# Urgent Care Symptom and Treatment Review

Date: Saturday 18 July 2026

Type: Letter

## Summary

The main reason I came today is that the numbness in my right hand is more noticeable today than yesterday. My right hand is also weaker and more difficult to use.

I have also had severe thirst, increased urination, fatigue, sleepiness, dizziness and a heavy feeling in my head since early July. I tried ORS once. It helped only for a short time, and the symptoms continued.

I am also near the end of a seven-day course of Fucibet cream for a recurring hand skin problem. I have about one day of treatment left and need advice about whether to complete it and then stop.

My next routine GP appointment is not until 6 August 2026.

## Background

Two groups of symptoms developed close together during July 2026:

- systemic symptoms, including excessive thirst, increased drinking and urination, salt craving, severe fatigue, sleepiness, dizziness and head heaviness;
- recurrent hand skin symptoms requiring Fucibet cream, together with reduced right-hand function and intermittent altered sensation.

A new MSK exercise programme began on 2 July 2026. This may be relevant to the pulling sensation near my right shoulder blade, but I do not know whether it explains the hand numbness, weakness and systemic symptoms.

## Details

### Timeline

- 2 July 2026:
  - Began a new MSK exercise programme.

- 6 July 2026:
  - Developed marked thirst.
  - Began drinking and urinating more frequently.
  - Developed salt craving, severe fatigue and unusual sleepiness.

- Following days:
  - Developed intermittent dizziness and head heaviness.
  - The hand skin problem recurred.

- 14 July 2026:
  - Blood samples were taken.
  - I do not know whether all results are complete.

- 15 July 2026:
  - Fatigue, sleepiness, dizziness and head heaviness became more noticeable.

- 16 July 2026:
  - I could no longer lift my usual frying pan using the right hand alone.

- 17 July 2026:
  - Right-hand numbness was absent or only very slight.

- 18 July 2026:
  - The intermittent numbness and altered sensation became noticeably more frequent and apparent than yesterday.
  - The right hand also felt weaker and more difficult to use.

### Right Hand and Arm

- Reduced right-hand and right-arm function.
- Intermittent numbness or altered sensation, mainly across the palm towards the four fingers.
- The numbness is more noticeable today than yesterday.
- Opening food packets and lifting heavier everyday objects have become more difficult.
- Use of the right upper arm can produce a pulling or tight sensation near the upper-right shoulder blade.
- I can still make a fist, hold a cup, use cutlery, type and raise both arms without one dropping.
- No facial droop, new speech problem, sudden visual loss or new leg weakness.

### Systemic Symptoms

- Persistent excessive thirst.
- Increased drinking and urination.
- Preference or craving for salty fluids.
- Severe fatigue and unusual sleepiness.
- Intermittent dizziness and head heaviness.
- No spinning or whirling sensation.
- No vomiting or diarrhoea.

I previously tried one oral rehydration solution because I was concerned about fluid or electrolyte loss.

It provided only temporary relief. It did not resolve the thirst, increased urination, fatigue or dizziness.

I have not continued using ORS regularly because I do not know the cause of the symptoms. I need advice before using ORS, electrolyte supplements, extra salt or substantially increasing my fluid intake.

### Skin Treatment

- Current medicine: Fucibet cream.
- It was prescribed as a seven-day course.
- Approximately one day of the prescribed course remains.
- The final scheduled application is expected to be on Monday morning, 20 July 2026.
- Some cream may remain in the tube after the prescribed course ends.
- I do not intend to extend the course myself without medical advice.
- I need advice on whether to complete the remaining applications and then stop.
- I also need advice on whether the recurring skin condition requires further or alternative treatment.

## Questions / Requests

- Please assess the right-hand numbness and reduced function, and advise me what I should do until my GP appointment on 6 August 2026.
- Please advise me how to manage the thirst, increased urination, fatigue and dizziness safely until 6 August 2026.
- Please advise whether I should complete the remaining Fucibet applications and then stop.

## Notes

I tried ORS once and it provided only temporary relief. I would like advice on whether I can continue using ORS, how much and how often would be safe, and how long I could use it.

I understand that ORS may not be suitable for regular or long-term use when the cause of the symptoms is unknown. I am open to buying an appropriate product myself or using something prescribed, but I need a safe advice to manage the symptoms until my GP appointment on 6 August 2026.