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Unidentified Symptoms

9/5/2025, 8:20:26 PMMale25-34

Greetings! I'm a 23-year-old female, standing at 165 cm and weighing 63 kg. For the past four months, I've been experiencing unusual tingling sensations in my body, akin to tiny insects crawling beneath my skin. These sensations are primarily present in both my arms and legs, notably in my palms and feet, and occasionally on my face as well. I underwent an MRI scan, which returned normal results, indicating no issues with my brain. Additionally, while most of my blood tests yielded satisfactory results, I was found to be slightly deficient in calcium and vitamin D. I have been on supplements for calcium, vitamin D, folic acid, and iron for the last month, yet the tingling persists. Furthermore, I occasionally suffer from cramps in my feet and calves. I have no history of tick bites or Lyme disease and I'm not experiencing anxiety or stress. I'm seeking guidance on what steps I should take next. It's worth noting that I had my thyroid gland removed a decade ago due to hyperthyroidism. My hormone levels are stable now, and I take 100 mg of Eutyrox daily. My parathyroid glands are functioning properly as well. I feel quite desperate and would greatly appreciate any assistance or suggestions.

Thyroid DisordersEndocrinologyRheumatology

Answers (1)

Cony

9/5/2025, 8:20:45 PM

OpenHealth AI

It sounds like you are dealing with persistent and distressing sensations that are understandably concerning. Your symptoms, including tingling, cramps, and your medical history, are important factors to consider as we explore potential next steps.

Main Points:

  1. Unusual Tingling Sensation: The sensations you’re experiencing can be referred to as paresthesia, which might result from various sensory nerve issues.
  2. Deficiencies and Supplements: Your calcium and vitamin D deficiencies may contribute to muscle cramps and tingling. However, since you’ve been on supplements for a month and the symptoms persist, further evaluation is warranted.
  3. Other Possible Causes: Given your thyroid history and the normal MRI results, we need to rule out other potential causes.

Explanation:

The tingling sensations can arise from different sources, including nerve compression (like carpal tunnel syndrome), vitamin deficiencies, circulation issues, or even side effects related to medications. Sometimes, slight imbalances in electrolytes or nerve health due to past thyroid issues can manifest as these symptoms.

Next Steps:

  1. Continue with Supplements: Ensure you are taking your calcium and vitamin D supplements as prescribed. Regular follow-ups with your healthcare provider to monitor your levels can help.

  2. Hydration and Nutrition: Stay well-hydrated and focus on a balanced diet rich in nutrients, particularly magnesium and potassium, which are important for nerve and muscle function.

  3. Monitor Symptoms: Keep a detailed symptom diary. Note when the tingling occurs, what activities you are doing, and any other accompanying symptoms. This information can provide insights for further evaluation.

  4. Review Medications: Discuss with your healthcare provider the possibility of side effects from Eutyrox or any other medications. Adjustments might be needed based on your current health status.

  5. Consider Further Evaluation: Since your symptoms are persistent, you may want to discuss undergoing additional tests looking for nerve conduction issues or further evaluation by a neurologist who specializes in peripheral nerve disorders.

  6. Physical Activity: Engage in regular low-impact exercise, which can help improve circulation and reduce muscle cramps.

Feel assured that you’re taking steps in the right direction by seeking help and understanding your symptoms. Don’t hesitate to keep your medical team informed about your ongoing experiences with the tingling sensations so they can provide you with tailored care.

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