Medicen please help. Hand weakness!

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Your symptoms are widespread, multi-system, and not coming from one single cause. This pattern needs careful evaluation, but I will help you understand the possibilities and what to do next. Your symptoms include: Finger & toe pain Numbness + burning sensations Joint pains Muscle atrophy Hand weakness Pain from hips down to soles Occasional blurred vision Fatigue, lethargy Irritability, anger Occasional chest pain Watery eyes These point most strongly toward a nerve + vitamin deficiency + stress/anxiety + possible autoimmune or thyroid-related picture. Most causes are treatable, but we need to identify the right one. 🌟 Most Likely Causes (based on your symptoms) ✅ 1. Peripheral neuropathy (nerve irritation) Causes: Burning, numbness, tingling Pain in toes/fingers Weak grip Leg pain from hips to soles Common Causes: Vitamin B12 deficiency Vitamin B1 deficiency Vitamin D issues Thyroid issues Post-viral weakness Stress/anxiety leading to nerve hypersensitivity ✅ 2. Vitamin Deficiencies Even if Vitamin D is normal, Vitamin B12 and B1 deficiency can cause: Numbness Burning Weakness Muscle atrophy Irritability & mood changes Blurred vision sometimes Tiredness ✅ 3. Fibromyalgia / Chronic fatigue syndrome Symptoms: Severe lethargy Fatigue Widespread body pains Irritability Occasional chest pain ✅ 4. Anxiety + stress Can cause: Chest pain Numbness Pins and needles Anger/irritability Weakness Blurred vision Since you mentioned taking Petril Beta, this can also influence mood and body sensations. ❗ 5. Autoimmune issues (less likely but possible) Conditions like RA, SLE, Sjogren’s can cause joint pain + fatigue + eye symptoms. 🧪 TESTS YOU SHOULD GET (Highly recommended) These tests will identify the root cause: 1. Vitamin levels Vitamin B12 Vitamin B1 (Thiamine) Folate Homocysteine 2. Thyroid panel (TSH, FT3, FT4) Though your TSH is 0.8 (normal), full panel helps. 3. Nerve tests Nerve conduction study (NCS) – for weakness/numbness 4. Autoimmune screening ANA RF ESR/CRP 5. Blood sugar profile HbA1c (to rule out diabetic nerve issues) ⭐ What you can start immediately (Safe, helpful steps) ✔ 1. Start a strong B-complex with methylcobalamin Take for 2–3 months: Methylcobalamin 1500 mcg Alpha lipoic acid 100–200 mg B1 + B6 + Folic acid Combination tablets (India): Nurokind Plus / Neurobion Forte / Maximin Plus → Once daily after food. This alone often reduces: Numbness Burning Tingling Weakness ✔ 2. For muscle/joint pain Tablet PCM 500 mg if pain is high Warm compress Stretching 10–15 minutes daily Avoid long sitting ✔ 3. For severe lethargy Drink enough water Add ORS once daily 20–30 min walk Regular sleep timing ✔ 4. For anger, irritability, anxiety Your symptoms match stress-linked somatic nerve symptoms also. Deep breathing (4-7-8 technique) Reduce caffeine Avoid screens 1 hr before sleep 🚨 Urgent signs (seek medical care if any) Weakness progressing rapidly Vision suddenly worsening Inability to walk properly Chest pain lasting >10 minutes One-sided body numbness

If there is backpain neckpain :- Tab.gabapentin 0-0-1 Tab.ultracet 1/2-0-1/2 Tab.pan40mg 1-0-0 If there is tingling sensation Tab.B complex 0-1-0 Tab.pan 40mg 1-0-0 Review me on practo if not resolved

You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect. Only whatsapp message no calls

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Hello, I am Dr Romain Rajan, General Physician. Your case has been allotted to me. I have carefully reviewed your reports and your symptoms, and both together explain exactly why you are feeling this way. Several of your markers are outside normal range and strongly correlate with the problems you described. Your symptoms Finger pain, toe pain, numbness, burning, joint pain, muscle atrophy, irritability, blurred vision, lethargy, hip to sole pain, hand weakness, watery eyes, fatigue These symptoms are not random. They match 3 major issues seen in your reports. Advices 1 Start eating regular meals every four to five hours to improve energy levels and reduce irritability. 2 Improve hydration and include fruits like banana or oranges daily to support nerve function. 3 Keep a consistent sleep schedule because disturbed sleep worsens nerve symptoms and body pain. What to Monitor 1 Increasing numbness or burning in hands and feet. 2 Sudden mood changes or extreme irritability. 3 Worsening fatigue or muscle weakness. Management Your reports show severe deficiencies and abnormalities that directly explain your symptoms 1 Very low Vitamin D (5.2 ng/ml). This is extremely low and causes body pain, bone pain, hip to sole pain, weakness, depression, irritability and muscle atrophy. 2 Low Vitamin B12 (184 pg/ml). This causes nerve pain, numbness, burning feet, finger pain, blurred vision, tingling, hand weakness and mood changes. 3 High bilirubin levels. This can cause fatigue and weakness. 4 Low hemoglobin (10 g/dl). This further explains fatigue, irritability and weakness. 5 Elevated CRP and other inflammatory markers. This means your body is inflamed and your nerves are under stress. Based on this pattern, your condition is a combination of 1 Severe Vitamin D deficiency 2 Vitamin B12 deficiency neuropathy 3 Anemia 4 Mild liver stress 5 Systemic inflammation You will require a proper treatment course, not just basic supplements. Your management typically includes 1 Weekly high dose Vitamin D for eight weeks 2 Vitamin B12 injections or high dose tablets for at least six to eight weeks 3 Iron correction after checking ferritin 4 Anti inflammatory guidance and gut correction 5 Monitoring bilirubin and liver function Your symptoms will not improve unless these deficiencies are corrected aggressively and systematically. After understanding your diet, lifestyle and past medical history, I can guide you with exact medicine names and dosages. When to Consult a Doctor Immediately 1 If numbness rapidly increases. 2 If chest pain becomes stronger or frequent. 3 If you notice yellowing of eyes or severe weakness. Every patient’s situation is unique. For accurate diagnosis and lasting relief, it is important to discuss your medical history, lifestyle, and symptoms in detail so that I can create a proper recovery plan. You can reach out to me directly for this case and also connect with me in future for any medical consultation. I am available on Practo or on WhatsApp at 85271646 seven seven for a one on one consultation where you will receive 1 A personalised treatment plan 2 Safe medicine adjustments if required 3 Quick follow ups to track your recovery Take care, wishing you good health. Dr Romain Rajan General Physician

Vitamin deficiencies Book consultation for prescription

Your vitamin D, vitamin B 12 is very low Symptoms maybe due to vit deficiency

Cap. D rise 60 k once a wk for 4 months Tab neurobion once a day for two months

Sunlight exposure , food rich in vitamin B12

Can help you, kindly provide detailed history for proper diagnosis and further management

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