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Suggest Treatment For Twitching Sensation In Limbs
Question: I am 32 years old, male, 5 foot 8, weight 145. I have a strange sensation around various limbs in my body. It feels like 10% of adrenaline rush OR that funny feeling you get when you do the knee reflex test. Some light twitching here and there, but nothing that really affects movement. I'm an epileptic but haven't had a seizure in 20 years.
The muscle relaxant was flexeril and did help reduce the twitching substantially (particularly in my face). It did make me drowsy, and on two days when I went out with inadequate sleep (<6 hours), I felt so disoriented that i needed to come back and take a nap. I felt normal once I did that. Is this normal? When can I expect my symptoms to subside if this is just benign?
The muscle relaxant was flexeril and did help reduce the twitching substantially (particularly in my face). It did make me drowsy, and on two days when I went out with inadequate sleep (<6 hours), I felt so disoriented that i needed to come back and take a nap. I felt normal once I did that. Is this normal? When can I expect my symptoms to subside if this is just benign?
Brief Answer:
Needs to be evaluated properly
Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
You probably have fasciculations.
In your case it may be calcium and vitamin D deficiency due to prolonged treatment for epilepsy or other causes like benign fasciculations syndrome.
Only matter of concern will be if you have associated wasting or some abnormal upper motor clinical signs.
Another possibility may be neuromyotonia.
I would suggest you to consult a neurologist for proper evaluation and investigation.
You may require blood investigation and nerve conduction study for proper diagnosis.
Hope you found the answer helpful.
do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Needs to be evaluated properly
Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
You probably have fasciculations.
In your case it may be calcium and vitamin D deficiency due to prolonged treatment for epilepsy or other causes like benign fasciculations syndrome.
Only matter of concern will be if you have associated wasting or some abnormal upper motor clinical signs.
Another possibility may be neuromyotonia.
I would suggest you to consult a neurologist for proper evaluation and investigation.
You may require blood investigation and nerve conduction study for proper diagnosis.
Hope you found the answer helpful.
do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Yogesh D
Thank you. Can you elaborate on what you mean by "associated wasting" or "abnormal upper motor clinical signs"? Sorry! I don't kno what these mean. Thank you!
Brief Answer:
Detailed answer below
Detailed Answer:
Hello XXXX,
Wasting means thinning of limbs and muscle bulk in the region of fasciculations.
Upper motor signs are stiffness in muscles and increased jerk or extensor plantar which has to be examined by neurologist.
I will advice you to consult a neurologist if this symptom is more than 2-3 months else you can wait with multivitamins and calcium supplements.
Regards
Dr Neeraj Kumar
Neurologist
Detailed answer below
Detailed Answer:
Hello XXXX,
Wasting means thinning of limbs and muscle bulk in the region of fasciculations.
Upper motor signs are stiffness in muscles and increased jerk or extensor plantar which has to be examined by neurologist.
I will advice you to consult a neurologist if this symptom is more than 2-3 months else you can wait with multivitamins and calcium supplements.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Yogesh D
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