I have been going to this doctor for the last couple of months to try to figure out what is going on. After multiple blood tests, lumbar and r hip xray, and brain MRI he has basically told me he is done with me and referred me to a neurologist. The neurologist I have been referred to cannot see me until July.
I am a 45 year old woman.
Here is the list of symptoms and test results:
Joint pain, stiffness mostly hips, knees, ankles, feet, wrists, hands, lower back
Intermittent numbness, tingling, burning in various parts all over
Shooting needle-stick like pains in various places all over
Intermittent muscle weakness especially in the thighs, upper arms, and jaw
Muscle spasms especially in the legs and fingers
Intermittent vision trouble including double vision and blurry spots (not floaters)
5x UTI over last 6 months
Memory trouble, including trouble communicating what I want to say, feeling like I can't engage my brain
All blood tests have been normal except for the following:
3 x WBC over last 2 months 10.8, 14.3, 14.2 with increased number of monocytes
ESR 40 2 weeks ago, normal yesterday
RA factor and CCP are pending
My hip xray was normal
I have a bilateral pars defect in my L5 but NO slippage
My brain MRI was normal
If anyone can give a look at this and give me some tips, it would be appreciated. I am beyond frustrated and am tired of feeling like I am 75 instead of 45.
can we assume no referral to a dietitian to date, for review of adherence to public health nutrient intake recommendations?
if you have 'normal' lab findings for any of the following levels, including several listed here which are understood to be suboptimal (but 'normal') in ms patients, pls share detailed results info including units
serum ferritin (not an ms thing but good to know and likely to be on file already, links to fatigue)
serum vitamin b12 (first and foremost nutritional differential dx for potential ms, links to numbness, weakness, cognitive function)
serum 25(OH)vitamin d3 (understood to be lower normal in ms patients, links to pain)
serum magnesium (links to low d3 status, muscle stiffness/spasms, pain, fatigue, possible links to incontinence)
serum zinc (links to immune system, sexual and cognitive/memory function, vision (allows body to utilize vit A), possible links to incontinence)
re itchiness is it 'phantom'/hard to find/hard to relieve, or properly scratchable.
other good things to know if you can:
serum uric acid and/or ammonia (in relation to zinc; links to antioxidant status, cognitive function)
serum copper (eg in relation to ferritin and zinc)
other serum b vits
related to the above, any info you can share re supplemental intakes, any meds taken, exercise habits, possible antinutrient diet/lifestyle factors - all worth knowing.
plenty to work with btw now and july!
pursue optimal self care at least as actively as a diagnosis
ask for referrals to preventive health care specialists eg dietitians
don't let suboptimal self care muddy any underlying diagnostic picture!
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