I have been having mild tingling sensations in my face, and in

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I have been having mild tingling sensations in my face, and in my feet when I lightly brush over the skin or scratched an insect bite. Yesterday there was a rather painful burning sensation on both buttocks and down the back of my thighs.

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Female , Age: 63

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Customer (name blocked for privacy)

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Ms Customer (name blocked for privacy), I may be able to give you a better answer if you provide a little more info:

1) How long has it been going on, how often in a day, how does it affect your function? What makes it better or makes it worse?
2) What other medical conditions do you have? What medications do you take?

Reply to ASun's Post: Thank you for your quick response. The tingling on face and feet have been going on for a couple of weeks. The burning sensation happened for the first time 2 days ago. I am on no medications. I am no sure what makes it worse or better. I have never had this before. I hope this helps.

Ms Customer (name blocked for privacy),
There are a few thoughts that come to mind with these symptoms. You should make an appointment to see your primary doctor to have a full history and physical done, as well as some specific blood tests.

Tingling can be a sign of peripheral neuropathy, where there is some process that is affecting the small nerves in your feet. This is less likely to affect your face. Thyroid problems can cause tingling sensations. Anxiety is also sometimes a cause of this. Diabetes is a consideration if peripheral neuropathy is present. I would recommed some routine lab tests: fasting glucose, TSH.

As general health screening: fasting lipids(if not done in past 5 years), colonoscopy (if not done in past 10 years), mammogram (every year), and pap smear (every year until normal x3, and then every 3 years).

--Dr. Sun

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