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Hello, I Am Having Pain And Heaviness On The Right

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Posted on Tue, 30 Oct 2018
Question: Hello,

I am having pain and heaviness on the right side of my body. It has started from the toe and has reached my head, my right ear, right side of my teeth feels in pain pain and also heavy. I do have a medical history of PCOS and prediabetic. I used to have nerve pain during Oct 2017 and was told to take Gabapentin 100mg and now I have stopped taking aper doctor's advise. I also did a nerve conduction test which came out negative.

Kindly advise what is going on with me as I am very scared. Please let me know is there anything serious. I can upload the lab results if required.

Thanks & Regards,
Anupriya
doctor
Answered by Dr. Olsi Taka (8 hours later)
Brief Answer:
Brain MRI is recommended.

Detailed Answer:
I read your question carefully and I understand your concern.

Pain involving only half of the body and head is unlikely to be due to neuropathy (nerve pain), damage of many nerves on the right side, that is a condition which when multiple nerves are affected involves both sides to some extent not exclusively on one side.

So instead a brain issue has to be considered as it is the only organ which can cause symptoms involving only one half of the body and face. Usually brain lesions manifest with weakness or numbness, pain would be an unusual initial manifestation, but there are some cases in specific pain areas in a region called thalamus which may manifest that way. For that reason a MRI imaging test of the head should be scheduled in order to exclude brain lesions such as those caused by multiple sclerosis, stroke etc.

As I said pain would be unusual so shouldn't panic, hopefully MRI will turn back normal and it may be due to anxiety, but it should be scheduled as it's the only test which can exclude brain lesions, blood or nerve conduction tests have no value in that regard.

I remain at your disposal for other questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (3 days later)
Doctor,

My primary care physician has order for Brain MRI. But does it have anything to do with any nerve pain as you have mentioned about nerve damage. Is there any cure to this problem. Can I get permanent relief.


Thanks & Regards,
Anupriya
doctor
Answered by Dr. Olsi Taka (2 hours later)
Brief Answer:
Not nerve damage. Cure depends on MRI findings.

Detailed Answer:
Hello again and thank you for the update.

As I said before I do not think it is related to peripheral nerve damage, when symptoms are located on one half of the body and face, the brain is to be considered the primary suspect.

As for whether it can be cured the answer to that depends on the MRI findings. Causes of brain lesions can be many and possibility of cure depends on the cause. So without a MRI to make the diagnosis it's hard to discuss a cure. It's a good thing that your GP scheduled it as it is the best test for that purpose.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Olsi Taka (3 days later)
Hello Doctor,

I have Brain MRI scheduled for today. So can I keep this thread open as hopefully I will get the result by Monday.


Thanks & Regards,
Anupriya
doctor
Answered by Dr. Olsi Taka (7 hours later)
Brief Answer:
Looking forward to hearing the results

Detailed Answer:
Yes, the thread should be on till then.

I think it remains open for at least 3 days after the last activity.

Looking forward to hearing from you.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Olsi Taka (2 days later)
Hello,

Thank you doctor I will try to provide the result to you asap. I have the report in disc is it possible to share that anyway.


Thanks & Regards,
Anupriya
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Follow up: Dr. Olsi Taka (3 hours later)
Hello,

I got the report from the doctor regarding the MRI and it came normal. But I still do not know why do I feel the pain in my head and it feels heavy also. My entire right side feels different. When I asked the doctor he mentioned it could be fibromyalgia and gave a pain medicne. He referred me to a Rheumatologist. Kindly advise if that is the right track.


Thanks & Regards,
Anupriya
doctor
Answered by Dr. Olsi Taka (36 minutes later)
Brief Answer:
Read blow

Detailed Answer:
Hello again Anupria!

It's great to know that the MRI has come back normal. It is a relief to have excluded brain lesions such as stroke, multiple sclerosis, brain tumors etc. MRI is the best exam for that purpose and from now on you can be sure that this is not a threatening issue. If you'd like a second opinion on the images you can upload the disc so that I can view it. However keep in mind that the disc has hundreds of image files inside so can't upload directly in the site's report section. One solution would be to upload the whole disc content to a file sharing service such as google drive or dropbox and provide the link so that I can download all the images from there.

As for the suggested fibromyalgia diagnosis .... it is a possibility. It is a condition which is characterized by widespread pain, muscle stiffness, headache, difficulty in concentration etc so would include your symptoms. This one side limitation of symptoms is not that typical, usually symptoms more widespread, but with a normal MRI it is a possibility and a rheumatologist referral makes sense as that is the specialty most closely related to fibromyalgia. A neurologist is another specialist with good knowledge on fibromyalgia and a referral may be considered also for the evaluation of the chronic headache, headache prevention medication often helps with fibromyalgia as well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (15 minutes later)
Hello,

Thank you Doctor for the quick response. I will try to upload the link for the google drive once I get the images there. can you please let me know if there is any cure to this. I did not have this earlier, not sure how I got this. I don't feel energetic anymore, as I feel tired and weak if I do any activity. Also I have asthma and PCOS, not sure how I got that.


Thanks & Regards,
Anupriya
doctor
Answered by Dr. Olsi Taka (21 minutes later)
Brief Answer:
Chronic condition, stress plays a role.

Detailed Answer:
If fibromyalgia is confirmed to be the cause it is a chronic condition, it can't be cured in the sense of making it go away definitely. However there is medication which helps a lot with the symptoms and well being.

The causes are not well known, if is thought to be a combination of genetic factors as well as psychological ones (often triggered or exacerbated by stress and anxiety). Chronic infections and rheumatological conditions predispose to it as well.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (48 minutes later)
Doctor,

I think the discussion I am having with you has a limit. Is it possible to keep discussing with you on the diagnosis. One question how to confirm if it's not fibromyalgia. If there is no anxiety or stress can this help reduce this. Do I need to take any medicine to reduce anxiety or stress.


Thanks & Regards,
Anupriya
doctor
Answered by Dr. Olsi Taka (12 hours later)
Brief Answer:
Read below

Detailed Answer:
Hello again!

I am not sure what you mean by our discussion having a limit? Do you mean a limit imposed by the site's system? In that case no, you can ask as many questions as you want to. Only keep in mind that the first 3 follow-up questions are free, after that it counts as a new query. For the moment I think you have 2 more free follow-up questions. After that you can continue again as much as you want but the system will detract a payment, keep that in mind, wouldn't want you to spend your money unless you are aware of it.

Fibromyalgia diagnosis is not made by any single test. It is made by history (the symptoms I mentioned above) and physical exam (searching for pain trigger points by palpation). Also some tests in particular to exclude rheumatological conditions like lupus and rheumatoid arthritis are done (but you mentioned to have already had such tests in the past so the rheumatologist may not ask for them to be repeated).

As for anxiety and stress and need to treat them most medications used for fibromyalogia or headache prevention helps with anxiety as well. If it is felt there is an anxiety disorder psychotherapy sessions may be prescribed as well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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Hello, I Am Having Pain And Heaviness On The Right

Brief Answer: Brain MRI is recommended. Detailed Answer: I read your question carefully and I understand your concern. Pain involving only half of the body and head is unlikely to be due to neuropathy (nerve pain), damage of many nerves on the right side, that is a condition which when multiple nerves are affected involves both sides to some extent not exclusively on one side. So instead a brain issue has to be considered as it is the only organ which can cause symptoms involving only one half of the body and face. Usually brain lesions manifest with weakness or numbness, pain would be an unusual initial manifestation, but there are some cases in specific pain areas in a region called thalamus which may manifest that way. For that reason a MRI imaging test of the head should be scheduled in order to exclude brain lesions such as those caused by multiple sclerosis, stroke etc. As I said pain would be unusual so shouldn't panic, hopefully MRI will turn back normal and it may be due to anxiety, but it should be scheduled as it's the only test which can exclude brain lesions, blood or nerve conduction tests have no value in that regard. I remain at your disposal for other questions.