Feels like Im losing my mind!

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mamaj
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Feels like Im losing my mind!

Post by mamaj »

Im so glad to have found this site! Im desperately hoping for some answers soon, before I lose my ming completely. I have read so many posts here, and feel like Im just one more person trying to figure out what is going on with my body. Please forgive me if this becomes very long. Im a "talker" :-D

I have seen my PCP (who I happen to work for, and be good friends with), 2 physical med and rehab MDs, 2 neurologists, and physical therapist. No one can tell me anything. Only "lets give it some more time". My PCP is willing to do whatever tests we can find, and seems to feel like I do have MS. She isnt comfortable labeling me with MS though, as she is only GP, not specialist. Can anyone please give some insight? Here is my story:

About 6 years ago, I started having pain in my neck. Terrible pain, couldnt turn my head (I didnt drive for more than a month becasue I LITERALLY couldnt turn my head either way), I had sharp pains, more like electric shocks if I bent my head foreward/down. My right hand/arm was always numb. At the time, I worked for a pain Dr. He sent me for an MRI and it was discovered that I had a couple of bulging discs. He did a series of ESI's and most of my symptoms resolved.

Fast forward to 2 years ago. I started again with the numbness/tingling in my right arm. Became so bad that I lost all grip in my right hand. My 4th and 5 fingers were always numb, and my hand and forearm were always ice cold. I had another MRI to see if there was something else going on with my Cspine. MRI was normal. PCP thought maybe I had some tendonitis going on. Had me wear a brace on my forearm to relieve the tension in the musle. I wore the brace for about 2 months, only seemed to make the pain worse. Over the course of the last 2 years I have "bouts" of extreme pain/numbness/tingling/weakness in my right arm. From about mid-bicep all the way down to my fingers. Now, its starting to happen on the left side as well. In the last month, I have fallen twice, because I literally could not pick my foot up to walk. There is a whole list of random, insignifigant symptoms that seperately seem like not a big deal. But when I put them all together I dont like the picture I see. I have terrible headaches several times a week, frequent periods for "brain fog", memory issues, tactile defensiveness, blurry vision (much worse at night), eyes are always fatigued, sometimes twitchy, intolerance to heat (seems to make everything worse), terrible fatigue-no matter how many hours of sleep I get, I wake up exhausted, flucutate from diarrhea to constipation- have gone up to 2 weeks without an BM, periodically feel like my abdomen is being constricted- like im in a coat thats too tight and cant quite breathe or move right, absolutely no sexual drive or ability to *ahem* "finish", random bruises and peticii- without any injury, occasional tinnitis and feeling like I can feel my hearbeat in my ear, when I turn my head left to right-I can feel/hear grinding?... Like I said, weird and random. Some and/or all of them might not have anything to do with anything.

I had more testing done, than I care to pay for, including: muliple MRI's that have all been "normal", Vit D, B12, tsh, cbc, cmp, angiotenson enzyme normal, hiv normal, hep studies normal, lyme normal. I had an EMG-normal. Xray from shoulder down to fingertips normal. Everything is just "normal"

The only abnormal findings have been chloride and C02 were low, iron binding gap was a little high, esr was low. One neurologist told me that I have +Lehrmittes sign. (sounds like a definite MS symtpms from what Ive read)

Ive been taking Vit D50000u weekly, and cymbalta 90mg daily for nerve pain. They cymbalta helps some, but not enough that I can say I feel "better", and it seems to wear off fairly quickly. I have cut out almost all wheat/grain products, most sugar and most caffeine. Although, I have lost some weight from doing this, none of it changed any of my symptoms.

Im at a loss, and don't know what else I can do to get some answers. I have an appointment with my PCP again on monday. She has told me in passing, that she is at a loss as well, and isn't sure what to do next. Leaves me feeling quite frustrated. PCP mentioned fibromyalgia, but upon reading up on it, I dont think my symptoms fit.

Can someone just tell me, what in the world does it take to get a diagnosis. Any diagnosis?! Not that I want this diagnosis by any stretch, but how much more black and white can it be?!
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jimmylegs
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Re: Feels like Im losing my mind!

Post by jimmylegs »

good morning :)

i recently posted the following for another user:

http://www.thisisms.com/forum/undiagnos ... quote]here are some links from my fave site for spine info

disc anatomy
http://www.chirogeek.com/Anatomy%20Page ... atomy.html

on disc nutrition
http://www.chirogeek.com/Anatomy%20Page ... l_endplate

degenerative disc disease
http://www.chirogeek.com/DDD%20Page/000 ... _Aging.htm

herniation
http://www.chirogeek.com/Herniation/Her ... -page.html[/quote]cutting out wheat may help you to retain some essential nutrients, but the depleting impact of 50,000 IU of vit D3 may be too much to compensate for by wheat avoidance alone.

you might find some of this info interesting (especially the bits regarding 'normal' results): http://www.thisisms.com/forum/regimens- ... c2489.html

re neck pain, i would have looked at vit D3 among other things. I assume you did, and hence the 50K per week now.
re the sharp pains, and electric shocks when bending head forward, without the MRI and the bulging discs i would have said that sounds like an active c-spine lesion (lhermitte's sign, as your neuro mentioned). the spine info above might be useful in helping you care for your spine and prevent future disc herniation

when you say your mri two yrs ago was normal, does that mean that you no longer had bulging discs?

re forearm muscle tension, i'd be looking at magnesium for that. did that symptom crop up before or after starting d3 therapy?

headaches, brain fog, memory issues, blurry vision, twitchiniess, fatigue, constipation/diarrhea, constricted abdomen, low sex drive, bruising, tinnitis, all sound like there could be a nutritional link. magnesium could be associated with headache, twitchiness, fatigue, and either constipation or diarhhea, as well as the feeling of constriction in the abdomen, via impacts on smooth muscle function. brain fog, memory issues, blurry vision, diarrhea, low sex drive and tinnitis could be related to low zinc. there have been cognitive studies done related to b12 status, may i ask what your serum level was when you had it tested? although i must say that personally, i was b12 deficient for years with the only real symptoms being numbness and weakness. it was zinc deficiency that put me through my worst cognitive experiences.

2 weeks without a BM is clearly dangerous. may i inquire re your diet and hydration routine, and any other meds or supps besides d3 and cymbalta? i'm thinking you may need to add some essential nutrients *in*, rather than just cut foods that contribute to nutrient depletion (eg gluten sugar diuretics etc). the rest of the diet has to be nutrient dense to help give a depleter-avoidance strategy some teeth.

when you go to the PCP on monday, perhaps you could ask for a serum magnesium test. i'll warn you in advance that the result will be 'normal' but that you need to be in the upper normal range or higher to be in reasonable shape for magnesium status. with your d3 regimen in the picture, and your symptom list, i'm fairly confident your serum level will be mid range at best. again, more detailed info available here: http://www.thisisms.com/forum/regimens- ... c2489.html

fwiw, low normal mag is consistent with fibro as well.

another thing you can do, just as a first step mind you, is to assess your diet for healthy magnesium sources. (you'll have noticed a few other things to consider if you clicked through to that other link with the list of nutrients of concern!)
healthy magnesium foods
http://www.whfoods.com/genpage.php?tnam ... nt&dbid=75

aim for 600mgs per day while you feel symptomatic. otherwise, 400mg should do.

if you can't feasibly reach that daily target amount, consider a supplement. with magnesium the form is EXTREMELY important. you can shop for the right stuff online if tracking down an appropriate local shop is a problem
http://www.webmd.com/drugs/drug-152090- ... inate+Oral
for example here are two products i have used in the past.
http://kirkmanlabs.com/ProductKirkman/1 ... llergenic/
http://orangenaturals.com/essential/mag ... g_60v_cap/

here's a link to recent TiMS debate on vit d3 supplementation and potential related magnesium concerns: http://www.thisisms.com/forum/chronic-c ... ml#p224456

fwiw magnesium is one of the various supplements i have used which delivered dramatic improvements in symptoms over a short time period. at the same time, it has taken me much longer to rebuild lost stores. at this point, i have done enough supplementation, in addition to adjusting my diet and lifestyle, so that i can now go for a while with just diet and not immediately feel the effects of missing a daily magnesium supplement.

hope all that helps - it as a big one, but you sent a big one so fair is fair lol :)
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mamaj
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Re: Feels like Im losing my mind!

Post by mamaj »

Hi, thanks for the quick response!

Yes, my MRI from 2 years ago was normal. No more bulging discs. And Im not really having neck pain, other than the electric shooting...

I've had the symptoms in my forearm long before starting D3. Its not muscle pain. I dont really know how to put it into words. My arm feels heavy, and weak. I have little to no grip. If someone touches my arm, or I bump into a wall, it literally feels like someone sucker punched me. My husband goofs around and will poke or pinch, and it brings tears to my eyes (he quit doing if after the 2nd time I cried- he thought I was faking to make him feel bad)

I realize the issues with BM are not good. I have tried everything under the sun. Miralax every day, stool softeners, lots of water (probably close to 80-90oz qd). I have been so desperate that I have tried magnesium sulf and even castor oil (my grandmother swears by it)

The only meds I currently take are the cymbalta 90qd, trazodone 50mg qhs (forgot to mention the terrible insomnia), and D3 qw

I have tried and failed neurontin, many many rounds of prednisone, flexerill, trauma speed gel, anti-inflammatory meds

I have started a list of things to ask her for when I see her on Monday. Hope I dont over whelm her and send her screaming out the building! :lol:

I have been working on the diet, not paying special attention to any nutrients specifically, jut in general, no/low carb, no animal fat, no processed foods...

Thanks for all of your input! I really appreciate it. Of course I dont think I know better than any of these docs, but I just feel like Im getting the run around. If its not MS, great! But if it is, I want to know. Something is causing all of this! The PM&R doc says MS, the PT says MS, one neuro says maybe MS maybe fibro, the other neuro didnt even talk to me- literally walked in to the room and said "well I just looked at your MRI, good news, you don't have MS". PCP doesnt know what to think. I just want to lay on the flood of the office and throw a temper tantrum!! Im a full time nursing student, have a full time job, and 4 kids. My husband is a God send, and keeps me grounded, but my goodness if I dont get somewhere soon, I might just loose it!
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lyndacarol
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Re: Feels like Im losing my mind!

Post by lyndacarol »

Welcome to ThisIsMS, mamaj.

As a nursing student, you know that the numbness/tingling in your arm and hand is the textbook definition of peripheral neuropathy. The University of Chicago offers these guidelines for investigating peripheral neuropathy:

http://peripheralneuropathycenter.uchic ... #bloodtest
Blood tests

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
Vasculitis evaluation
Oral glucose tolerance test
Antibodies to nerve components (e.g., anti-MAG antibody)
Antibodies related to celiac disease
Lyme disease
HIV/AIDS
Hepatitis C and B
Since you "had more testing done, than [you] care to pay for" and say that B12 was done, as U of C lists first, I hope the results of the initial tests ruled out a B12 deficiency in your blood; you also had:

#1 serum B12 test
#2 serum folic acid test
#3 serum homocysteine test
#4 a urinary methylmalonic acid test

If all these were not done, you can ask your PCP to order them when you see her on Monday. All your symptoms seem to match the list of B12 deficiency symptoms so well that I would be surprised if you don't have a B12 deficiency. By the way, in your CBC, was the MCV (mean corpuscular volume) high? – If so, that is a another hint for B12 deficiency.

I highly recommend this 50-minute documentary featuring Sally M. Pacholok, RN, BSN & her husband Jeffrey J. Stuart, D.O. (authors of the book, Could It Be B12? An Epidemic of Misdiagnoses); Lawrence Solomon, M.D., hematologist with Yale Medical School; Ralph Green, M.D., hematologist at UC Davis; and Donald Jacobsen, PhD, at the Cleveland Clinic (Homocysteine Research Lab):

"Everything You Want Your Doctor to Know about Vitamin B12"




Some of your other testing can check off items from the U of Chicago list; a diagnosis is made by excluding other possibilities.
mamaj
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Re: Feels like Im losing my mind!

Post by mamaj »

Hi lyndacarol! Thanks for your reply!!

I did have the testing done to rule out a B12 deficiency, and it all came back "normal" Im planning to ask for additional lab test on Monday at my appointment.

These results from from 2 weeks ago
Ferritin 18.4
B12 361
Vit D 21
Iron binding gap 409
Chloride 100
C02 21
MCV 90
want2bike
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Re: Feels like Im losing my mind!

Post by want2bike »

Do you have a lot of amalgam fillings or root canals. Mercury poisoning has similar symptoms to MS. If you have some dental work done and then experience symptoms that would be a clue.

http://tuberose.com/Mercury.html
mamaj
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Re: Feels like Im losing my mind!

Post by mamaj »

Nope. None at all. I did have braces as a teenager and still have a permanent retainer on my bottom teeth.
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lyndacarol
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Re: Feels like Im losing my mind!

Post by lyndacarol »

mamaj wrote:Hi lyndacarol! Thanks for your reply!!

I did have the testing done to rule out a B12 deficiency, and it all came back "normal" Im planning to ask for additional lab test on Monday at my appointment.

These results from from 2 weeks ago
Ferritin 18.4
B12 361
Vit D 21
Iron binding gap 409
Chloride 100
C02 21
MCV 90
Although your result of 361 probably falls with in your lab's standard range (My lab's standard range: 213-816 pg/mL), your result is within the Gray Zone defined by the authors on page 15 in their book, Could It Be B12? An Epidemic of Misdiagnoses,:

Serum B12 Gray Zone: 200-450 pg/mL (We advocate B12 treatment in all symptomatic patients with serum B12 below 450 pg/mL.)
In fact, elsewhere in their book they recommend 550 as the cutoff.

In my opinion, the MCV of 90 is approaching the high-end of the standard range (at least at my lab) and would indicate macrocytosis (enlarged red cells) which occurs in some cases of B12 deficiency.

Also, in general, the serum B12 test alone is not adequate to determine a B12 deficiency. And if the patient has taken a supplement prior to testing, the test results can be skewed. I encourage you to discuss further testing with your PCP.

Check your symptoms again against the list from the video; even more (even tinnitus) are mentioned in the video narration.

"Everything You Want Your Doctor to Know about Vitamin B12"


Signs and Symptoms of B12 Deficiency:
Tingling/Numbness
Sore Mouth or Tongue
Fatigue
Anxiety
Irritability
Depression
Weakness
Abnormal Gait
Mental Impairment
Visual Disturbances
Migraine
Orthostatic Intolerance
Chest Pain
Tachycardia
Difficulty Breathing
Edema
Elevated Homocysteine
Elevated MMA
Stomach and G.I. Problems
Blood Abnormalities
Neurological Lesions
Limb Movement Disorders
Psychosis
Thoughts of Suicide
mamaj
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Re: Feels like Im losing my mind!

Post by mamaj »

thanks again lyndacarol!! I will definately talk with her about the lab values!
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jimmylegs
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Re: Feels like Im losing my mind!

Post by jimmylegs »

hi again :) insomnia points to a possible mag issue as well.

those ferritin levels aren't the best.. any plans to work on those? i prefer to keep mine up closer to 80. i imagine you know that iron is a particularly common deficiency. especially for women.

What Are the Signs and Symptoms of Iron-Deficiency Anemia?
http://www.nhlbi.nih.gov/health/health- ... signs.html
"The most common symptom of all types of anemia is fatigue (tiredness). Fatigue occurs because your body doesn't have enough red blood cells to carry oxygen to its many parts. ... shortness of breath, dizziness, headache, coldness in your hands and feet, pale skin, chest pain, weakness..."

depending on the units for your b12 results, you're either low or really low :) in pmol/L you want to be at least 370, and in pg/mL you want to be at least 500.

can you elaborate on your attempt to use epsom salts for constipation? did you ever try magnesium oxide? fyi the insoluble inorganic forms of magnesium are typically useful laxatives as well as being poorly absorbed. therefore, not too useful for correcting deficiency. the soluble organic forms, like mag glycinate, are better for actually being absorbed effectively into tissue.

serum zinc and serum magnesium would likely both provide telling results. as stated above, high normal levels are best while low to mid normal levels do not preclude deficiency. hope you can get some more good info and take some effective action based on the results :)
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want2bike
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Re: Feels like Im losing my mind!

Post by want2bike »

When I look at the vitamin D level of 21 it is way low. Mine was at one time 19ng/ml before I started supplementing with 5000iu of vitamin D and now it is over 70ng/ml. I am including an article which explains how to get your vitamin D level up. It is best to get vitamin D from to sun but some people do not have access to the sun. You can have an allergy to anything you put in your mouth. If you have tried everything you can and still have no result might consider the retainer. The best thing to do for any disease is consider a raw vegan diet. You can eat a little salmon or other meat but concentrate the diet on organic raw fruits and vegetables. That is what we were designed to eat.

http://www.naturalnews.com/027345_Vitam ... e_sun.html





https://uk.answers.yahoo.com/question/i ... 459AAwZrdQ
Last edited by want2bike on Sat Jun 14, 2014 8:39 am, edited 1 time in total.
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jimmylegs
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Re: Feels like Im losing my mind!

Post by jimmylegs »

naturally not *exclusively* raw fruits and veg, but as every scurvy dog of history and modern public health agency can tell us, those are undeniably essential.

for example, in addition to salmon and/or sardines, regular large servings of magnesium-dense greens such as chard and spinach (preferably boiled to manage volume as well as to reduce oxalic acid levels) should help support a healthier vit d3 status.

notice here the interesting relationship btw dietary mag and d3 level, regardless of sun exposure (or lack thereof)

http://www.thisisms.com/forum/chronic-c ... ml#p224934
http://ajcn.nutrition.org/content/46/6/1005.full.pdf
Sunshine score and dietary and biochemical data from 125 patients with hip fracture and from 74 elderly control subjects
............................................control subjects...........patients
Vitamin D intake (IU/d).....................114 ± 44...........116 ± 63
Magnesium (mmol/L).......................0.82 ± 0.07........0.76 ± 0. 12
25-hydroxyvitamin D (nmol/L)...........32.9 ± 13.6........18.5 ± 10.6
l,25-dihydroxyvitamin D (pmol/L)........105 ± 31..............79 ± 46
(note that none of these folks have what i would consider 'healthy' mag status per se, but still the controls are far better off than the patients)
teasing out the 'sunshine score' element of this article, i note the following with interest:

control subjects with low sunshine scores have serum 25(OH)vitd3 levels averaging 24.3 ± 9.1 nmol/L, while patients with similarly low sunshine scores have MUCH lower serum 25(OH)vitD3 levels, averaging 13.3 ± 5.7 nmol/L... this despite the patients having slightly higher average vit d3 intake overall. the dynamic is repeated when you compare patients and controls with intermediate and high sunshine scores.
not to mention that salmon is nearly 4x higher in b12 than a similar sized serving of beef. and sardines have over 5 times more b12 per serving than beef.

vit d foods: http://whfoods.org/genpage.php?tname=nu ... #foodchart
mag foods: http://www.whfoods.com/genpage.php?tnam ... #foodchart
vit b12 foods: http://www.whfoods.com/genpage.php?tnam ... #foodchart
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want2bike
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Re: Feels like Im losing my mind!

Post by want2bike »

mamaj you appear to be a young lady and I wonder if you have considered other toxins you may be putting in your body. Aspartame can result in similar symptoms to MS. If you are doing any artificial sweetners such as diet soda you should stop them and see if it makes a difference. If you are doing flu shots are other vaccination that may be the problem. You should look at everything which may be toxic to the body and avoid them.

http://www.snopes.com/medical/toxins/aspartame.asp

http://www.medhelp.org/posts/Neurology/ ... how/895175

mamaj
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Re: Feels like Im losing my mind!

Post by mamaj »

Im going to my appointment with PCP today. I have armed myself with lots of information regarding some additional labs to be done etc. (thanks to all of you for input). Any last minute suggestions for me?

Besides various vitamin/mineral deficiencies and fibro, is there anything else that my symptoms are pointing to?
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jimmylegs
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Re: Feels like Im losing my mind!

Post by jimmylegs »

i would say, go with a discussion agenda in hand so that you don't get off track and forget to mention certain things. sounds like you are all set in that dept anyway! i'm not really a diagnostician.. i only know which symptoms red flag which nutrients.
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