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Welcome to Just Answer. I am an Adult Neurologist and was contacted to answer your question.
Do I need to type my question again or do you have it?
I do not have a question. I really cannot diagnose you here online, without any laboratory studies, or a physical/ neurological exam
I can answer questions
Did you read my situation? If so... my question would be have you ever heard of these symptoms or situation and what could be causing it?
you have an enlarged lymph node, and some low level fever
you workup for an inflammatory disease, as I can tell from here, was negative
what about your CBC?
do you have a normal WBC count?
Only thing I got from doc was red blood cell count was low but that was back in April
I think wbc was normal back then
how do explain your weight loss?
did you have thyroid function tests?
Not sure... it just kind of happend. I didn't even notice until my clothes were fitting diff.
Thyroid was normal back in beg Apr too
well, if there are no answers, you could get the lymph node biopsied
and see if there is any positive markers for inflammatory diseases, a positive culture,
is the MRI pointless then?
Since you had the neck pain,
maybe they are looking for some sign of Meningeal enhancement
I think in this case, with no diagnosis, and the arm pain,
they are looking for some type of neoplastic disease that could cause arm pain, weight loss,
such as an extraaxial lesion. did you get a breast examination?
I've researched MS, Lymphomia, lupus, carpel tunnel... does any of this seem similar to those? When I look up my symptoms it could be so many things.
I agree. you cannot have lymphoma with a normal CBC
carpal tunnel does not give you neck pain and an enlarged lymph node
lupus, you need a positive ANA, or dsDNA on the serology testing
and you need joint pain, rashes or skin lesions, kidney or liver problem,
there are many criteria for lupus, did you have an ANA?
MS is a difficult diagnosis, you need lesions on the MRI scan for a starter,
then you need a clinical diagnosis, neurological problems that come and go over time
visual symptoms, ataxia or falling down, incoordination,
I think Ana was done and normal.
the fever is not consistent with MS
nor is the weight loss
I've had blurred vision that came on suddenly. I think they are trying to rule out if I had a stroke in march.
so I would agree you need the MRI's
Have you ever seen these symptoms from a stroke?
you didn't mention blurred vision
fever is not part of a stroke
pain is one sided in stroke
Sorry.. yes my vision did get worse
half of your body, if you get pain from stroke
did they do a CEA level?
could you have sarcoidosis?
Could the lump be a cyst pushing on a nerve something similar?
I'm not sure what sarcoidosis is
let me get you a webpage on sarcoid, you would need a chest X ray for this diagnosis,
and then the MRI's will help
you get lymph node enlargement, fever, weight loss
last mri only showed 3 small lesions on front right of brain two years ago.
here is a webpage on that disorder, which is fairly common in the white population
did you have visual symptoms then? you did not mention double vision
he told me not to be alarmed... it could be from childhood trauma or anything and put me on topomax for migraines
No double vision. No vision issues with first mri
well if your MRI shows additional white matter lesions
I would encourage you to get a lumbar puncture for excluding demyelinating disease
like MS, CNS lupus, CNS Sarcoid, vasculitis ok?
Ok. That makes sense. The MRI will show if anything else needs to be done.
it will give you some direction I hope
please get back to me if you get results you do not understand, and I can help explain the findings
This is frustrating... at least I know I can rule out lymphomia and I've been worried about the lump being a tumor... even if it's not cancerous... but just something that needs to be removed.
well if that lump hangs around, I would ask to get it biopsied, as there are histological techniques you can do to determine
if this is some cancer
that may be the best option, after the MRI
Do you know if the upper gi results would help relate any of my symptoms if they see something in those results? Or does it seem more like a neurological issue?
I don't think a GI issue would effect your vision
it seems more like a neurological issue with the pain, the jaw problem, the stiffness,
Ok. That makes sense too. I think I'm just taking too much ibuprofen for the pain and worrying too much about functioning and getting work done when I'm sick and why I'm sick. Maybe that's why I've had loss of appetite and weight loss too.
well you need a diagnosis, that would help
when you get the MRI's get them with gadolinium (contrast)
I hope I was able to give you some useful information
Dr Frank T
Yes. all of this is difficult because I don't have insurance. I've just applied for assistance though. I've considered ignoring it and if it's something serious I will eventually pass out or have something alarming happen, but it is hard to go day to day with this pain... especially when I own a dance studio and teach for a living. I've always been very healthy. I am starting to feel like it's in my head. Having to get up and change clothing or shower in the middle of the night due to excessive sweating and feeling like I have the flu is not fun.
Thanks for the info you provided. I will look into some of the other things you mentioned.
good luck to you