I'm 28 years old. For a while now, my feet have been feeling cold and I started getting this slight tingling sensation in my toes... as soon as I noticed it, I headed straight to the ER, where they gave me some Lioton gel. Honestly, that only helped with the coldness, but the tingling just wouldn't go away. I actually worried it might be diabetes since I went through a massive amount of stress back in early December, but when I checked my blood sugar, it was totally normal (5.9). So, I decided to see my doctor, who ran some reflex tests and specific exercises (I later realized online he was actually checking for MS symptoms). Anyway, here is what’s going on:
Reflexes: LE: Brachioradialis, biceps, and triceps reflexes are both 1/5. RE: Patellar and Achilles are both 4/5. Babinski present with silent foot.
Conclusion: Male patient presenting for evaluation of numbness in the feet. Physical exam and testing indicate symmetrically hyperactive lower extremity reflexes along with a silent foot, while other neurological findings are essentially normal.
Afterward, I had some blood work done, and here are the results:
RBC 4.72 (4.50-5.90)
HGB 136 (135-175)
HCT: 0.407 (0.410-0.530)
MCV 86 (80-100)
MCH 28.9 (26-34)
MCHC 335 (310-370)
RDW 13.0 (11.5-14.5)
PLT 249 (150-350)
MPV 8.0 (6-11)
WBC 6.5 (4-10)
LYM 36.1 (20-45)
MON 9.0 (2-10)
GRA 54.9 (40-75)
So, everything here is within the normal range, but on the next page, I have a few things that are out of whack:
CRP 32.5 (0-4)
Bilirubin Direct 6.8 (1.7-5.1)
Bilirubin Total 19.9 (5.1-17)
HDL Direct 2.07 (0.91-1.56)
Uric Acid 553.2 (150-420)
Glucose 6.46 (4.2-6.4)
(Note: My glucose is likely elevated because I ate after midnight)
I also have one low value, which is:
LDH 197.6 (207-414)
The rest are all within the normal limits:
ALP-AMP 30 (0-110)
Amylase Direct 61 (22-80)
AST 25 (0-35)
ALT 12.8 (0-35)
Albumin 48.6 (35-55)
Creatinine 92.06 (30-115)
G-GT 17.1 (0-50)
Urea UV 5.76 (3.6-71)
Cholesterol 5.57 (5.17-6.18)
LDL Direct 2.43 (0-2.59)
Total Protein 76.5 (55-80)
Iron Ferrozine 23.2 (5.4-28.7)
Triglycerides 1.64 (0-1.8)
SE 3
Any help would be much appreciated, thanks in advance! 🙂