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Night symptoms

Hi, doc.  I'm 29 and recently started having weird symptoms.  They are mostly in my hands (very tips) and feet.  It's tingling and occasional stabbing sensation, and at times itching sensation. It also feels like there "ants crawling under my skin".   It seems to be under the skin and I don't have any sensory changes.  The symptoms happen when I'm still or at night when I'm in bed.  Actually, they mostly happen at night.  They are getting worse as I can't sleep at night because of these symptoms.  The nighttime is just like nightmare to me.  Also, I noticed I started having muscle twitches/fasciculations at night, mostly in my calves and thighs.  I don't seem to have any weakness, though.  What can this be?  I'm so concerned.  I've researched B12 deficiency, MS, peripheral nerve hyper excitability. Can you please give me a piece of advice?
3 Responses
368886 tn?1466238884

You have to see how these symptoms are affecting your day to day work. B12 deficiency is a good option to rule out. But the twitching could be a part of the Benign Fasciculation Syndrome. It is know to increase with anxiety and stress.

Also, you need to rule out diabetes as a cause of a possible peripheral neuropathy. Diabetic neuropathy typically starts with fingertips and toes.

Multiple sclerosis is a very distant possibility. But again MS can have all known symptoms. Your worry about MS will itself increase the twitching in the muscles.

You should get yourself assessed by a Neurologist and get any further tests if necessary.

Keep me posted.

Avatar universal
Dr. Deshmukh, thank you very much for your comment.  I really appreciate you finding the time to respond.  
I have yet one more question for you.  Can Benign Fascicullations Syndrome have a sensory component to it, such as tingling, pins and needles?  
368886 tn?1466238884

Yes, BFS has paresthesia (tingling, numbness, etc) as a component. Not all have paresthesia. A Neurologist's opinion after a clinical examination is necessary.

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