How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Rick, MD Your Own Question

Dr. Rick, MD
Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 8482
Experience:  20+ years as a doctor. Internal Medicine Internship in NYC
48069651
Type Your Medical Question Here...
Dr. Rick, MD is online now
A new question is answered every 9 seconds

I have been having this problem in the past several months:

Resolved Question:

I have been having this problem in the past several months: Once or twice a week i will start getting so tired in the middle of the day that it's hard to stay awake at my desk at work. At the same time I start feeling my muscles get very weak... like, it's hard to even lift my hands or type when this happens. The harder I fight to stay awake, the weaker and more sickly I feel. Sometimes with this I get chills, sometimes not. The only thing that makes me feel any better is coming home, lying on the couch and riding out whatever it is for a few hours. During this time, I'm just about useless... I can barely move my head, and often I hurt really bad all over. I do have a fibromyalgia diagnosis but have not had any of these episodes until recently (like the last month or two.) Any ideas?
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Rick, MD replied 1 year ago.

Dr. Rick, MD :

Hi. Dr Rick here. I completed an Internal medicine internship in NYC and have two decades of clinical experience. How can I assist you today?

Dr. Rick, MD :

Have you discussed these symptoms with your doctor at all?

Dr. Rick, MD :

Do you have any other medical problems or take any medication?

Dr. Rick, MD :

Do you notice your eyelids getting droopy and hard to hold open when you feel this way?

Customer:

I have not discussed these latest episodes with my dr but I have talked to him at length about my previous issues with fatigue and pain, which we usually just decide it's more fibro... (seems like it's always the fibro...)I'm on cymbalta, naproxxen, tramadol for the fibro, an HBP medicine, and vitamin B and iron supplements because I do have anemia problems

Customer:

yes, they are soooo hard to hold open

Dr. Rick, MD :

ok. Thank you for that extra information.

Dr. Rick, MD :

Well, from what you have posted, I think it would be worthwhile for your doctor to examine you with the possibility of myasthenia gravis

Customer:

can you explain what that is?

Dr. Rick, MD :

Yes. This is a disorder of the muscles where your own body attacks the receptors that your muscle uses to know when to contract (acetylcholine receptors)

Customer:

I should maybe also add that four years ago I was in a bad car accident. It seems like since then my body has just decided to give up on me. LOL

Dr. Rick, MD :

Eye lid and eye muscle movement problems are many times the first signs of this disease.

Dr. Rick, MD :

Here is a very good web site that discusses this in a lot better detail than I can...since I am a very slow typist :)

Dr. Rick, MD :

I'm not sure that a car accident would make you more likely to have MG but, from what you have posted, I think you should discuss the possibility with your MD and see if she thinks a workup is indicated. It sure wouldn't hurt to check into the possibilty.

Customer:

if it is myasthenia... when these attacks come on, all I can say is my eyes suddenly feel like I've been asleep for hours and someone is trying to wake me up really fast... you know, like I'm trying to open my eyes but can't. Does that sound right?

Dr. Rick, MD :

yes. That could possibly be from MS. The other thing about this particular disease is that it gets better with rest, after a nap etc.

Customer:

oooookay, yeah it sounds like I need to go back to the doctor!!! LOL I did have a spinal MRI done to look for MS (couldn't get the insurance co to cover a brain MRI and spine at the same time -dr was also looking for slipped discs) and nothing was found but that was two years ago. I will make an appointment Thank you for your help.

Dr. Rick, MD :

My pleasure. I hope you feel better soon.

Dr. Rick, MD :

I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. You may also receive an email survey after our chat, if you don’t feel that I have earned a “10” rating in all areas, please let me know what I can do to meet your expectations.

Thanks in advance,

Dr. Rick MD FACS

Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 8482
Experience: 20+ years as a doctor. Internal Medicine Internship in NYC
Dr. Rick, MD and 10 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions

Chat Now With A Doctor
Dr. Rick, MD
Dr. Rick, MD
Ophthalmologist & Retina Specialist
2998 Satisfied Customers
20+ years as a doctor. Internal Medicine Internship in NYC