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Intermittent upper abdominal pain, sometimes more on the left side, cramp-like, comes and goes Occasional needle-like / electric shock sensations in: Chest Neck Left shoulder Hands, legs, and sometimes mouth One episode of electric pain in left shoulder and head while standing in cold wind Symptoms are worse in cold weather No continuous chest pain, no breathlessness, no weakness Vegetarian diet Earlier noticed small white worms-like things in stool Gas medicine gave partial relief
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Neuropathic pain and rule out infections need bld culture and blood count check up or due tobuegers disease cold intolerance dm. Usg for spleenomegaly.neuralgia shud be ruled out. Consult a physician.
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For worms take tab albendazole 400mg one after dinner  and repeat after 2 weeks. For pain take tab  meftal spas one every 8hours for 3 to 4 days. Get ecg, cardiac echo,  serum b12, vit d3,, ultrasound abdomen done  and share results,  then I can help you further.
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Your symptoms and history of worms in stool are more in favour of vit b12 deficiency and since u have epigastric pain we have to rule out IF deficiency
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kindly consult  me on practo for further treatment
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Looks like you need some medical testing to further evaluate. B12 deficiency also suspected. Ppi causes b12 malabsorption also.you need to consult me on practo for further management.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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Need a few details consult for further evaluation and treatment
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.