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What Do My Lab Test Reports Indicate?
Posted on
Mon, 11 Jul 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 11 Jul 2016
Answered on
Mon, 1 Aug 2016
Last reviewed on
Question : My personal details:
Sonu XXXXXXX male, 34 years, married with one daughter, businessman, XXXXXXX I was perfectly healthy before this disease,
Complaints: when i am normal (since 6th october 2015)
1. Lower Back Pain
2. Tingling - in back and legs
3. I cannot sit properly since nine months
4. I cannot walk properly, it is worsening day by day
5. I cannot bend, sit on floor, cannot climb stairs,
6. Sometimes blurred vision
7. Fatigue - feel very low energy
8. I am almost bedridden
Complaints: at the time of Attack (THIS HAPPEN ONLY with sudden increase in back pain due to bending, sitting, or any physical movement)
1. Numbness - cannot move all four limbs
2. I cannot speak properly
3. Sometimes blurred vision
4. I cannot open eyes, jaw
5. Severe back pain
6. Breathing problem
Present Medication: ayurveda medicine
Investigations: MRI, LP, NCV EMG SSEP, XRAY, CT SCAN, Numbers of blood tests,
Recommendations by doctors: I have consulted with different general physicians, orthopaedic, rheumatologist, neurologist, neurosurgeon.
All have different diagnose anxiety, fibromyalgia, tuberculosis, vitamin deficiency, spondylitis, muscle spasm, multiple sclerosis, lead toxicity.
My question: I request you to please go through all the reports thoroughly.
I am sending only those reports which are marked by doctors, if required i will send you others reports also and i can go for additional investigations.
I feel the pain, I am suffering physically, mentally and financially.
I have read about all the above said diseases online, only disease which symptoms I can relate is Multiple Sclerosis.
Please advice me.
Sonu XXXXXXX male, 34 years, married with one daughter, businessman, XXXXXXX I was perfectly healthy before this disease,
Complaints: when i am normal (since 6th october 2015)
1. Lower Back Pain
2. Tingling - in back and legs
3. I cannot sit properly since nine months
4. I cannot walk properly, it is worsening day by day
5. I cannot bend, sit on floor, cannot climb stairs,
6. Sometimes blurred vision
7. Fatigue - feel very low energy
8. I am almost bedridden
Complaints: at the time of Attack (THIS HAPPEN ONLY with sudden increase in back pain due to bending, sitting, or any physical movement)
1. Numbness - cannot move all four limbs
2. I cannot speak properly
3. Sometimes blurred vision
4. I cannot open eyes, jaw
5. Severe back pain
6. Breathing problem
Present Medication: ayurveda medicine
Investigations: MRI, LP, NCV EMG SSEP, XRAY, CT SCAN, Numbers of blood tests,
Recommendations by doctors: I have consulted with different general physicians, orthopaedic, rheumatologist, neurologist, neurosurgeon.
All have different diagnose anxiety, fibromyalgia, tuberculosis, vitamin deficiency, spondylitis, muscle spasm, multiple sclerosis, lead toxicity.
My question: I request you to please go through all the reports thoroughly.
I am sending only those reports which are marked by doctors, if required i will send you others reports also and i can go for additional investigations.
I feel the pain, I am suffering physically, mentally and financially.
I have read about all the above said diseases online, only disease which symptoms I can relate is Multiple Sclerosis.
Please advice me.
Brief Answer:
Lead neuropathy has been confirmed in tests.
Detailed Answer:
Hi Mr XXXXXXX
I have noted your detailed symptoms and noted the investigation reports uploaded. It is unfortunate that despite seeing so many doctors and doing a number of investigations, a final diagnosis has not been made.
Your lead levels in blood are high twice. Nerve conduction studies have shown features of polyradiculopathy. These features are consistent with a diagnosis of lead neuropathy. You can read more about this condition at the following link:
https://en.wikipedia.org/wiki/Lead_poisoning
Treatment involves chelation therapy with medicines such as succimer, dimercaprol, EDTA, or d-penicillamine.
Also, there is mild disc disease in lumbar region (lower back), which needs physiotherapy.
Regarding MS, I need to see the reports of MRI brain and MRI cervical spine, if they have been done, as it is fairly easy to diagnose MS on MRI.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Lead neuropathy has been confirmed in tests.
Detailed Answer:
Hi Mr XXXXXXX
I have noted your detailed symptoms and noted the investigation reports uploaded. It is unfortunate that despite seeing so many doctors and doing a number of investigations, a final diagnosis has not been made.
Your lead levels in blood are high twice. Nerve conduction studies have shown features of polyradiculopathy. These features are consistent with a diagnosis of lead neuropathy. You can read more about this condition at the following link:
https://en.wikipedia.org/wiki/Lead_poisoning
Treatment involves chelation therapy with medicines such as succimer, dimercaprol, EDTA, or d-penicillamine.
Also, there is mild disc disease in lumbar region (lower back), which needs physiotherapy.
Regarding MS, I need to see the reports of MRI brain and MRI cervical spine, if they have been done, as it is fairly easy to diagnose MS on MRI.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir thank you for your valuable advice.
Sir can we relate or can this episodes happen due to Lead poisoning.
Sudden Episodes with:
1. Numbness - cannot move all four limbs
2. I cannot speak properly
3. Sometimes blurred vision
4. I cannot open eyes, jaw
5. Severe back pain
6. Breathing problem
(this happen ONLY with sudden physical movements)
Sir brain mri was done but i do not have the report only images, as per doctors there is no lesion.
I have attached few others mri reports.
Once again Thank You Sir.
Please confirm if above said situations can happen because of lead poisoning.
Sir can we relate or can this episodes happen due to Lead poisoning.
Sudden Episodes with:
1. Numbness - cannot move all four limbs
2. I cannot speak properly
3. Sometimes blurred vision
4. I cannot open eyes, jaw
5. Severe back pain
6. Breathing problem
(this happen ONLY with sudden physical movements)
Sir brain mri was done but i do not have the report only images, as per doctors there is no lesion.
I have attached few others mri reports.
Once again Thank You Sir.
Please confirm if above said situations can happen because of lead poisoning.
Brief Answer:
Lack of lesions have excluded MS.
Detailed Answer:
Thank you for getting back with more information.
Lack of any lesions on MRI rules out MS.
Yes, most of these symptoms can be explained on the basis of lead neuropathy. Back pain is caused due to disc disease and would require physiotherapy.
Breathing problem may need an evaluation by a general physician if troublesome.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Lack of lesions have excluded MS.
Detailed Answer:
Thank you for getting back with more information.
Lack of any lesions on MRI rules out MS.
Yes, most of these symptoms can be explained on the basis of lead neuropathy. Back pain is caused due to disc disease and would require physiotherapy.
Breathing problem may need an evaluation by a general physician if troublesome.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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