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Low balance, confusion, burning feet with VITB12 DEFICIENCY.

Resolved Question:


History :Vit B12 def detected in dec 2013. value was 150 ng. So took inj and then capsules rejunex. Then discontiued. In december 2014 recurence of following symptoms:
Symptoms: Low body balance; State of confusion ; feels like jumping nerves all over body ;burning feet; tremors in fingers when stretched ; No pain observed in muscles or any other part of body.
Current medication: vit b12 injections as suggested by Neurologist Dr Rajesh Benny. He has checked and observed essential tremors which he say may be in family history. He rules out parkinsons
Your suggestion for Current problem: After vit b12 dose symptoms have reduced but still State of confusion ; feels like jumping nerves all over body. and tremors have increased a bit in fingers.

Got CT MRI twice but neurologist didn't observed any findings.
All other blood values are normal- T3 T4 also normal


Age-37 male; vegetarian


Category: Neurologist, Medical

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Category: Pediatric Neurologist
Dr. Sudhir Kumar is online now

Expert:  Dr. Sudhir Kumar replied 4 Days.

Hello,
Thank you for posting your query at DoctorSpring.com
I have noted your symptoms, past details and blood reports.
I agree that your symptoms can be explained by vitamin B12 deficiency and essential tremors.
You can continue vitamin B 12 supplements as at present. For tremors, propranolol tablets may be used.
Normal MRI is a good news.
I hope it helps.
Best wishes,
Dr Sudhir Kumar MD DM


Patient replied :

Dear Sir,
Thankyou for your opinion.
I had carried out MRI last year i.e. in 2013-14.
These tremors were not at that time. Tremors have started in past 1-2 months only. Do i need some more tests. Can you please guide the reasons for these tremors.
Further my physical effeciency has also gone down interms of standing- I cannot stand for more than 10-15 minutes( Start feeling pressure in veins/nerves of feet base), Then walking is also going down( nerves start dwindling).
Can you opine as to when such symptoms will go away?
Regards
KAPIL


Expert:  Dr. Sudhir Kumar replied 3 Days.

Hello,
Thank you for getting back.

If tremors are more recent, then, an MRI of brain may be repeated to exclude ischemia (decreased blood supply to brain) or demyelination (damage to covering of nerves).

Use of propranolol tablets would help you get better in about 4-6 weeks time.

With vitamin B12 supplements and regular exercises, your strength and stamina would also improve.


Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist,


Dr. Sudhir Kumar
Category: Pediatric Neurologist
Experience: 
Senior Residency, Fellowship: DM, Neurology, CMC, Vellore, 2001
Junior Residency: MD, Internal Medicine, CMC, Vellore, 1998
Medical School: MBBS, Christian Medical College, Vellore, 1995
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