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Hello, I've Had Health Issues Dating Back To Mid March

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Posted on Mon, 27 Apr 2020
Twitter Mon, 27 Apr 2020 Answered on
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Question : Hello, I've had health issues dating back to mid March now and I've not been given answers or diagnoses. To start I'm a 35 year old male, I'm a Hodgkins lymphoma survivor, and was cleared in May 2004. Fast forward to mid March I'd been working out of town in XXXXXXX DC on a construction project inside a building where upwards of 500 people work. A week later when I returned home I started feeling rough (fever, chills, constant throbbing headaches, body aches, fatigue, ear ache, dizziness, loss of balance). I went to the doctor, they ran blood work and the flu tests. Flu tests were negative, but I was told that I had some sort of viral infection. It also showed a positive test for Epstein Barr Virus, but It had been 4 years since I had mono. Be it that it was in the early stages of the COVID, I was refused to get tested because I did not have the respiratory symptoms. The fever and majority of symptoms lasted for 2-3 weeks, I'd have times where I'd sleep 12-14 hours a day then times where I could only sleep 2-3 hours due to headaches. I felt like I was getting better, then one day I was sitting on the couch and felt a tingling sensation come over my body felt like I was starting to overheat, my vision started blurring, seemed dizzy and I just felt confused like something was very wrong. I stood up and struggled walking to the wall and held myself up and next thing I knew i totally lost consciousness and eventually came to a few minutes later with my girlfriend talking to me and I could hear her, but was unable to respond for at least 30 seconds and was unable to see during that time. When my vision came back and was able to speak, I was lying in a pool of sweat in the ground. The next few hours my muscles felt like they were contracting on their own. I went to the ER the next day where they ran an Ekg which was normal, and sent me on my way assuming I'd Just fainted, but I'd never had any issues with that in my life. They assured me it wasn't a heart attack now a stroke. So I stayed home another week, and again started to feel better but then came the second wave where I'd get headaches, sore throat and balance issues. Any exertion or physical activity seemed to exasperate the symptoms. Now it'd been almost 5 weeks since initially gotten sick, and finally the health department agreed to give me the covid test. A week later i got results that I was negative at the time of the time, but still could have had the virus since it'd been almost 6 weeks since the onset, and over 3 weeks without a fever. Today I'm sitting around 6.5 weeks since the beginning of this, I was trying to get back to the physical nature of my work this week. It's seemed this has come in waves, and each wave seems to be more prolonged in between, and I certainly do feel like I am getting better, but again the headache came back two days ago so I'm just getting to the point of losing my mind. My PCP has refused to give me any other treatment and is assuring me it's all just mental and anxiety. I've had plenty of time to research anything I could get my hands on, and with covid information seemingly changing by the day I try to stay up to date with that. Yesterday I read an article about younger covid patients suffering strokes from the virus, now I realize I was not out long enough or had the tell take signs of a full on stroke, but it led me to read into "mild stroke" symptoms or Transient Ischemic Attack, and what I experienced seemed to mimic that. So I was wondering if that cichlid possibly be the case? As just Friday, I was trying to walk around the neighborhood and got the similar feeling of overheating and feeling a loss of balance. So I immediately stopped what I was doing and sat down and collected myself, and then over the next two days the headaches came back. And since I was planning on returning to work, it kind of frightened me as the last thing I want to have happen is have something happen at work where we're required to be physically active which inherently increases my body temperature by itself and while I work in dangerous situations, I felt like it was not responsible to come back into this has dissipated entirely. And be it that My doctor seems unwilling to do any further testing, I feel like I'm just at an impasse. Could it possibly be something like what I'd mentioned, and potentially be linked to a blood clot or something of that nature? Should I try and somehow get a CT scan? And how would you suggest to move forward. I'm temporarily on short term disability, but my workplace in becoming anxious with the entire ordeal and suggested I see a different doctor entirely, but I know that process can take some time. So I figured go this route first and see where it takes me. I appreciate any help or advice I can receive.
doctor
Answered by Dr. Dr. Erion Spaho (3 hours later)
Brief Answer:
Covid-19 is a possible explanation.

Detailed Answer:
Hello and welcome to "Ask a Doctor" service.

I have read your query.

The information about the COVID-19 is indeed changing almost every day and it remains a possible explanation for your symptoms.

If you had a fever, convulsions may have caused the fainting.

A stroke or even a transient ischemic attack is very unlikely in your case.

Besides direct testing for COVID-19, I think that you are now within the time window of evaluation if you had the infection with serology tests for antibodies.

Discuss with your Doctor about the possibility of serologic evaluation.

Hope you found the answer helpful.

Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Erion Spaho (4 hours later)
My main question now is why do I still have the headaches then? And why are there seemingly going away on their own, only to reoccur days later, over the period of a month now? I've had migraines since I was about 18 on and off, but these headaches feel nothing like that. These tend to jump around to different spots on my head, feeling like pinching, and often radiates from my ear as well. I had doctors check my ears and there read no sign of infection. It's just driving me insane knowing I have these headaches and not knowing the cause, or why they keep coming back. Would there be no reason to have a CT scan with the headache period lasting such a long time? I take excedrin and that seems to numb them to a degree. I also have had difficulty swallowing the last few weeks, almost like an allergic reaction and my throat has closed some, so I'm not sure if that's related either. And also why would I be experiencing hot flashes? This is troublesome to me because I have to go back to work, and I feel relatively certain that with the headaches and sudden burning up sensation throughout my body and it seems that doing heavy physical exertion will trigger that things even moreso. Is this a possible sign still of a infection and if it is or isn't, what first of action can i even take to combat it? Because unfortunately I must physically work to do my job there's no way around that. I plan on contacting my doctor about the antibody test as soon as possible either way, but these are still my major concerns. Lastly, I know I'm long-winded but this has been bothering me for some time, if it was a convulsion (which reading the information on them may of what I described lines up with my experience) then do I have anything to worry about in the future, or are there steps I need to take in order to avoid complications? Thanks for your advice in advance.
doctor
Answered by Dr. Dr. Erion Spaho (20 hours later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Welcome back.

As we discussed previously, we don't know very well the consequences of Covid-19 infection, so, it should be evaluated further if you were infected or not.

If this possibility will be excluded, the stress and the anxiety that is causing this situation may be responsible for the late symptoms.

A brain MRI also may be necessary for a complete understanding of your condition.

Discuss with your Doctor for these issues.

Hope this helps.

Regards.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Erion Spaho (41 hours later)
I appreciate the insight, and plan on looking into that with my PCP. But in the meantime I've really been perplexed by this as now its almost been two solid months since I originally tested positive for a viral infection. Now, I've taken the time to read and research potential possibilities relating to this all, and stumbled upon one that stands out moreso than anything else, and strikingly. Is there any way this could be complications from Myalgic Encephalomyelitis/Chronic Fatigue Syndrome? I've read it's difficult to diagnose as there's no single year to determine it and that is often misdiagnosed or ignored completely, but the symptoms I've experienced are eerily similar in almost every case. When I had my blood work done initially, the doctor told me Epstein Barr Virus showed up but I had mono like 4 years prior and they mentioned they could not tell how old the virus was. Now the CDC says on their website EBV may be linked to CFS. Then when I look at symptoms they almost all love up directly for example : -symptoms come and go, and /or change in intensity over time -Can be severe. Is not a result of unusually difficult activity, Is not relieved by sleep or rest.Was not a problem before becoming ill (not life-long). - worsening of symptoms after physical or mental activity that would not have caused an issue before the illness -sleep complaints include difficulty falling or staying asleep, extreme sleepiness, intense and vivid dreaming - not feeling rested after sleep - pain in their muscles and joints. They might also have headaches (typically pressure-like) and soreness -memory and concentration problems -symptoms of orthostatic intolerance that are triggered when-or made worse by-standing or sitting upright. These symptoms can include: Frequent dizziness and lightheadedness -Changes in vision (blurred vision, seeing white or black spots) -Weakness - feeling like your heart is beating too fast or too hard Literally everything I've posted, I've experienced during this. So i was wondering if there was any credence to this notion, as it seems to line up with what I'm experiencing.
doctor
Answered by Dr. Dr. Erion Spaho (25 hours later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Hello again.

I don't think yours was a case of any type of encephalitis or encephalomyelitis.

Chronic fatigue syndrome, on the other hand, is a diagnosis that is achieved after the exclusion of other possible conditions.

In chronic fatigue syndrome, a criterion to be met among the others is that the symptoms have lasted for 6 months or longer, so, it is very soon in your case to tell if yours is chronic fatigue syndrome or not.

Also, as the name suggests, chronic fatigue syndrome's main symptom is fatigue (unexplained).

Hope I helped you.

Regards.





Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4492 Questions

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Hello, I've Had Health Issues Dating Back To Mid March

Brief Answer: Covid-19 is a possible explanation. Detailed Answer: Hello and welcome to "Ask a Doctor" service. I have read your query. The information about the COVID-19 is indeed changing almost every day and it remains a possible explanation for your symptoms. If you had a fever, convulsions may have caused the fainting. A stroke or even a transient ischemic attack is very unlikely in your case. Besides direct testing for COVID-19, I think that you are now within the time window of evaluation if you had the infection with serology tests for antibodies. Discuss with your Doctor about the possibility of serologic evaluation. Hope you found the answer helpful. Let me know if I can assist you further.