sarahg wrote:No mri lesions..ms?
Tue Jan 14, 2014 8:57 am
Hi..I am neg lyme and lupus with many MS symptoms. Buzzing sensation left leg, black hole in vision, burning sensation left neck and back, foggy headed, feel bruised on left arm but no bruising. Neuro said non contrast brain mri was clean so it cannot be MS. Can I have cognitive issues if there are lesions on spine and not brain? He did not seem to think further testing is necessary but did not have any diagnosis either. Ps..During first symptoms I also felt like I was walking on a boat and sensations felt different In left hand...Overall the symptoms have been for 5 months now.
Hi and welcome again to ThisIsMS, sarahg.
In your first post, you mentioned:
The first dr told me it was probably hormonal since it all started 3 months after giving birth. Second dr is the one that said no ms due to clear brain mri..He won't give me other tests just sent me packing.
First, you may not have MS at all, but there is always a possibility; it is an exclusionary diagnosis - made by ruling out other possibilities; there is no definitive test for MS. (My first 3 MRIs were "normal." My first neurologist told me that I definitely did not have MS. The "experts" and their tests can be wrong.) BTW, lesions can result from many different conditions.
You have identified definite symptoms; you need a "disease detective;" if your neuro is unwilling to investigate and test further, I would suggest that you need someone else. If you are able to work with the first doctor (a GP, or internist), return to him with a written timeline/list of symptoms to discuss; consider starting with suggestions from the University of Chicago:http://peripheralneuropathycenter.uchic ... #bloodtest
Classically, numbness/tingling/pain in the extremities (arms/hands and legs) is called peripheral neuropathy. I think your buzzing sensation (paresthesia, an unusual sensation) would apply as well.
Blood tests are commonly employed to check for vitamin deficiencies, toxic elements and evidence of an abnormal immune response.
Depending on your individual situation, your doctor may request certain laboratory tests to identify potentially treatable causes for neuropathy. These include tests for:
Vitamin B12 and folate levels
Thyroid, liver and kidney functions
Oral glucose tolerance test (IMO, a "fasting blood insulin test" should also be conducted – this is NOT a glucose test.)
Antibodies to nerve components (e.g., anti-MAG antibody)
Antibodies related to celiac disease (Neurological symptoms including brain fog, are common in atypical CD.)
Lyme disease (Your test was negative.)
Hepatitis C and B
As I share my following ideas, remember that I have no medical background: Since you mentioned that problems began 3 months after giving birth, I suspect that your pancreas did not return to normal insulin (which is a hormone) production after your pregnancy. I believe it secreted excess insulin, and may continue to do so today. It is fact that a pregnant woman increases insulin production to put weight on the developing fetus. A fasting blood insulin test would reveal if your levels are back to the optimal 3 UU/ML or lower.
Diet can also trigger increased insulin levels – whole wheat bread and artificial sweeteners can do this more than common table sugar!
All the best to you.
My hypothesis: excess insulin (hyperinsulinemia) plays a major role in MS, as developed in my initial post: http://www.thisisms.com/forum/general-discussion-f1/topic1878.html "Insulin – Could This Be the Key?"