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Hello and thank you for the question Mike.Answers given are for informational purposes only and are not meant to replace an exam by an in-person.I am Dr. Sohaib, a practicing Internal Medicine Specialist and i will do my best to help you today.
This is from vitamin D deficiency as well as low B-12.
I would not consider MS at this point, but if there is significant health anxiety, having an MRI of the spinal cord and brain will help rule out any serious possibility and will put your mind at ease.
But again, i would consider this MRI totally in-necessary at this point.
You should focus on Vitamin d and b-12 replacement; and your symptoms should improve gradually with in 2-4 weeks.
Also you should focus on anxiety treatment; a short course of benzodiazepines and using SSRI's long term will help.
For severe fatigue, you can use co-enzyme q-10 supplements, which are very helpful in such kind of situations.
So i will suggest you to stay relaxed; keep your self adequately hydrated; and focus on vitamin replacement and anxiety treatment.
This is most likely not any thing serious like MS.
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Thank you for your answer. Just a couple questions. What about Guillain-Barre? When I asked my doctor, she laughed and said that I don't have the symptoms. But from the internet, it seems like I have some of them (relatively sudden onset, affecting both sides, pain and muscle fatigue, facial twitching). I know these can be present from many different conditions (especially anxiety). I do have some low dose xanax that I can take. Should I give that a try?
Do you think it is safe to go away on vacation?
Yes it is absolutely safe to go on vacation.
And yes, if you have taken xanax in the past, there is no harm in giving it a try in this situation.
No, this is not GB syndrome. It is a serious illness, and you do not have any neurological deficit to explain this.
Thanks again. Only one more question.
I have never taken the Xanax. I am so afraid of taking it and having side effects or having it somehow damage my brain or something. Irrational, I know, but these types of medications scare me.
It is a very low dose. Is it safe to take it right now? I am at work and will have to drive home in about 5 hours. I don't want to take it, but if it will calm me and take away some of current worries and twitching/tingling (which I think is from anxiety) maybe I should give it a try. I hate my anxiety, but I fear medication - a very tough situation. Once again, thanks, XXXXX XXXXX
Thank you mike for the follow up question.
Honestly, if you have never used if before, it should only be taken in consultation with the doctor who has physically examined and treating you.
This may make you feel sleep, drowsy, and you might not be able to drive, handle machinery, or make judgements.
So the first dose should always be taken at home, with some one close to you (relative or friend) to keep an eye on you; AND in case you feel any side effect, report this to your doctor for necessary dose adjustments.
At this platform i can not give you a specific advice to use xanax---both ethically as well as legally. I hope you understand the limitations i have.
Goodluck and stay relaxed.