hypoparathyroid conditions (there are several) need to be screened for with blood work, as well as the calcium and other electrolytes. You have classic carpopedal spasm by history, but I cannot be sure of anything here on line. The one comment I wanted to make to you is that some of these issues can be serious if not treated, so please ask your doctor. Dr Frank t
Customer: replied 4 years ago.

Thank you for your answers. I cannot rate the service until I understand the quality of your answer. Have had a blood test and will be seeing my doctor on October 25.



Expert:  Dr. Frank replied 4 years ago.
Hello. This is an information service, I cannot diagnose you online, I can only give you information based on what you put into your statement. I hope I was able to give you some direction to get a diagnosis. please come back if you need additional information, or rate my service if satisfied. Dr Frank T