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Arthritis  (Expert Forum)
 | 
hot face and bottom of feet, extreme lethargy
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
This forum is for questions and support regarding arthritis issues such as: Arthritis, Autoimmune Disease, Bursitis, Fibromyalgia, Gout, Juvenile Rheumatoid Arthritis, Lupus, Myositis, Neuralgia, Osteoarthritis, Polymyalgia Rheumatica, Rheumatoid Arthritis, Sciatica, Tendinitis, Vasculitis.

hot face and bottom of feet, extreme lethargy

by jilleo, May 29, 2005 12:00AM
Last summer I had vertigo.  It was cured using the Epley Manuever.  But I have been lathargic since then.  Recently I have gotten a very hot face and hot bottoms of my feet.  Also behind my right ear I have a lot of pain.

Please let me know ir you have any ideas for me.

Thanks,

Leo

by Kevin Pho, MD, Jun 01, 2005 12:00AM
The symptoms that you describe are pretty vague and can be caused by a variety of conditions.  



Pain behind the right ear can be caused by infection - either internal or external ear infection.  Less commonly, it can spread - leading to a condition known as mastoiditis, which is an infection of the mastoid bone in the skull.  



I would consider being evaluated to ensure an infection isn't being missed.



As for the hot face and hot bottoms of the feet.  Tough to say without examination.  A variety of neuropathies or nerve condtions can lead to this.  Diabetes would be a leading cause of these nerve disorders.  You can consider a blood test to screen for diabetes, as well as a blood count and ANA level (looking for rheumatological disorders).  A referral to a neurologist can be considered if the tests remain non-revealing.



You can discuss these options with your personal physician.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

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