MS or ??? My left side is tingling.

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cnssurprise
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MS or ??? My left side is tingling.

Post by cnssurprise »

I am a 31 year old female. I am somewhat overweight, but I don't have any major health issues. I have ADHD and take Adderall XR for it.

A couple weeks ago while I was putting my daughter down for a nap I felt a weird pressure in my left chest and tension in the upper left part of my back and neck; I described it as a warm micro-stretching feeling. I started to feel light-headed. Googled heart attack symptoms and let my husband know that I was not feeling right. Got a fizzy feeling along the left side of my face, and in my left toes. Felt some pressure around the back of my left eye, and more chest tightness and tension in my left upper back. I ended up calling 911 and going to the emergency room in an ambulance, concerned that I could be having a heart attack, I wouldn't really think that I would be at high risk of having a heart attack, and I was embarrassed to be the center of such a scene, but it definitely seemed like a better safe than sorry kind of thing. I was having some trouble thinking; people asked me simple questions and I had to have them repeat because I wasn't following along right. Someone asked me something about the last 12 hours and I couldn't figure out when 12 hours ago was. It was weird.

I had a heart function test, some blood work, chest x-ray, CT scan with and without dye. Everything was normal. My heart was fine. No stroke.

After the initial chest pain I didn't have any more chest pain, but my left side stayed tingling for the 6 hours that I was there.

The doctor said originally she was trying to connect the heart stuff with the tingling, but my heart was fine so she concluded that they were two separate things. She referred me for an MRI. She said what they would look for would be demyelination, which she didn't expect there to be, but if there was I would need to work with a neurologist. They were going to refer me to a neurologist.

So, I was done, and still tingling. A couple days later I was scheduled for an MRI, for almost a week later.

Throughout the week sometimes the tingling went away, but it stayed for most of the time.

I didn't know anything about demyelination so I googled it, and googled having the left side of your body tingle, and MS kept coming up. I have an aunt with MS, but that is it, so I didn't really know much about it. When I saw lists of symptoms for MS I became more concerned. I don't have any of the vision issues, but I have a bunch of the other ones. It is all stuff that I just attributed to other things.

- Fatigue: Definitely. I have had problems with this for at least a few years. I especially notice it when I am places where it is awkward to yawn, I notice that I yawn a ton. It is embarrassing to me. I also especially notice when I am driving that sometimes I REALLY struggle to pay attention to the road. To the point that there have been times in the past where I wonder if it is safe for me to drive, or I choose not to. In the past I attributed this to either not getting enough sleep (because of my daughter) or my untreated ADHD (I just restarted with meds a couple months ago). Now that I am back to taking Adderall, I blame the fatigue on my Adderall wearing off...because I do tend to be more tired then. But what it is, is it is usually in the afternoon. I feel so sluggish, I really struggle to get anything done, whether or not I'm taking Adderall. This week it has been kind of weird because on the one hand I am taking the Adderall, so I feel ready to go get stuff done...except that then I stand up to go do something and I am so exhausted that I end up sitting down again. Just things like walking across the room make me much more tired than it seems like they should. It is summer here, so I think part of it is the heat. When it is hot I always feel exhausted. WHICH, I later found is also an MS thing, to be sensitive to heat. 8O

- Tingling: Yes. Also, once I separated the chest tension from the tingling, I realized, actually, I have had tingling before. I went to an emergency room a couple years ago because my toes? I think? On my left foot? were tingling or numb. First I went to an urgent care facility, and they told me to go right to the emergency room. If I remember right, I think the emergency room people said there was nothing to really do about it because we could either order a bunch of expensive tests or wait and see. So, with no history of symptoms we decided to wait and see. I forgot all about that. We are in a different country now, but we will be visiting the US in a couple weeks and I am planning to get records about that visit. Remembering about this made me feel more concerned.

- Bladder/bowel: I often have times where I feel like I need to pee every 15 minutes or something. I worried that this could be a sign of diabetes. It isnt a UTI. But my blood test from the ER showed my blood sugar as totally normal. Also, since my daughter was born (she just turned 3) I have had some problems with very minor incontinence like, when I sneeze or laugh, etc. I blamed that on her, and I tried a kegels regimen but it didn't seem to make any difference. Lots of constipation.

- Sexual problems: Dryness, and harder to climax than before (and never with my husband). I blamed this on my husband being circumcised, though, and on insufficient foreplay, and on my religious background that left me with more guilt about sex than necessary.

- Emotional changes: I have had a lot of problems with depression over the last couple years. At first I blamed this on my Mirena IUD but when I had that removed the depression did not go away. So then I thought it was because our lifestyle has been kind of stressful. Or because I was not taking medication for my ADHD. I also have always gotten kind of bad PMS.

- Foggy brain: Yes. Sometimes.

- Tremors: I don't usually have a problem with this, but about 3 or 4 days before the first ER visit I noticed that my hand was shaking randomly. I have a brother whose hands always shake, always have, so I just thought it was weird but didn't think anything of it. It went away after 20 minutes or something.

SO, when I saw that all of those things could be connected I became more concerned and started reading more about MS.

As the tingling kept happening I figured there wasn't really much to do about it because we were just waiting for the MRI, so I did nothing.

Did the MRI. Got the CD for it.

Annnd they wouldn't tell me what the result was. They said the report would be ready in about 10 business days. The tingling was even worse by then; in addition to my left side, my right foot started tingling. I felt concerned about the spread of the tingling and my lack of ability to follow up with a neurologist. I called a nurse line and even though I explained the situation, since I was having "stroke like symptoms...especially tingling on one side of the body" and because my mind felt foggy she said the result came up that I should call 911. I said I was confident that it was not a stroke, but she still urged me to go to the emergency room.

So, I went to another emergency room, where they still wouldn't have anyone look at my MRI, and I just sat there tingling intensely and with a very foggy head, waiting for hours. The end result was ok, though. I was referred to a neurologist and that neurologist was going to look at my MRI the next day and I was supposed to be able to see him in 1-2 weeks, or sooner if he saw some concerns on the MRI.

I figured out how to look at the MRI images. They didn't look like the ones online for MS, but obviously I'm not a neurologist or radiologist, so that reduced my concern a bit but I know I don't know.

Kept tingling.

I also remembered another interesting, possibly relevant symptom: a few months ago for about a month I couldn't turn my head to either side without a lot of pain. I noticed it most when I was driving and wanted to look over my shoulders to change lanes. It was intense. I don't know if that is related or not, but it could be.

So, the neurologist called and scheduled an appointment--in over a month! Today I was able to pick up my MRI report from the hospital. MRI is clean.

SO...I'm still tingling. It is spreading. Yesterday and today it has been my whole body sometimes. Mostly the left side, though, and my right foot.

As a result of the negative MRI, my husband feels like things are all great and resolved and I almost certainly don't have MS. I hope I don't have it, but I just feel like especially with the tingling I keep not finding other things it can match up with. I clicked through whole lists of possible things that could have that symptom and most of them were just individual limbs tingling, or things like headaches (which I rarely get); nothing that includes one side from head to toe. I really was expecting to find something on the right side of my brain. I feel like the MRI might be wrong, because it was without dye, and the slices were 4mm, and not the usual slices that are part of a MS MRI, and they didn't do my spine at all. I think it was a 1.5T machine. Does it make sense to be concerned about these details, or is it pretty uncommon to have early MS that would not show on a normal head MRI?

I am worried about my health and I feel uncomfortable doing nothing and just waiting while I might be having slow brain damage occurring as I wait for my appointment with the neurologist.

Is there something else I should be considering? Is there something else that can cause just the left half of the body to tingle?

Any thoughts or ideas would be greatly appreciated.

Thanks.
cnssurprise
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Re: MS or ??? My left side is tingling.

Post by cnssurprise »

Is my post too long?

tl/dr:
- 31 F, overweight and ADHD but no other interesting medical history.
- Numb left toes 2 yrs ago, went to ER, did nothing and forgot all about it.
- Entire left side tingling (head to toes), from 2 weeks ago. Chest and upper back pressure at onset, not since then. Went to ER. Heart test ok, chest x-ray normal, CT w/ and w/o dye normal, basic blood work normal. Referred for MRI.
- Did outpatient MRI. Head only. No dye. T1.5? 4 mm slices.
- Tingling spread to include right foot. No follow up scheduled for MRI or tingling, so I returned to ER. Was referred to a neurologist; appointment 1 month away.
- Picked up MRI report a couple days ago. Normal.
- Tingling is still usually left side only or plus right foot, but a few times it has been my whole body.
- Google usually brings up MS; lists of other problems with left side tingling are usually just about one limb tingling, etc.
- I have had several MS symptoms which I have attributed to other things: - severe fatigue, - bladder issues, - sexual dryness, - depression, - foggy brain, - minor issues w/ trembling hands.
- Also had some neck pain for about a month earlier this year, where it was very painful to turn my neck.

Is there something other than MS that I should be considering?
I am suspecting/hoping the neurologist will request a spinal MRI. Am I being silly for worrying about the first head MRI being inadequate? I'm not trying to insist on finding something that isn't there, but I am concerned about the progressive nature of my tingling.

Thoughts?
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Scott1
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Re: MS or ??? My left side is tingling.

Post by Scott1 »

Hi,

No, your post is not too long. You probably don't have MS but you sound like you need to overhaul your lifestyle. Being overweight puts all sorts of burdens on your body. Using medications for issues like ADHD might be right but we can't tell. Having young children can be taxing.
I'd address the issues of diet and take up any form of exercise you can manage. Your body is telling you to change how you live. Do it now and avoid a lot of problems. If you make the adjustments and still have problems then its reasonable to look again. Right now you are looking in the wrong places.
Regards
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lyndacarol
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Re: MS or ??? My left side is tingling.

Post by lyndacarol »

Welcome to ThisIsMS, cnssurprise.

In my opinion, your post was just fine. I understand your desperation to find answers. You asked for "any thoughts or ideas," so I offer you mine.

I have no medical background, but I know that your symptoms are common to many, different conditions. MS is only one possibility, but the diagnosis of MS is a diagnosis of exclusion, made only after other more likely conditions have been ruled out.

Numbness/tingling in the legs (your "fizzy feeling in the left toes") and arms is the textbook definition of "peripheral neuropathy." This is a common symptom in many conditions. In investigating the cause of peripheral neuropathy, the University of Chicago suggests the following:

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
Commonly used blood tests for B12 deficiency and their costs – if not covered by insurance (Do NOT use vitamin B supplements before testing, as this will skew the test results.):

Serum B12 (outdated test)… $50
HoloTc (newer, more reliable)… $118
Serum homocysteine… $147
Methylmalonic acid test (serum or urinary form)… $150

There have been several malpractice cases won (for several million dollars each!) when doctors did not look for vitamin B 12 deficiencies and patients went on to develop irreversible neurologic damage. I hope ONE of your doctors has screened thoroughly for a possible B12 deficiency.

Your symptoms are mentioned or listed in the following video – ADHD, chest pain, dizziness, "trouble thinking", fatigue, etc.… they are all there:

Diagnosing and Treating Vitamin B12 Deficiency:

@4:50 Pacholok says, "MS is a demyelinating disease and so is B12 deficiency. You can't tell the two apart unless you test for that."

Also, notice that pregnancy-breastfeeding greatly depletes B 12 levels.

In my opinion, your doctors have many possibilities to investigate and rule out one by one; I think B12 is a logical, easy, and inexpensive place to check first. And, if this is discovered to be the root of your problem, it is easily and inexpensively treated. If caught early, symptoms are usually reversible.

We wish you all the best.
cnssurprise
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Re: MS or ??? My left side is tingling.

Post by cnssurprise »

Scott1 wrote:Hi,

No, your post is not too long. You probably don't have MS but you sound like you need to overhaul your lifestyle. Being overweight puts all sorts of burdens on your body. Using medications for issues like ADHD might be right but we can't tell. Having young children can be taxing.
I'd address the issues of diet and take up any form of exercise you can manage. Your body is telling you to change how you live. Do it now and avoid a lot of problems. If you make the adjustments and still have problems then its reasonable to look again. Right now you are looking in the wrong places.
Regards
Thanks for reading my post and for sharing your thoughts about this.

It is true that I mentioned I am overweight, and I agree that it is probably a good idea to work on my diet and exercise. However, I'm not obese, and I am not the worst about my diet, either. I always read ingredient labels and I eat few processed foods; sometimes I eat a strictly whole foods diet (paleo). There is room for improvement with diet and exercise but, for example, I already don't eat fast food or drink soda. I already drink water and don't drink alcohol.

I would expect this sort of reply if I were very obese and/or diabetic, but I am not. Is the reason you think it is unlikely to be MS because of the negative head MRI? Or do the symptoms that I described not match how they usually appear for people who actually do have MS?

Thanks again for taking the time to help me sort this out. I am far from an expert on the subject of MS, and I'm sure you guys on this forum have plenty of experience with undiagnosed people popping by and either sticking around or not, so I value your more experienced perspective.
ElliotB
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Re: MS or ??? My left side is tingling.

Post by ElliotB »

Scott1 is absolutely correct, "being overweight puts all sorts of burdens on your body". Overweight is overweight, whether it is a little or a lot, it is still 'over' what it should be.

Also keep in mind that many foods you have been taught to believe are healthy may not actually be healthy. There is no simple answer to what exactly 'healthy' food is since there are few that will agree that any one particular food is truly healthy. You can research just about any food and find experts that say that particular food is healthy and other experts that will say otherwise.

Since you openly state "There is room for improvement with diet and exercise", I suggest you make a total commitment to your diet, exercise and overall health. You have everything to gain by doing so! It can only help you in the long run.
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Scott1
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Re: MS or ??? My left side is tingling.

Post by Scott1 »

Hi,
It's not easy for us to judge what you mean by overweight. It is also not possible to say you definitely don't have MS as even "experts" can fail to test correctly. To me, what you have described would be atypical but not impossible.
The tingling sounds more like pressure on a nerve hence I suggest look at your overall lifestyle.
Yawning is not fatigue for us. It's just yawning. Those of us who do well live disciplined lives where we pay attention to the regularity of sleep. You have a baby so sleep can be affected. Fatigue in an MS sense is not about being tired. It's broader than that.
I still think it's lifestyle which will be mucked up with a young family. It's also hard to be the only one modifying habits in the household.
Regards
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lyndacarol
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Re: MS or ??? My left side is tingling.

Post by lyndacarol »

cnssurprise wrote:It is true that I mentioned I am overweight, and I agree that it is probably a good idea to work on my diet and exercise. However, I'm not obese, and I am not the worst about my diet, either. I always read ingredient labels and I eat few processed foods; sometimes I eat a strictly whole foods diet (paleo). There is room for improvement with diet and exercise but, for example, I already don't eat fast food or drink soda. I already drink water and don't drink alcohol.

I would expect this sort of reply if I were very obese and/or diabetic, but I am not. Is the reason you think it is unlikely to be MS because of the negative head MRI? Or do the symptoms that I described not match how they usually appear for people who actually do have MS?
cnssurprise, your diet sounds quite reasonable to me. All of us probably have room for improvement in our diets. Shouldn't we all eat more vegetables? Since you are not consuming fast-food, soda, and alcohol, I see no reason to obsess about your diet.

Your symptoms are consistent with MS,… BUT they are consistent with many other conditions, as well.

The reason I think "it is unlikely to be MS" is a matter of numbers. For example, considering a possible vitamin B12 deficiency… At least 40% of the American population is estimated to have suboptimal B12 levels (personally, I suspect it is much more than that). Usually, it is estimated that 400,000 people in the US have MS; based on a US population of 320 million, that is .13%. Even if we estimate that 500,000 people have MS (a number that I have heard occasionally), that is .16%, a far lower percentage of MS than B12 deficiency.

Also, since there is no definitive test for MS and it is a diagnosis of exclusion, all the other possibilities need to be ruled out first.
cnssurprise
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Re: MS or ??? My left side is tingling.

Post by cnssurprise »

Scott1 wrote:Hi,
It's not easy for us to judge what you mean by overweight. It is also not possible to say you definitely don't have MS as even "experts" can fail to test correctly. To me, what you have described would be atypical but not impossible.
The tingling sounds more like pressure on a nerve hence I suggest look at your overall lifestyle.
Yawning is not fatigue for us. It's just yawning. Those of us who do well live disciplined lives where we pay attention to the regularity of sleep. You have a baby so sleep can be affected. Fatigue in an MS sense is not about being tired. It's broader than that.
I still think it's lifestyle which will be mucked up with a young family. It's also hard to be the only one modifying habits in the household.
Regards
ElliotB wrote:Scott1 is absolutely correct, "being overweight puts all sorts of burdens on your body". Overweight is overweight, whether it is a little or a lot, it is still 'over' what it should be.

Also keep in mind that many foods you have been taught to believe are healthy may not actually be healthy. There is no simple answer to what exactly 'healthy' food is since there are few that will agree that any one particular food is truly healthy. You can research just about any food and find experts that say that particular food is healthy and other experts that will say otherwise.

Since you openly state "There is room for improvement with diet and exercise", I suggest you make a total commitment to your diet, exercise and overall health. You have everything to gain by doing so! It can only help you in the long run.
Thanks for your replies. I am still not totally convinced that my overall lifestyle is the source of my problems, HOWEVER, I agree that you're right: I should use these problems as an impetus for lifestyle improvement. No matter what is actually causing my problems, my life will go better (and likely significantly better) if I am optimizing my sleep, diet and exercise.
cnssurprise
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Re: MS or ??? My left side is tingling.

Post by cnssurprise »

lyndacarol wrote:
cnssurprise wrote:It is true that I mentioned I am overweight, and I agree that it is probably a good idea to work on my diet and exercise. However, I'm not obese, and I am not the worst about my diet, either. I always read ingredient labels and I eat few processed foods; sometimes I eat a strictly whole foods diet (paleo). There is room for improvement with diet and exercise but, for example, I already don't eat fast food or drink soda. I already drink water and don't drink alcohol.

I would expect this sort of reply if I were very obese and/or diabetic, but I am not. Is the reason you think it is unlikely to be MS because of the negative head MRI? Or do the symptoms that I described not match how they usually appear for people who actually do have MS?
cnssurprise, your diet sounds quite reasonable to me. All of us probably have room for improvement in our diets. Shouldn't we all eat more vegetables? Since you are not consuming fast-food, soda, and alcohol, I see no reason to obsess about your diet.

Your symptoms are consistent with MS,… BUT they are consistent with many other conditions, as well.

The reason I think "it is unlikely to be MS" is a matter of numbers. For example, considering a possible vitamin B12 deficiency… At least 40% of the American population is estimated to have suboptimal B12 levels (personally, I suspect it is much more than that). Usually, it is estimated that 400,000 people in the US have MS; based on a US population of 320 million, that is .13%. Even if we estimate that 500,000 people have MS (a number that I have heard occasionally), that is .16%, a far lower percentage of MS than B12 deficiency.

Also, since there is no definitive test for MS and it is a diagnosis of exclusion, all the other possibilities need to be ruled out first.
Oh, no! I just wrote a long reply back to you and lost it all because it wanted me to log in again. I don't have time to retype right now. I will try again later. For now, thanks for your replies! I am not ignoring you. I started watching the video but I haven't had a chance to finish it yet. I will post another reply later.
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NHE
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Re: MS or ??? My left side is tingling.

Post by NHE »

cnssurprise wrote:Oh, no! I just wrote a long reply back to you and lost it all because it wanted me to log in again. I don't have time to retype right now. I will try again later. For now, thanks for your replies! I am not ignoring you. I started watching the video but I haven't had a chance to finish it yet. I will post another reply later.
Please see the following post in the Forums FAQ thread which discusses how to prevent getting automatically logged out.

http://www.thisisms.com/forum/site-supp ... ml#p192570
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Scott1
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Re: MS or ??? My left side is tingling.

Post by Scott1 »

Hi,

A healthy lifestyle also includes treating infections like mycoplasmas, chlamydia's, EBV etc. It includes understanding where you are on basic levels of health from standard blood tests. It wont be guessing that you're ok. Be evidence based.
Regards
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lyndacarol
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Re: MS or ??? My left side is tingling.

Post by lyndacarol »

cnssurprise, you can retrieve my private message (PM) to you by clicking on "new messages" in the top left corner of this page.
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