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Years of having "good times" resulted in months of "bad times" for a young man
1. 35-year old Mr Naga presented with tingling & burning sensation of both legs & feet for 6 months. He also had pain in both legs and felt as if the flesh (of muscles) was being torn apart from bone.
1. 35-year old Mr Naga presented with tingling & burning sensation of both legs & feet for 6 months. He also had pain in both legs and felt as if the flesh (of muscles) was being torn apart from bone.
2. Mr Naga's life was crippled because of pain & burning sensation. He was unable to focus while at work & could not peacefully sleep at nights.
Pain and burning sensation in legs was a torture for him, for which no solution seemed to work.
#MedTwitter #neurotwitter
Pain and burning sensation in legs was a torture for him, for which no solution seemed to work.
#MedTwitter #neurotwitter
3. Mr Naga consulted a physician, who after detailed evaluation, concluded that he had developed alcohol-induced peripheral neuropathy (damage of nerves in legs & feet).
Mr Naga had a habit of consuming alcohol (alone as well as with his friends) almost on daily basis for 10 yrs
Mr Naga had a habit of consuming alcohol (alone as well as with his friends) almost on daily basis for 10 yrs
4. Mr Naga consulted me for second opinion, as pain-relief was inadequate. After review, I adjusted the dose of (neuropathic pain) medications and also added B vitamins (including B12, thiamine) & alpha-lipoic acid. After one month review, he reported mild improvement in pain.
5. Final diagnosis:
Alcohol-related peripheral neuropathy, with severe neuropathic pain
Mr Naga was continued on medicines and advised abstinence from alcohol.
Good times (alcohol consumption) earlier had resulted in bad times now for Mr Naga.
#alcohol
Alcohol-related peripheral neuropathy, with severe neuropathic pain
Mr Naga was continued on medicines and advised abstinence from alcohol.
Good times (alcohol consumption) earlier had resulted in bad times now for Mr Naga.
#alcohol
6. Alcohol causes nerve damage either due to its direct toxic effects on the nerves, or due to deficiency of vitamins such as B12 or thiamine.
Sensory nerves are damaged to a greater extent than motor nerves. Symptoms of pain, burning and tingling in feet & legs are common.
Sensory nerves are damaged to a greater extent than motor nerves. Symptoms of pain, burning and tingling in feet & legs are common.
7. Later on, hands and arms can also get affected. In severe cases, weakness of legs and arms can occur.
Treatment results in only partial relief from pain. Symptoms can persist for months to years even after discontinuing alcohol consumption.
Treatment results in only partial relief from pain. Symptoms can persist for months to years even after discontinuing alcohol consumption.
8. Take home message
*Alcohol intake causes multiple health hazards. Nerve damage (neuropathy) causing pain is a disabling effect of alcohol.
Mr Naga is determined to spread awareness about the harms associated with alcohol, in order to save others from suffering (t)his misery.
*Alcohol intake causes multiple health hazards. Nerve damage (neuropathy) causing pain is a disabling effect of alcohol.
Mr Naga is determined to spread awareness about the harms associated with alcohol, in order to save others from suffering (t)his misery.
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