Conversation: The conversation between human and AI assistant.
[|Human|] Polyneuropathy, two herniated discs, emg test positive for polyneuropathy, I have had all kinds of tests all are negative for the root cause, I am not alcoholic. I was on klonopin 4mg for twelve years, I came off last year and developed the neuropathy. What could be causing it?
[|AI|]  Hello. Thanks for asking from Chat Doctor. I can understand your concern. It is good that you are no having symptomatic disc disease. Presence of disc on MRI is not considered significant if it does not cause any symptom. Disc bulge or protrusion occurs normally after 35 years age and by 60 years age, around 60% humans have positive disc bulge on MRI spine. It is not symptomatic in all. So do not worry about disc if you are not having any symptoms due to it. To avoid further disc bulge, you can follow few tips: Avoid forward bending: Avoid weight lifting more than 5 kilograms: Avoid prolonged sitting or strain over back: You can consult physiotherapist and learn back strengthening exercise. Regarding polyneuropathy, I am not able to find out the cause of polyneuropathy in your case. It could be due to:Diabetes Mellitus: Thiamine deficiency: Vitamin B 12 deficiencies: Genetic cause It can only be confirmed by blood tests like vitamin B 12/Thiamine level, chromosomal evaluation, Blood sugar (fasting and post eating) and evaluation of symptomatology. Further treatment will be given after confirming diagnosis. Meanwhile, you can take some precaution: If you are having numbness of extremities, you should wear gloves/soft shoes while doing work/touching hot or cold objects.  Maintain hygiene to prevent any fungal infection: Daily examine your extremities to rule out any painless cut/wound: Start exercise to increase muscle strength if there is motor weakness: You can take multivitamin capsules/decrease sugar intake and increase green leafy vegetables' intake/curd/cod liver oil to get better nutrition. Hope it will help you. Still no relief, you should consult doctor. Thanks. Take care. Chat Doctor.