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    MS? or fibro?

    Hello there! New to the forum. I'm sure you've had these types of posts a million times but I would be seriously grateful for anyone who takes the time to read mine and respond. I'm feeling hopeless, and a bit of a hypochondriac at the moment.

    A (sort of) brief summary--

    I've had a couple weird issues with my eyes over the past couple years. 2 different times I had my vision go blurry in one eye (If I remember correctly it was my left eye both times). There was like a blurry line that I could watch go across my field of vision-- made it so I couldn't read or anything out of that eye-- I had double vision while it was there and it just resolved on its own with no other issues. It took about an hour or so to resolve and came on very suddenly in the middle of the day, with no other symptoms. I also have days now where my eyes feel like they are "jiggling"-- not sure how else to describe it, but my perception is that my eyes are slightly jerking around making it hard to focus on things, but I don't see any obvious signs of actual twitching or jerking of the eye itself (I am scheduled to see an eye doctor tomorrow)

    My main symptom, however, is debilitating fatigue that has gotten worse over the past couple years. I have crashes in the afternoon and my fatigue is much worse in the week before I start my period. I tried googling that issue to see if maybe it was hormonal and came across a study that said it's common for MS related fatigue to be worse -- you guessed it-- in the afternoons and in the week before periods start due to a natural rise on body temp during those times. Yay. It is not "just" fatigue...it is as if I've suddenly been hit with a tranquilizer dart at times, although I typically have low-mid grade fatigue every single day. I do not have sleep apnea nor do I snore or have any other sleeping issues that I am aware of. I sleep, on average, 8 1/2 hours per night, but it can range from 7-11 hours.

    My balance is off, I stumble, I can't hold yoga poses that used to be easy for me. I have ringing in my left ear occasionally. I also have bouts of dizziness that can last briefly or up to several days. I have started to struggle with constipation. (TMI, but I hope it's ok). We bought a Squatty Potty (yes, one of those things that went viral on facebook, lol) and it has helped somewhat.More recently, I had issues walking for a few days. I felt like a marionette with how I was having to exaggerate my movements. And I use crutches around the house from time to time because it just feels better to have something to lean on when I'm having a bad day/week.

    I've been getting numbness and tingling mostly down my left arm including my last 2 fingers, but I have had it to a lesser extent in my right arm. This has happened multiple times in the past couple months. I have a burning sensation in the palm of my left hand almost every day recently (past few months)Also, my legs twitch. Not restless leg stuff....but they literally twitch without any control-- like I'm being hit with electricity, and big twitches-- like my entire legs move/fly up or out.

    My husband says it happens about a third of the time when he's home (he's a truck driver so only home weekends), sometimes it wakes me up, sometimes it does not. It doesn't happen when I'm falling asleep, it is more likely to happen in the early morning. It's also happened when I'm completely awake in the middle of the day. My left big toe twitches on a much smaller scale. My handwriting and typing have declined over the past couple years, as well. I cannot stand to text as it bother my hands quite a lot. My hearing in my left ear, and the vision in my left eye is weaker than in my right ear and eye. (I'm just realizing there is a pattern with much of my symptoms being on the left side of my body....hmmmm...)

    Back in 2009, I started cycling and by 2010, I was cycling and running competitively. I lost 30 pounds, was in fantastic shape, and was racing several times a month, and training almost every day. Now, when I try and run or ride my bike, my hamstrings get really, really tight. They didn't do this before, this is a fairly new symptom (over the past 6 months)....if I am actually able to exercise for any length of time and really get warmed up or hot, I can have issues with being able to walk afterwards until I cool down.

    My husband was at one of my races in May or June and had to catch me as I came across the finish line-- I couldn't feel my legs for about the last mile, and it was like there was no communication between my brain and legs. It took about 45 minutes to cool down and for me to be able to walk normally afterwards. It was really, really weird.

    I also get these really weird, electrical like feelings in my head. Almost like a halo around it. It isn't painful, it's just a weird sensation. It always happens when I've had what I call a "crash" where I have a very extreme fatigue come on very suddenly (the whole tranquilizer dart thing) and I basically pass out and HAVE to sleep. I do not have a choice, I cannot function. And I am semi-conscious for some of it where I can hear what is going on around me but I cannot communicate, and I feel that weird electrical sensation, then I typically sleep/pass out for a couple hours and when I wake up, I am groggy, my speech is slurred and I sound and feel as if I've been drugged.

    It almost seems seizure-like, but without any spasms or twitching.I haven't really noticed any urinary issues, though if I'm having a rough week, I do have to pee more. I have no idea if it's related. I DO have bowel issues (constipation, and sadly I've been bowel incontinent on 2 or 3 occasions in the past year and that has NEVER happened to me in my life before. It was no in conjunction with an illness or diarrhea).

    I have been tested for just about everything under the sun, they've ruled out RA, Sjogren's, lupus, peripheral neuropathy, all my labs are normal, no B12 or other issues. I DO have low Vitamin D, but EMG was normal (Dr said I have an extraordinary pain tolerance, I didn't think it hurt at all!). I go back to see the EMG Dr (who diagnosed me with Fibro based on my tense/painful neck/shoulder and lower back, despite my lack of chronic pain that is a hallmark of the disease...)....and I am going to ask him to refer me to a neuro unless ya'll think I'm completely nuts and it's all in my head.... I hope you don't mind me running all this by you...

    Thanks so much for listening.

    Carey in Ohio


    ** Moderator's note - Post broken into paragraphs for easier reading. Many people with MS have visual difficulties that prevent them from reading large blocks of print. **

    #2
    Hi:

    These are all good questions to bring up to your doctor when you go see him/her.

    You sound more like fibro than MS. The eye problems you mentioned do not sound like any of the MS eye disorders we get. For example blurry vision in MS can refer to Optic Neuritis, which lasts a lot longer than 1 hour, it can last at a minimum up to 3 weeks, or a maximum of several months with the help of IV steroids. The double vision you speak of can be caused by a lesion in the MLF in MS. This is also in the brainstem. Blurry vision can also be caused by dry eyes, and only hangs out for a few minutes to hours. Your eye doctor (ophthalmologist MD) can sort it all out.

    The other things, your tingling, electric shocks, jumping limbs could be caused by several things, not just MS. However, if you have never had an MRI done, one is probably in order. So I would ask for a referral to a neurologist as they know best how to order the correct sequence to rule out MS.

    Good luck and let us know how everything goes

    Take care
    Lisa
    Disabled RN with MS for 14 years
    SPMS EDSS 7.5 Wheelchair (but a racing one)
    Tysabri

    Comment


      #3
      Hello workingk9,

      (I am scheduled to see an eye doctor tomorrow)
      How did your eye appointment go?

      my fatigue is much worse in the week before I start my period. I tried googling that issue to see if maybe it was hormonal and came across a study that said it's common for MS related fatigue to be worse -- you guessed it-- in the afternoons and in the week before periods start due to a natural rise on body temp during those times.
      Many women, with and without health issues, experience an increase of fatigue due to hormonal fluctuations. If you ask other women if they experience more fatigue before and/or during their period the majority will say yes. If you research symptoms of PMS you will find fatigue or tired listed.

      Those of us with MS will see an increase of our "normal" fatigue as well as a temporary increase of our MS symptoms at that time. This phenomenon is also seen with other conditions and is not exclusive to MS.

      I do not have sleep apnea nor do I snore or have any other sleeping issues that I am aware of.
      If you have not had a sleep study you cannot rule out a sleep disorder. Sleep Apnea is just one of many sleep disorders.

      I am going to ask him to refer me to a neuro unless ya'll think I'm completely nuts and it's all in my head
      If you are concerned about MS then speak to your Dr. There is a diagnostic criteria for Multiple Sclerosis --- The revised McDonald Criteria. There are numerous other conditions, vitamin/mineral deficiencies, some medications and mental health issues that can all cause the same type of symptoms seen in MS.

      There is no symptom/symptoms that are unique or exclusive to MS, all other causes for a persons symptoms need to be ruled out. There is also no single test, by it's self, that can give a diagnosis of MS.

      Diagnosing MS --- http://www.nationalmssociety.org/Sym.../Diagnosing-MS

      Other conditions to rule out --- http://www.nationalmssociety.org/Sym...ns-to-Rule-Out

      If you are taking any medications I would suggest checking out their side effects to see if they have side effects similar to some of your symptoms. If they do talk to your prescribing Dr.
      Diagnosed 1984
      “Lightworkers aren’t here to avoid the darkness…they are here to transform the darkness through the illuminating power of love.” Muses from a mystic

      Comment


        #4
        Originally posted by 22cyclist View Post
        Hi:

        These are all good questions to bring up to your doctor when you go see him/her.

        You sound more like fibro than MS. The eye problems you mentioned do not sound like any of the MS eye disorders we get. For example blurry vision in MS can refer to Optic Neuritis, which lasts a lot longer than 1 hour, it can last at a minimum up to 3 weeks, or a maximum of several months with the help of IV steroids. The double vision you speak of can be caused by a lesion in the MLF in MS. This is also in the brainstem. Blurry vision can also be caused by dry eyes, and only hangs out for a few minutes to hours. Your eye doctor (ophthalmologist MD) can sort it all out.

        The other things, your tingling, electric shocks, jumping limbs could be caused by several things, not just MS. However, if you have never had an MRI done, one is probably in order. So I would ask for a referral to a neurologist as they know best how to order the correct sequence to rule out MS.

        Good luck and let us know how everything goes

        Take care
        Lisa

        Thanks Lisa! I would rather have fibro than MS so this is good to hear. I will definitely be talking to my dr on Thursday when I see him. I have never had an MRI so I agree that I should probably have one done just to rule out MS definitively since there's no real definitive test for fibro. Once I can rule out MS, I think we will have effectively ruled everything except fibro out and I can be comfortable that the diagnosis is accurate and proceed from there.

        Thanks!
        Carey

        Comment


          #5
          Originally posted by SNOOPY View Post
          Hello workingk9,



          How did your eye appointment go?



          Many women, with and without health issues, experience an increase of fatigue due to hormonal fluctuations. If you ask other women if they experience more fatigue before and/or during their period the majority will say yes. If you research symptoms of PMS you will find fatigue or tired listed.

          Those of us with MS will see an increase of our "normal" fatigue as well as a temporary increase of our MS symptoms at that time. This phenomenon is also seen with other conditions and is not exclusive to MS.



          If you have not had a sleep study you cannot rule out a sleep disorder. Sleep Apnea is just one of many sleep disorders.



          If you are concerned about MS then speak to your Dr. There is a diagnostic criteria for Multiple Sclerosis --- The revised McDonald Criteria. There are numerous other conditions, vitamin/mineral deficiencies, some medications and mental health issues that can all cause the same type of symptoms seen in MS.

          There is no symptom/symptoms that are unique or exclusive to MS, all other causes for a persons symptoms need to be ruled out. There is also no single test, by it's self, that can give a diagnosis of MS.

          Diagnosing MS --- http://www.nationalmssociety.org/Sym.../Diagnosing-MS

          Other conditions to rule out --- http://www.nationalmssociety.org/Sym...ns-to-Rule-Out

          If you are taking any medications I would suggest checking out their side effects to see if they have side effects similar to some of your symptoms. If they do talk to your prescribing Dr.
          Thanks for the reply :-) My eye appointment went well and he said everything looked normal (this is a regular opthamologist, not any kind of specialist), so that is good.

          As far as my sleep....I sleep very well. Deep and long. I average 8-9 hours a night, with about half being deep sleep. I rarely suffer from insomnia, except on occasion right before my period.

          My fatigue is constant. It is, as you described, just *worse* in that week before I start. It is also worse in heat or extreme cold. My fatigue is such that it feels as if I have been tranquilized in the very worst times. Other times, it's just a never-ending fatigue. I usually wake up feeling ok, but within a few hours am ready for a nap. I am at a healthy weight, I work out as often as possible (I aim for 3-5 times a week), I do not smoke, drink, or do drugs (have never on any of the 3), I eat pretty clean, I do not have celiac or lactose intolerance.

          I have had my hormones tested, cortisol levels, DHEA, estrogen, progesterone, etc...everything is pretty normal except a slightly elevated cortisol in the evenings and low testosterone (which I'm taking bio-identical hormones for).

          I really have been tested for just about everything-- except MS-- over the past 5 or so years. I've been tested for Lyme, syphilis, HIV, sjogren's, lupus, RA, peripheral neuropathy (my EMG was completely normal), diabetes, CFS, B12 deficiency, etc. I do test positive for PAST infection with Epstein Barr (no acute disease-- I had mono when I was 15, almost 30 years ago) and cytomegalovirus (again, I have antibodies due to past infection, not current).

          I have even been tested for food allergies and sensitivities.

          I would at least like to get an MRI (well, I don't WANT to do an MRI!) to rule out MS and know for sure that I have fibro, I guess.

          It's just frustrating not knowing what is wrong, not knowing what I can do to mitigate my symptoms, etc. If I knew WHAT I had, I could then do my best to treat it. That's all I really want.

          Well, and to feel better. I'd love to have energy again. And get back to training.

          Thanks,

          Carey

          Comment


            #6
            A lot of your symptoms are exactly what I have. I haven't gotten my results back for any of the autoimmune disorders yet. My brain MRI was clear. My neuro wants me to have an EEG (seizure activity test) even though she thinks its a stretch. MS was the first thing a few doctors have brought up. I thought for sure I'd have at least one lesion, but it was clear. I haven't spoken to my neuro about it, only my GP. I do have a few vitamin deficiencies (B12 and D) but I take supplements now and no change in symptoms. My neuro said if everything is normal and MS is ruled out we have to consider an anxiety diagnosis. I am not satisfied with that because I don't see how anxiety can cause all of these issues. Maybe some but not all. I don't know. Good luck with your next appointments and keep me updated!

            Comment


              #7
              Originally posted by kr720 View Post
              A lot of your symptoms are exactly what I have. I haven't gotten my results back for any of the autoimmune disorders yet. My brain MRI was clear. My neuro wants me to have an EEG (seizure activity test) even though she thinks its a stretch. MS was the first thing a few doctors have brought up. I thought for sure I'd have at least one lesion, but it was clear. I haven't spoken to my neuro about it, only my GP. I do have a few vitamin deficiencies (B12 and D) but I take supplements now and no change in symptoms. My neuro said if everything is normal and MS is ruled out we have to consider an anxiety diagnosis. I am not satisfied with that because I don't see how anxiety can cause all of these issues. Maybe some but not all. I don't know. Good luck with your next appointments and keep me updated!
              Hi KR,
              I had the fibro blood test done and it came back positive. (I know everyone says there is no definitive blood test for fibro, but this is a new test called the FM/a, you can google it if you like). I also just had a complete Lyme profile test done today (should have results in a couple weeks), and I have an appt with a rheumatologist next Monday. Am still waiting to see if I will be referred to a neuro. I am having more neuro symptoms-- they are slowly but gradually increasing. I have twitches in my left big toe, my left eye, my left thumb and now my left armpit/chest area. Started with the big toe, and I have these twitches in one or all places every day. I still get left arm numbness/tingling, but not every day. My fatigue is still moderate to severe, depending on the day and I cannot function at all in the heat. I tried to take up swimming (indoor pool at the Y) because I was a runner but was told I can't run anymore due to the "fibro" and I did about 10 mins of laps, got out of the pool and had severe trouble walking.

              I have had anxiety for almost 30 years now. Panic disorder, not so much generalized anxiety. I know that anxiety can cause many symptoms, and it has over the years....but I know there is an underlying organic (non-anxiety) cause to whatever is going on with me now. I'd like to have an MRI just to see what's going in up there...if the meds I've taken over the past 20 years or so have done some type of damage-- that's another possibility I suppose.

              So....my journey continues. Hope to have concrete answers by the end of the year. Good luck to you and I hope you find some relief also

              Carey

              Comment


                #8
                Lyme disease?

                Has anyone been through all this -- these strange symptoms, years of misdiagnoses and found out they had Lyme-- Chronic Lyme Disease (CLD)?? I had the standard Lyme test 2 years ago and it was negative (I now know that they are less than 50% accurate so I'd have a better chance of flipping a coin to find out if I have Lyme)...anyway, a friend of mine with CLD has been telling me for years that she really thinks I have it and to insist on a better, specific Lyme test from a specific lab that specializes in CLD. Sooooo, I talked to my dr and finally did the test. I have *never* thought I had Lyme disease and was just doing to to check it off my list of things I don't have.....results are back.....I have CLD. I am in shock. I am in denial. I know exactly when I got sick....July of 1987. I was very, very sick for about a month. Tested for mono and leukemia and many other things, nothing was ever found. Was not tested for Lyme-- I don't think there was a test back then. ALL my issues started then, and progressed throughout my teens, 20's, 30's and now in my 40s. I have been infected for 29 years. And I have no idea how to treat this. The wait to get in to a Lyme Literate MD is 4-5 months long. Wish me luck.

                Comment


                  #9
                  I've not been diagnosed with Lymes myself, however, I have met people who were diagnosed with MS and then a later LP showed Lymes. I read that it's a great mimicker, but that's all I really know about Lymes.

                  Comment

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