Peripheral neuropathy, herpes linked?

DEAR DR. GOTT: Can herpes simplex II be the cause of peripheral neuropathy?

DEAR READER: Herpes simplex type 2 is a common sexually transmitted infection that generally affects the genitalia; however, the disorder can be spread to the mouth during oral sex. For women, the most common area to be affected is the cervix, anus, buttocks and external genitals. For men, the buttocks, anus, penis, scrotum, and thighs will most commonly be affected. The virus spreads easily through intimate contact with an individual who is infected; it can also be acquired by an act as simple as touching an infected razor.

Most of the individuals infected don’t even know they have the disorder because they either have extremely mild symptoms or none at all. When they are present, they can include pain or itching a week or two following exposure from an infected partner. [Read more...]

Foot pain unrelated to diabetes

DEAR DR. GOTT: Please tell me about non-diabetic neuropathy of the feet. What causes it? Is there any cure?

DEAR READER: The word neuropathy signifies nerve damage. People commonly associate it with diabetes; however, a number of other possible causes for the disorder include alcoholism, hypothyroidism, Charcot-Marie-Tooth syndrome, celiac disease, deficiency of pantothenic acid (vitamin B5), kidney and/or liver disorders, Guillain-Barre syndrome, varicella-zoster infection (shingles), hepatitis C, HIV/AIDS, exposure to toxins, traumatic injury and more.
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Patient’s neuropathy raises questions

DEAR DR. GOTT: Please comment on neuropathy. How does one get it, what medication treats it, and is it curable? Can it be caused by a broken toe?

DEAR READER: Neuropathy can be defined as a disorder or disease of the nervous system. Because you provide limited information, I cannot determine which form, if any, you might have. Unless your toe fracture was quite traumatic, it’s my guess it’s not likely to have resulted in neuropathy.

Autonomic neuropathy refers to damage to nerves over which we have no control, such as those of digestion, perspiration, blood pressure and heartbeat. Symptoms can include dizziness and fainting on standing (orthostatic hypotension), caused by a drop in blood pressure; gastroparesis (difficulty digesting food), causing diarrhea, constipation, nausea, vomiting, heartburn, loss of appetite and bloating; exercise intolerance, during which the heart rate remains stable despite the level of activity; hypoglycemia (low blood sugar) [Read more...]