Hello Doctor,
I experience needling sensations throughout my body, especially in winter, when sleeping under a blanket, being in the sun, or during emotional moments like anger or stress, as well as during activities like walking or lifting objects. I've been dealing with erectile dysfunction and premature ejaculation for many years. My hands and feet burn in summer, while my whole body experiences needling sensations in winter. Recent tests showed increased ALT and AST levels. My stomach often feels bloated, like it's filled with air.
Could you recommend the appropriate specialist for these issues?
Hello,
Thank you for reaching out to Dr. Galen. Please find the below response to your query.
Neurological Symptoms and Erectile Dysfunction:
Your description of needling and burning sensations, along with erectile dysfunction, suggests potential diabetic neuropathy, often linked to liver pathology.
Abdominal Bloating and Elevated Liver Enzymes:
Abdominal bloating, sometimes mistaken for ascites, and elevated liver enzymes (AST and ALT) may indicate underlying liver pathology, possibly chronic liver disease.
Recommendations for Further Evaluation:
To delve deeper into your condition, consider tests like fasting blood sugar levels, abdominal imaging scans, and assessments of renal function and lipid profiles.
Specialist Consultation:
Seek evaluation from specialists like gastroenterologists or endocrinologists for comprehensive assessments and tailored management.
Thanks
