
Should Steps Be Continued For Symptoms Of Optic Neuritis While Experiencing Pain In The Head And Itching In The Legs?



It's been several hours. Do you have any kind of advice for me? My head is hurting and the top of it is tender to the touch. I am concerned and would like to hear back from you. One other weird thing that happened to me this week is that my legs were very, very itchy one morning soon after waking up. It was a nerve kind of itch on both legs below the knees if I remember correctly. I had forgotten about it until this evening. Anyway, I sure am anxiously awaiting a reply.
Continue steroids.
Detailed Answer:
Hello,
Thanks for query.
As per your description your symptoms are suggestive of optic neuritis. It can be caused by many conditions and unfortunately it can happen without any obvious cause and in that case we will call it as idiopathic.
Steroids are the mostly prescribed drugs for this condition and most patients improve with predenisolone. Cat scratch disease is a remote possibility and you can start on doxycycline empirically after discussing with your doctor. However it would be better to continue steroids as cat scratch is a rare possibility.
MRI must be taken because we can rule out conditions like anterior ischaemic optic neuropathy (AION) by MRI.
Continue the current line of management according to the protocol.
Wishing you good health.
Thanks


Do I stop taking the z pack? I have taken it for 2 dAYS now or do I take both the z pack and the steroid. I will go take the steroid now.
Is it true that optic neuritis is associated with MS.
As I read on optic neuritis the description certainly fits me a lot more than Cat Scratch Fever although I wish that were not the case. I don't know much about MS but I know that is not something I want at all!
I read on the AION and it sounds like a good possibility as well. I will get the MRI as planned to narrow things down. Thank you for your reply.
You can take Zpack and steroids together.
Detailed Answer:
Thanks for the query.
Zpack is antibiotic pack containing azithromycin. Both steroids and Zpack can be taken together. Zpack is added because of the possibility of infectious origin like cat scratch disease.
Unfortunately multiple sclerosis is the most common cause of optic neurits. But it generally appear after age of 50.
Get MRI done at the earliest for further evaluation:
Thanks

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