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Hello, this is Dr K99. Answers are not medical advice and do not constitute a Dr/patient relationship. Please consult your Dr for medical advice.
Hello and welcome to Just Answer. You do have significant physical symptoms. This does not sound like just anxiety. Can you tell me what blood work you have had done and what the results were,normal or not?
All of the blood work I've had has been normal. I've had CBC and complete chemical profile multiple times, checks for ANA antibodies, blood sugar checked, ultrasound of my liver, galldbladder, kidneys, and pancreas, thyroid hormones, and more.
Do you know what your Tsh was?
it has ranged from 0.34-0.71 but most recently it was 0.68
It appears then, that you have a general feeling of overall lightheadness. that tsh is normal
Have you considered seeing a neurologist?
No I haven't. I have many symptoms beyond the lightheadedness that don't seem like neurological issues... it's not really typical lightheadedness and it comes and goes a lot
Some of your symptoms are suggestive of pots, postural orthostatic tachycarida syndrome
You may need a 24 hour holter monitor and/or ekg and an evaluation. I think your next best step is to see a neurologist.
Other syndromes that are possible involve the inner ear and cerebellum. I do see the other symptoms but they are less prominent and may not be related
Are you near a larger city with a large referral center for a second opinion?
No, I'm in a pretty small area. Would a neurological disorder get better and worse like that?
Yes it could. I would suggest that you consider traveling to a larger referral center for comprehensive evaluation. What city is within a few hours?
None really. I live in a rural area.
I have been told by most doctors I've seen that this is probably anxiety. Is it not possible for anxiety to cause these symptoms?
Its possible, but I am concerned about the significance of the symptoms. You should at least see a neurologist. Possibly a cardiologist or have the 24 hour holter monitor.
Where are you located?
Okay. I am in Huntington, West Virginia. It is very hard for me to travel because of the physical symptoms and the anxiety.
Yes, I realize that but you are near some referral centers and would only need to go one time
You are 2.5 hours from Columbus Ohio and the center associated with the medical school at Ohio State University. That would be an excellent choice. My daughter attends college there.
okay, thank you. it is just confusing because I have had such a wide variety of symptoms, I do not even know where to start or how to explain them.
heres the link. I would suggest making both an internal med and neurology appt the same day at Wexler Center there. It may be very worth your time to take a family member or friend and spend the time doing that.
Okay, thank you. Are there any other possibilities for my symptoms besides a neurological disorder?
Or gi related in terms of absorption, that why the suggesting starting with internal med first
Okay. I don't have any vitamin deficiencies or anything so I wouldn't think it would be absorption
Sometimes the best advice we can give you is where to go next in terms of your medical care. When I talk with patients in remote areas, its often a good plan to get to a large referral center and see several specialists in the same day.
You may be absorbing too quickly. Gluten intolerance is a possibility
Okay. thank you. My regular doctors and all the doctors I've seen don't seem to think there's a major problem. so they are probably wrong?
I am not sure they are wrong, but you seem to have significant symptoms and I would not want something missed. Rare and uncommon diseases can be missed if you do not see them on a regular basis.
Thanks. My symptoms mainly started suddenly after a viral illness in April. I felt really bad over the summer, better in the fall/winter, now am feeling a little worse again. Are there any illnesses that would cause that pattern?
Many viral illnesses can do that they would need to be persistant and affecting some body system
with a viral illness could I have a few days of feeling better followed by a few days of feeling worse? that seems to be the cycle lately
there was a dramatic difference in how I felt over the weekend vs. monday and today
I dont think this is really related to that.
Many patients with chronic disease have this type of pattern. Many benign diseases do this as well
Okay. wouldn't most chronic illnesses show in blood work though?
Only if you test for them
what other blood tests are there left to do?
There are multiple tests that can be done for infection and immune issues, etc. but you really need to see both an internal medicine Dr and a neurologist to have the appropriate tests done. You cannot just "oder everything" Thats what your Drs have already attempted.
okay, thank you. I tried an anxiety med last weekend and it seemed to make me feel a lot better, then I ran out of it sunday and monday and got the refill yesterday. I think some of it is definitely related to anxiety if not all of it. are there any other specific conditions that could cause my symptoms besides the neurological issues, gluten and absoprtion problems?
Yes, a cardiac condition could. If you were better on an anxiety med, then you may do well on something like low dose Zoloft. Taken daily, it is great for treating generalized anxiety disorder.
Thanks. The med I have been taking is buspirone but after two doses yesterday I am not seeing the same improvement. I felt better last night but my symptoms usually improve at night anyway.
You would not really see much change after only 2 days. That medication could also be effective.
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I went back to sleep and I just woke up feeling very weak, shaky, and sick. This does not feel like a neurological disorder, it feels like I am very ill with something else.
Thank you. I have been concerned about something else, the day before yesterday I cleaned out the cat litter box and breathed a lot in, then a few hours after that I was short of breath and my chest and throat were sore. I felt better that night but when I went to class the next day and had been walking around it got irritated again. Then today I woke up with some pains in my chest and under my arms, and pains in my back. Could the anxiety from that be leading to the other physical symptoms?
Thank you. Are the upper back pains likely to be anything serious or just anxiety?
Thank you. I am also getting some underarm pains but I don't think my glands are swollen or anything. Is this likely to be anxiety too?
Thank you, XXXXX XXXXX the help. I was trying to get a second opinion by making a more detailed post. It seems like the whole time I've been sick it starts wit one thing, then I will worry about it and other symptoms will appear. Is anxiety the most likely cause? I have a family history of it and I'm only 22.
Thank you, XXXXX XXXXX definitely look into it. Does anxiety commonly make people so physically sick all over?
Thanks. I'm still worried about the lung/cat litter issue. My lungs have been feeling worse today, not better, and like I said I'm having the back and underarm pain. I've never had these symptoms from anxiety. Could it just be irritation still? Will it go away?
Okay, thank you. But could the symptoms get worse before they get better?
Thank you. It was just odd because it happened the night before last and the symptoms were probably most noticeable as soon as I woke up today.
Thank you. Could the underarm pain by any chance be related to breast tenderness from menstruation? I am on my period and I started nuvaring a month ago and it seems to be making some of the period symptoms worse.
Thanks! Could the NuvaRing be making all of my symptoms worse? I know it was giving me cramps for a long time after putting it in and I had the worst cramps of my life on Sunday, which was the second day of my period. So I am wondering if it just might not be agreeing with me.
Thank you! I was wondering if hormones could cause any shortness of breath. My shortness of breath has been pretty constant for a few days, especially when I eat.
Thank you. Today I woke up feeling very nauseous, and then I started feeling very weak and still do. I feel so sick. Is this probably just anxiety?
Thanks. For the past couple of days my throat has been sore, but it's mainly in the back of my throat, roof of my mouth, and tongue. Today I woke up feeling short of breath and having chest discomfort when I took a deep breath, then I went back to sleep and woke back up covered in sweat. My nose is a little stuffy and it hasn't been until today. Could this just be a cold or something more serious?
Thank you. I tried to eat and it made my chest hurt and my throat feels tighter, and I also felt like I as going to throw up. The nasal stuffiness is gone now, it was only there when I woke up so I'm not sure what this could be... I've never had symptoms like this before.
Okay, so the chest pain is probably nothing to worry about?
Thanks. It's kind of feeling like my throat is swollen and my throat and chest are extremely tight. Is there anything I can do about this?
Would the allergic reaction be immediate or could it be delayed? I did start Zoloft a few days ago.
Even the sore throat and mouth soreness?
I have also been feeling like I have a UTI. Sometimes I get the symptoms when I don't have a UTI but it usually goes away if I drink a lot of water. Could this be interstitial cystitis or a symptom of an allergy?
Thanks. It's just so different from anything I've had. It feels like my airways are swollen but it's not really painful. Yesterday my mouth was very sore but it's not as bad today, it's more the throat tightness and shortness of breath today.