A Simple Guide to Hyperesthesia, Diagnosis, Treatment and Related Conditions

By Kenneth Kee

This book describes Hyperesthesia, Diagnosis and Treatment and Related Diseases

Hyperesthesia indicates higher sensitivity of any of the senses, such as sight, sound, touch, and smell.

It can involve just one or all of the senses.

Often, the heightening of a single sense is indicated by a separate name.

The higher sensitivity to touch is called tactile sensitivity, and higher sensitivity to sound is called auditory sensitivity.

Hyper-algesia indicates higher pain sensations.

Hyperesthesia involves two different subcategories of improved pain sensation:
Hyper-algesia: A stimulus activates raised or extreme sensitivity to pain.
Allodynia: A stimulus that is not normally painful suddenly activates pain.

Hyperesthesia is an abnormal sensitivity to sensory stimuli, such as pain, sound, sight or touch.

Hyperesthesia indicates higher sensitivity to skin stimulation due to a decreased threshold or an increased reaction to stimuli.

Often depicted as a chronic burning type pain, it can also present as increased sensitivity to touch.

Types of hyperesthesia are:
Acoustic or auditory hyperesthesia: sensitivity to sound (Hyperacusis)
Gustatory hyperesthesia: sensitivity to taste (Hyperosmia)
Muscular hyperesthesia: sensitivity to pain or tiredness (Hyper-algesia)
Optic hyperesthesia: sensitivity to light (Photophobia)
Tactile hyperesthesia: sensitivity to touch (Sensory Defensiveness)

If painful hyperesthesia is the only symptom, the diagnosis of small-fiber neuropathy should be indicated.

In this type of neuropathy the sensory, often painful, symptoms start in the feet and progress proximally, ultimately affecting the hands.

Less normal start of symptoms has been reported in patients with revealed gain-of-function mutations of genes SCN 9A or SCN 10A, mutations present in some patients with this neuropathy.

Difficulties may happen when small-fiber neuropathy is diagnosed on the basis of skin biopsy.

In these circumstances it can be not clear whether loss of nerve fibers happens as a primary phenomenon or secondary to limb disuse in chronic pain.

The most frequent cause of hyperesthesia is peripheral neuropathy and there are more than 100 types of peripheral nerve disorders.
Diabetic nerve disorders,
Chemo-induced neuropathy,
Hereditary disorders,
Inflammatory infections,
Auto-immune diseases,
Protein abnormalities,
Exposure to toxic chemicals
Poor nutrition,
Kidney failure,
Chronic alcoholism,
Certain medicines given to treat cancer and HIV/AIDS.

Hyperesthesia symptoms often begin slowly and then become worse:
Numbness
Pain
Burning or tingling
Muscle weakness
Sensitivity to touch

A neurological evaluation, which comprises a number of simple and painless tests, is normally conducted to diagnose peripheral neuropathy:
Electro-diagnostic tests determine the electrical activity of muscles and nerves
Blood tests are often conducted to examine for vitamin deficiencies, toxic elements and abnormal immune response.
The doctor may advocate quantitative sensory testing and autonomic testing or other tests to diagnose a specific disorder

The treatment for hyperesthesia centers about treating the underlying cause.

If the patient feels that hyperesthesia is due to diabetic neuropathy, maintaining the blood glucose under control can help keep the disorder from getting worse

Treatments
Physical therapy
Cognitive behavioral therapy (CBT)
Medical Treatment
Pain relief
Intervention therapy
Tactile defensiveness
Hyperacusis treatment
Photophobia treatment

TABLE OF CONTENT
Introduction
Chapter 1 Hyperesthesia
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Complex Regional Pain Syndrome
Chapter 8 Hype

• Language: English
• Publisher: Kenneth Kee
• Release date: Apr 15, 2022
• ISBN: 9781005891176

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

A

Simple

Guide

To

Hyperesthesia,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2022 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Hyperesthesia, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Hyperesthesia)

This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

My diagnosis and treatment capability has improved tremendously from my continued education.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Hyperesthesia

What is Hyperesthesia?

Hyperesthesia indicates higher sensitivity of any of the senses, such as sight, sound, touch, and smell.

It can involve just one or all of the senses.

Often, the heightening of a single sense is indicated by a separate name.

The higher sensitivity to touch is called tactile sensitivity, and higher sensitivity to sound is called auditory sensitivity.

Hyper-algesia indicates higher pain sensations.

Hyperesthesia involves two different subcategories of improved pain sensation:

1. Hyper-algesia. A stimulus activates raised or extreme sensitivity to pain.

2. Allodynia. A stimulus that is not normally painful suddenly activates pain.

Hyperesthesia is an abnormal sensitivity to sensory stimuli, such as pain, sound, sight or touch.

Hyperesthesia indicates higher sensitivity to skin stimulation due to a decreased threshold or an increased reaction to stimuli.

Often depicted as a chronic burning type pain, it can also present as increased sensitivity to touch.

Types of hyperesthesia are:

1. Acoustic or auditory hyperesthesia: sensitivity to sound (Hyperacusis)

2. Gustatory hyperesthesia: sensitivity to taste (Hyperosmia)

3. Muscular hyperesthesia: sensitivity to pain or tiredness (Hyper-algesia)

4. Optic hyperesthesia: sensitivity to light (Photophobia)

5. Tactile hyperesthesia: sensitivity to touch (Allodynia)

If painful hyperesthesia is the only symptom, the diagnosis of small-fiber neuropathy should be indicated.

In this type of neuropathy the sensory, often painful, symptoms start in the feet and progress proximally, ultimately affecting the hands.

Less normal start of symptoms has been reported in patients with revealed gain-of-function mutations of genes SCN 9A or SCN 10A, mutations present in some patients with this neuropathy.

Difficulties may happen when small-fiber neuropathy is diagnosed on the basis of skin biopsy.

In these circumstances it can be not clear whether loss of nerve fibers happens as a primary phenomenon or secondary to limb disuse in chronic pain.

Paresthesia appears