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    Numbness and Tingling, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Numbness and Tingling, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Numbness and Tingling, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook151 pages1 hour

    Numbness and Tingling, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    This book describes Numbness and Tingling, Diagnosis and Treatment and Related Diseases
    My sister-in-law last week complains of numbness and tingling of both hands and legs.
    In spite of treatment by the hospital she did not improve.
    She is still being investigated by the hospital’s specialists.
    Numbness and tingling are atypical sensations that can happen anywhere in the body, but they are often felt in the fingers, hands, feet, arms, or legs.
    Paresthesia is a medical symptom that indicates a burning or prickling sensation in addition to numbness and tingling normally felt in the hands, arms, legs, or feet, but can also happen in other parts of the body.
    The numbness and tingling sensation is one which:
    1. Happens without warning,
    2. Is normally painless
    3. Is felt as tingling or numbness,
    4. Is felt also as skin crawling, or itching.
    A. Transient or temporary Numbness and tingling is one that gives a sensation of "pins and needles" in people at some time in their lives.
    It may happen when they have:
    1. Sat with legs crossed for too long
    2. Fallen asleep with an arm placed under their head.
    3. Sustained pressure placed on a nerve.
    The feeling quickly goes away once the pressure is relieved.
    B. Chronic Numbness and tingling is frequently a medical symptom of an underlying neurological disease or traumatic nerve damage.
    Numbness and tingling can be due to disorders affecting the central nervous system such as:
    1. Stroke and transient ischemic attacks (mini-strokes),
    2. Multiple sclerosis,
    3. Transverse myelitis,
    4. Encephalitis.
    5. A tumor or vascular lesion
    6. Nerve entrapment syndromes
    Causes:
    1. Sitting or standing in the same position for a long time
    2. Injuring a nerve
    3. Pressure on the nerves
    4. Lack of blood supply to an area
    5. A lack of vitamin B12
    Symptoms:
    Numbness and tingling happen when the patient loses normal sensation in an area of the body.
    This happens because the pressure cuts off the blood supply to nerves that carry messages about sensation to the brain.
    If the patient has numbness, the patient does not feel anything
    Diagnosis
    A diagnostic assessment of numbness and tingling is based on detection of the underlying disorder that is making the person to sense numbness and tingling feelings.
    Diabetic neuropathy, hypo-calcemia, vitamin deficiencies, drug toxicity, and minor infections such as herpes zoster or Herpes Simplex Virus can normally be diagnosed medically or with laboratory tests.
    All other peripheral neuropathies require EMG with nerve conduction studies to confirm and characterize the neuropathy
    1. Complete Blood Count
    2. Chemistry panel or metabolic panel
    3. Urinalysis
    4. Thyroid Stimulating Hormone (TSH)
    5. Erythrocyte Sedimentation Rate (ESR)
    Other Studies are:
    1. Serum Folate
    2. Vitamin B12
    3. Syphilis Serology (VDRL)
    4. Antinuclear Antibody (ANA)
    5. Nerve conduction velocities
    6. Electromyogram (EMG) and nerve conduction studies
    7. Lumbar puncture (spinal tap) to rule out central nervous system disorders
    8. Cold stimulation test done to check for Raynaud phenomenon
    Imaging Studies:
    1. X-Ray of affected limb
    2. Angiogram (a test that uses x-rays and a special dye to see inside the blood vessels)
    3. CT angiogram
    4. CT scan of the head
    Tissue and Immunological Studies:
    1. Nerve biopsy
    2. Muscle biopsy
    3. Serum immunoelectrophoresis
    Treatment:
    Treatment will depend on the likely cause of the numbness and tingling.
    Certain exercises for carpal tunnel syndrome or low back pain
    Vitamin supplements
    Anti-inflammatory medicines for pain
    Antidepressant medications
    Wear clothes and shoes that are loose-fitting
    Stretching or massaging the affected limb can decrease the tingling

    TABLE OF CONTENT
    Introduction
    Chapter 1 N

    LanguageEnglish
    PublisherKenneth Kee
    Release dateDec 3, 2017
    ISBN9781370162321
    Numbness and Tingling, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Numbness and Tingling, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Numbness and

      Tingling,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2017 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Numbness and Tingling, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What The patient Need to Treat Numbness and Tingling)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Numbness and Tingling

      My sister-in-law last week complains of numbness and tingling of both hands and legs.

      In spite of treatment by the hospital she did not improve.

      She is still being investigated by the hospital’s specialists.

      What is Numbness and tingling?

      Numbness and tingling are atypical sensations that can happen anywhere in the body, but they are often felt in the fingers, hands, feet, arms, or legs.

      Paresthesia is a medical symptom that indicates a burning or prickling sensation in addition to numbness and tingling normally felt in the hands, arms, legs, or feet, but can also happen in other parts of the body.

      The numbness and tingling sensation is one which:

      1. Happens without warning,

      2. Is normally painless

      3. Is felt as tingling or numbness,

      4. Is felt also as skin crawling, or itching.

      A. Transient or temporary Numbness and tingling is one that gives a sensation of pins and needles in people at some time in their lives.

      It may happen when they have:

      1. Sat with legs crossed for too long

      2. Fallen asleep with an arm placed under their head.

      3. Sustained pressure placed on a nerve.

      The feeling quickly goes away once the pressure is relieved.

      B. Chronic Numbness and tingling is frequently a medical symptom of an underlying neurological disease or traumatic nerve damage.

      Numbness and tingling can be due to disorders affecting the central nervous system such as:

      1. Stroke and transient ischemic attacks (mini-strokes),

      2. Multiple sclerosis,

      3. Transverse myelitis,

      4. Encephalitis.

      5. A tumor or vascular lesion pressed up against the brain or spinal cord

      6. Nerve entrapment syndromes, such as carpal tunnel syndrome, can damage peripheral nerves and cause Numbness and tingling accompanied by pain.

      Tingling in the feet after orgasm for some people is caused by a temporary reduction of blood flow to the extremities.

      What are the Causes of Numbness and Tingling?

      There are many possible causes of numbness and tingling, such as:

      1. Sitting or standing in the same position for a long time

      2. Injuring a nerve (a neck injury may induce the patient to feel numbness anywhere along the arm or hand, while a low back injury can cause numbness or tingling down the back of the leg)

      3. Pressure on the nerves of the spine, such as from a herniated disk

      4. Pressure on peripheral nerves from enlarged blood vessels, tumors, scar tissue, or infection

      5. Shingles or herpes zoster infection

      6. Lack of blood supply to an area, such as from hardening of the arteries, frostbite, or vessel inflammation

      7. Abnormal levels of calcium, potassium, or sodium in the body

      8. A lack of vitamin B12 or other vitamin

      9. Use of certain medicines

      10. Nerve damage due to lead, alcohol, or tobacco, or from chemotherapy drugs

      11. Radiation therapy

      12. Animal bites

      13. Insect, tick, mite, and spider bites

      14. Seafood toxins

      15. Congenital disorders that affect the nerves

      Numbness and tingling can be produced by other medical disorders, such as:

      1. Carpal tunnel syndrome (pressure on a nerve at the wrist)

      2. Diabetes

      3. Migraines

      4. Multiple sclerosis

      5. Seizures

      6. Stroke

      7. Transient ischemic attack (TIA), sometimes called a mini-stroke

      8. Under-active thyroid

      9. Raynaud phenomenon (narrowing of the blood vessels, normally in the hands and feet)

      Acute Numbness and tingling

      Acute or transient Numbness and tingling are the most frequent type of this disorder.

      Typically, these happen at the hands or feet.

      These can be caused by either:

      1. Sustained pressure caused to the nerve:

      This pressure applied to the nerve will result to its restriction or activation of its function.

      2. Elimination of the applied pressure results in gradual relief from Numbness and tingling.

      3. Most often patients of Numbness and tingling are affected by the constant prolonged pressure that is applied to the nerves.

      Normally,

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