Conversation: The conversation between human and AI assistant.
[|Human|] i am extremly concerned about my mom. She started having tingling and numb feelings in her feet that started crawling up her legs and causing a heaviness in her feet and legs and sometimes continues up towards her back. She gets nauseous and feels like she is going to pass out. This has been going on for over a year now and is continuing to get worse. No one seems to know the cause. She s been to two neurologists and they haven t been able to pin point the cause. I ve watched my mom s health go down over the past year and I don t know how else to help her. She s had an MRI and a CAT Scan and they haven t found any cause for the symptoms. My mom is someone that never complains and has a very high pain tolerence, but she says she can t go on feeling this way. I just don t know what else to do or where else to go to get her help... She says when she stands up she has to wait a minute or two before her brain tells her feet to move, but it eventually connects. She said that the numbness and heaviness starts in her feet and begins climbing up her legs and into her back. She gets nauseated and starts to feel as though she is going to pass out. I am getting so concerned about her but I don t know who else to take her to get help....i welcome any suggestions at all.
[|AI|]  Hello! Thank you for asking on Chat Doctor! I carefully read your question and would explain that her symptoms could be related to peripheral neuropathy or modular compression. It is necessary to determine from her physical examination if she has a disorder of the central nervous system or the peripheral nervous system (this can be easily determined during a neurological exam). If she has loss of reflexes with sensibility impairment, a nerve conduction study is necessary to exclude possible neuropathy. If she has brisk reflexes with pathological pyramidal reflexes, depending on upper or lower limbs, a cervical or thoracic spine MRI may be needed to exclude possible spinal canal stenosis. You should discuss with her neurologist on the above issues. Hope to have been helpful! Kind regards,