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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Increased Migraine Attacks, Muscle Spasms, Dizziness, Poor Eyesight And Severe Fatigue Indicate A Neurological Disorder?

Hi there,



I'm a 24 year old caucasian female form Canada. I've been having a really challenging time with a slew of symptoms that are getting progressively worse, but come in waves. MY family doctor refuses to take me seriously, saying it's all in my head and I'm too young to be really ill. I know these aren't psychosomatic, and it is really affecting my quality of life, as I am a very happy, energetic woman but am being brought down physically. Here is a chronological lsit wof what's been going on (I know it's long, but it's all relevant):



- Migraines from early teens, increasing in frequency to about monthly, slight headaches almost daily (advil)
- Had CT for these in ’10 & ’11 as they were extreme, non-contrast and nothing showed
- Recently starting to get random spasms with them
- Low platelets and hgb/always cold and easy bruising for the past 5+ years
- Periods of near-constant dizziness (not vertigo) started in ’09, lasting for weeks/month+. Goes away and comes back
- Recently dizzy periods worsening and accompanied by unexplained, daily nausea
- Inner-ear problem ruled out but ENT and audiology
- ’09 started getting sharp pains down neck and back, especially during dizzy times
- Numbness, stiffness esp. on left side. Very easy to lose feeling/circulation
- Often get sensation of skin being very sore to touch, tender like I’ve been beaten up
- Feel very fatigued, increasingly. Very happy and energetic mentally but body stopping me
- Started getting wobbly at work and in school clinical
- Camping 2012- was very dizzy and tired/nauseated and woke up one morning constantly vomiting, whole body slowly went numb up to my face- undiagnosed
- Summer 2013- first time working hard out of school. Really noticed an increase in wobbly/weakness/dizziness. Collapsed one day from sheer weakness/exhaustion. Muscles all cramped and spasmed again. Cardiology found two murmurs and bedside echo showed leaky valves.
- Formal echo showed nothing indicating a reason for symptoms. Carotid bruit to be investigated. Was told to see neurologist but cardiology did not give referral
- Started thinking heart palpitations and chest pain may be nerve pain (considering left-sided issue)
- Recently strength has decreased and mild tremor. Severe migraines over Christmas with even worse nausea and dizziness than before, pain and difficulty lifting left arm (weakness/pain)

-extreme fatigue, no matter how well I sleep!

- Feel cognitively “foggy” when symptoms exacerbate, difficulty concentrating and mild memory lapses (will repeat myself or not notice what someone is saying)
- Jerky movements, just slight, in hands/face/feet (keep dropping things, flinging a pen)
- About three years now, noted mild stress urinary incontinence when symptoms flare up
- Eyesight is depleting rapidly, not as sharp

-the sharp nerve pains are increasing and making it hard to do my job.
- Decrease in symptoms for several months but still fatigued and weak with random shooting pains, dizziness does not entirely go away.
- Over Christmas, increasing extreme dizziness with constant whooshing sound in head. Couldn’t lay flat as it felt terrible. Accompanied by string of migraines.


Again I apologize for the length. I don't have an appointment with a neurologist for four months, and just want to have an idea of what COULD be going on, if anything. Even if to take some OTC meds prior. /all sources are directing me towards a neuro-degenerative disorder, such as MS, which honestly, I don't care WHAT it is, I jsut want someone to help :( Thank you so much for your time!
Wed, 15 Jan 2014
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Neurologist 's  Response
Hi,

Thank you for posting your query.

It is unfortunate that you are suffering from so many problems at such a young age, and no diagnosis has been made so far.

I have noted your symptoms in detail, and I agree with you that they are not psychosomatic in nature. You need to be taken seriously and properly investigated.

You would require MRI brain and spine, in addition to vitamin B12 level and thyroid antibody testing.

As of now, you can take diclofenac or ibuprofen tablets for relief of headache, and betahistine to reduce the dizziness.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

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Can Increased Migraine Attacks, Muscle Spasms, Dizziness, Poor Eyesight And Severe Fatigue Indicate A Neurological Disorder?

Hi, Thank you for posting your query. It is unfortunate that you are suffering from so many problems at such a young age, and no diagnosis has been made so far. I have noted your symptoms in detail, and I agree with you that they are not psychosomatic in nature. You need to be taken seriously and properly investigated. You would require MRI brain and spine, in addition to vitamin B12 level and thyroid antibody testing. As of now, you can take diclofenac or ibuprofen tablets for relief of headache, and betahistine to reduce the dizziness. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in