In the 'here is a question for all of you' thread I added some things why i really wish people could address if my burning skin all over my body..mostly legs but everywhere 24/7 for three weeks is due anxiety and whyit isnt neuropathical. small fiber neuropathy or something like that. whats the difference?

sorry I understand your comment but..

then nobody could ask a question anymore. Cause besides RLR no one is a doctor. Everyone here asks questions they could address to their own specialist. Its because of the lack of explanation or understanding whats wrong people ask questions here.

its like a sunburn. the amount of pain is subjective. I cant say how much, but it feels like a sunburn.

meanwhile I had an episode of pressure and squeezing just under my breastbone. lots of burping. and little squeezes. my food when swallow goes down, but seem to have its impact on that same place.also when i lay on my side these pressure increases there. I dont think its heartrelated but more stomach or reflux, or even costochondritis tietze. Anyway. had better days to put it mildly

I would really ask a specialist if that was possible . But in my country you cant go the hospital or specialist on your own.. you have to get sent by your own doctor! my doc doesnt know about skin burning. the only thing he stated that he dont think its neuropathy due to the speed it arose in my body..and MS he thinks is way to early to think of..

but whats causing it he doesnt know.. maybe due to your stress anxiety he said.. but i dont know..

So I really hope that RLR can understand why I , and I know its a lot too ask again, asked for more explanation what to do in this..
and if its really plausible to assume nothing neuropatic small fiber or some illness like MS or else is underlying my symptoms of burning skin over my body. I know reading on the internet is dead wrong.. but like I said..Skin burning is seen in a lot of disorders.. how do I know mine is anxiety or stress?

ok its now 5 weeks non stop burning skin like the sunburn, and burning feet toes.  last weeks heavy a bit painful legs. Nobody , my doc, ER doc , substitute doc, they all dont know why. anxiety could be, but ER doc thought that 5 weeks non stop this symptoms is strange.
He never heared of burning skin in anxiety. 5 weeks top anxiety or anxiety attack for 5 weeks was impossible in his mind. I didnt look and present me like an anxiety person in his eyes. not in the matter that could cause this prolonge and weird sensations in his eyes. or present this way only due to anxiety.
reflexes were good, strength also. he did not know if its was neuropathy cause I was in the ET for my chest pain there, which probably in the end was a heavy attack of tietze. chest wall pain.
blood was good he said. also liver and kidney tested, no diabetic problem.

my own doc doesnt seem to think I need a neurologic consult or mri
but its 5 weeks now. Isnt this bad for my nerves if it is neuropathic? the longer it lasts it could damage the nerves i understood.

So please I ask again for more info on my burning skin symptom and burning feet toes. when my toes feet stand on a cable telephone UTP on the ground it burns. rough underground it burns. squeeze my toes with my hands and nothing out of the ordinary happens.. 25/7 burning skin legs ...arms , torso a bit less, scalp...cant stand clothes that easy..its not painful but irritating..painful fingertips while typing. not heavy pain.. how do I know its a neuropathy or not? Is this Anxiety or CHV?  
If I cant get the answer from my doc and the ER doc is only for acute problems, I never get an explanation whats causing this..
its a crazy situation.

True neurological disease is heralded by the company that certain symptoms keep among others. You do not demonstrate the characteristic patterns of such diseases, but merely have selected to read about and collect certain features of these diseases for which you have elected to establish potential associations.

As I've stated previously, you're not a physician Ritchie and the ability to practice accurate diagnostic skills is absolutely not attainable to any degree whatsoever by collecting and assimilating medical information from the internet of all places. You are relying upon a faulty premise that you actually believe has some degree of accuracy and confidence.

The features you describe are readily established as part of the characteristic somatoform associated with specific levels of anxiety that are capable of stimulating the nervous system to the extent that it produces physiological manifestations. You are neither alone nor unique in such an experience.

True neurological disease is also strictly progressive, with the exception of several variants which demonstrate relapsing/remitting features and I will be forthright here in just as quickly telling you that such diseases are not present in your instance as well.

Having lab values that extend into the upper limits of normal only demonstrates normal and is not suggestive of some type of underlying cause. You seem determined to possess a disease, despite the fact that all of your posted data is entirely within the range of normality.

Your most confrontational question is how can it be possible for you to be experiencing all of these "symptoms" merely by the presence of anxiety. It's a medical fact that has been demonstrated in patient populations spanning the globe and dating far back into history.

You keep asking why and I keep providing you with the requisite information and yet it never suffices. I can't teach you clinical medicine and I can't produce variations from the truth concerning your questions and concerns. You're suffering from intense anxiety of a nature that is producing physiological manifestations that you are misinterpreting as signs and symptoms of actual disease.

There is no other information I can offer you. If you find yourself still incapable of interpreting my response, then I must regrettably suggest that you seek out a forum where the interaction is more consistent with your personal notions of what ails you.

Best regards,

Rutheford Rane, MD (ret.)

I noticed that you responded to a thread regarding symptoms similar to yours and in your response you note that you have been taking omeprazole for years.

Please indicate how many years, whether you have been taking it pretty much daily and whether you have had your B12 levels checked by a clinical lab, how long ago and what the result was of the test.

Significant B12 deficiency can occur in persons on long-term PPI therapy such as omeprazole. This occurs because stomach acid contains something called intrinsic factor which is necessary to absorb B12. If you take a proton pump inhibitor over extended periods, it can reduce stomach acid to the extent that insufficient intrinsic factor is available and consequently, a B12 deficiency often results.

A clinical deficiency in B12 is any level below 200, or any level near 200 during which B12 deficiency symptoms are present. More importantly, and very critical, is that if a true B12 deficiency is found then under no circumstances should folate supplementation be used to assist in restoring proper B12 levels due to clinical reports of irreversible neurological sequelae that may result. B12 deficiencies of the nature induced by extended PPI use should strictly be corrected by B12 injections at a rate of one per week, with a follow-up lab test in 2 months to determine whether proper levels are restored.

A significant B12 deficiency may indeed account for a portion of your symptoms related to your skin paresthesias and can even affect thyroid function.

Best regards,

Rutheford Rane, MD (ret.)

For a couple of weeks I keep having a lot of pain on my chest. it is concentrated on my breastbone centre and from there it goes to my left shoulder arm , and some days to the right arm and shoulder. and shoulderblades on my back. When just standing up tall or walking it increases the feeling
Taking into consideration it cant be angina pectoris, or my heart or a malignant proces. What can I do to get this pain of my chest and how can I handle this pain which increases when standing straight up or walk?
Its very painful and therefore I keep falling back into sitting and laying down. I dont feel like exercise or walking or doing something at home.
Is this the costochondritis or chest wall syndrome acting up combined with anxiety for the symptoms? How to break this cycle?