Ongoing Tingling Sensations in Feet After Recent Health Diagnoses - Seeking Advice
I’m a 29-year-old male, standing 6'2" and weighing approximately 165-170 lbs. I received a diagnosis of HIV this past January, shortly after contracting the virus. For treatment, I take Biktarvy on a daily basis. Several years back, I was informed that I have hypothyroidism and was prescribed levothyroxine, though I discontinued its use some time ago. My thyroid-stimulating hormone (TSH) levels were elevated during my diagnosis (ranging from 5 to 8 from 2016 to 2019), but they have recently improved, now sitting at 3.95 after my latest blood test. My TPO antibody levels have consistently been positive, which leads me to believe I might have Hashimoto's disease, though currently I’m not experiencing any symptoms of hypothyroidism. I’m eager to discuss this further with my healthcare provider. During my initial consultation with the infectious disease specialist regarding my HIV, I was found to have low glucose levels (51). At a follow-up appointment in February, my glucose was again low (52). I shared my concerns with the doctor, who reassured me both times that these levels aren’t uncommon and should not be a cause for alarm. Now, for the past four days, I’ve been plagued by almost constant tingling and a pins-and-needles sensation in my feet. This sensation oscillates from my toes to the entirety of my feet, and I’ve occasionally felt a similar sensation creeping up my ankles. Initially, it was most noticeable when I was sitting or reclined. Over the weekend, I noticed it while dining with friends and while driving. Today it has also occurred while standing and walking. My fingers and hands have experienced this sensation, but to a much lesser extent. The discomfort is not severe—more annoying than anything else—but the persistence of this symptom and my recent glucose levels have me worried about potentially having diabetes. There is no known history of diabetes in my immediate family; however, I’m unsure about my relatives. Should I seek immediate medical attention for this issue, or could it possibly just be related to my health anxiety? I would really welcome any insights from medical professionals, especially since my next appointment isn't scheduled until June, and I doubt urgent care would provide the necessary help. Thank you for your guidance!
Answers (1)
3/25/2025, 12:40:53 AM
OpenHealth AI
It's understandable to feel concerned about persistent tingling sensations in your feet, especially given your health history. The tingling, or paresthesia, can be caused by various factors, including nerve compression, changes in blood sugar levels, or possible thyroid issues.
Explanation
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Potential Causes of Tingling:
- Nerve Irritation or Compression: Sometimes, sitting or sleeping in one position for too long can compress nerves, leading to tingling.
- Low Blood Sugar: Given your recent low glucose levels, this could contribute to unusual sensations. It's important to monitor blood sugar, especially if you have symptoms when levels dip.
- Thyroid Function: Since you have a history of hypothyroidism and perhaps Hashimoto’s, fluctuations in thyroid hormone levels could also contribute to nerve symptoms.
- Anxiety: Health-related anxiety can heighten awareness of bodily sensations, making them feel more pronounced.
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Your History with HIV: While HIV itself doesn’t directly cause these sensations, associated conditions like peripheral neuropathy could when untreated. However, your medication (Biktarvy) is effective at managing HIV.
Next Steps
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Monitor Your Symptoms:
- Keep a diary of when the tingling occurs, how long it lasts, and any other symptoms accompanying it (like changes in mood or diet).
- Note your blood sugar levels if you have a glucose monitor.
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Diet and Hydration:
- Ensure you're eating regular meals that include carbohydrates, proteins, and healthy fats to help maintain stable blood sugar levels.
- Stay well-hydrated, as dehydration can also contribute to nerve symptoms.
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Gentle Movement:
- Try to incorporate gentle stretching or light movement throughout the day to relieve any potential nerve compression, especially if you are sitting for long periods.
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Focus on Thyroid Management:
- Since your TSH levels have improved, consider discussing ongoing monitoring with your healthcare provider to ensure thyroid health remains stable. If symptoms persist or worsen, reinstating levothyroxine may be necessary.
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Follow-Up:
- Although you have a follow-up in June, if the tingling worsens significantly or you develop new, concerning symptoms (such as severe weakness, loss of coordination, or significant changes in blood sugar regulation), seek medical attention sooner.
While the tingling may not seem severe, being proactive about monitoring and addressing these symptoms is key to managing your health. If you start feeling overwhelmed, consider discussing these feelings with a mental health professional, as they can provide support for health anxiety.
Stay conscious of your body, but try to reassure yourself that these sensations are often manageable. If you have any further questions or if your symptoms evolve, don’t hesitate to reach out for more personalized advice.
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