Medical

Have Medical Questions? Ask a Doctor Online!

Ask a Doctor,
Get an Answer ASAP!

Medical
This answer was rated:

Dr. Arun Phophalia, Could you go back and look at our prior

Dr. Arun Phophalia,Could you go...
Dr. Arun Phophalia,Could you go back and look at our prior conversations regarding the dizziness I experienced when I woke up the morning of 2/6/17, concurrent with a cold for about 10 days. I was diagnosed with viral vestibular dysfunction disorder. Since that time I had a VNG test that showed no problems (although ENT still said the nerve could be inflamed). I also had a brain MRI which was normal.The ENT said my case was unusual (I think based on time for recovery and normal VNG test), but he said most patients recover completely (I believe he said completely) in time either through healing or compensation. He said I would most likely improve in increments with peaks and valleys. I have found this generally true as the dizziness has become less severe.However, more concerning to me know is muscle weakness and fatigue. The ENT said he does not associate vestibular disorders with muscle weakness or fatigue, although the American Vestibular Association does make an association: e http://vestibular.org/sites/default/files/page_files/Fatigue%20Stress%20and%20Responsibility.pdfWhat has me concerned was that during the summer months I could not take the heat at all. Walking in 100 degree heat after work for just a couple blocks would make my muscles so weak that I would lay in bed waiting for them to reover for a couple hours. Thank goodness the heat has dissipated as we enter September, but ever since at least May I have noticed leg weakness, particularly evident if I go down staris. My aerobic capacity seem alright, but not my legs and to a certain extent my biceps at times but to a much lesser degree.MY PCP and physical therapist have attributed my condition to muscle atrophy as I was not very active during the months of dizziness, basically going to work, and then coming home and going to bed reading a book. I have had about about six physical therapy sessions and can do the exercises and usually feel good that night, but then feel weakness in my muscles (usually upper hamstrings and glutes, sometimes for days). After the last session the PT reduced the number of exerecies and sets.Prior to this vstibualr disarder I was failry athletic, at least to the extent that I climbed seven flights of stairs up and down twice a day and rode 2-30 minutes on my recubmant bike three times a week. However, I have not run since I tore my menisus abut seven years ago and also had a chondroplasty. I want to get back to that level.My question is whether this is in the realm of normality, or could there be another explanation for the muscle weakness? My blood tests were normal on 2/6, but I have not had them again since then. I had my PCP order the following tests, he had just ordered the basic tests.Let me add that I have a history of tachycardia, but I wore a halter for 48-hours and the few episodes of tachycardia (highest pulse 130) were said to be benign (I believe sinus tachycardia due to stress). I am about 6'1"-6'-2" and weight about 185. My blood pressure is normal to low.Tests To Be Done Expected Expires Ordering Clinician Pre-test Instructions
COMPLETE BLOOD CELL COUNT 06/26/17 10/24/17 Michael A. Flaningam
COMPREHENSIVE METABOLIC PANEL 06/26/17 10/24/17 Michael A. Flaningam
CARDIO IQ ADVANCED LIPID PANEL 08/30/17 12/28/17 Michael A. Flaningam
SEDIMENTATION RATE (ESR) 09/13/17 01/11/18 Michael A. Flaningam
VITAMIN D LEVEL 09/13/17 01/11/18 Michael A. Flaningam
COMPREHENSIVE METABOLIC PANEL 09/13/17 01/11/18 Michael A. Flaningam
URINALYSIS 09/13/17 01/11/18 Michael A. Flaningam
Testosterone, Free Total Bioav SHBG, Adult Male 09/13/17 01/11/18 Michael A. Flaningam
HEPATITIS C ANTIBODY TEST 08/30/17 08/30/18 Michael A. Flaningam
THYROID FUNCTION (TSH) 09/13/17 09/13/18 Michael A. Flaningam more info
Show More
Show Less
Ask Your Own Medical Question
Answered in 1 minute by:
9/19/2017
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 36,429
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified

Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

Ask Your Own Medical Question
Customer reply replied 2 months ago
Thanks. Let me know if you have any other questions that would help you with your response.

Okay. I will look at the previous interaction.

Ask Your Own Medical Question

Please give me some time to look at them.

Ask Your Own Medical Question
Customer reply replied 2 months ago
I turned 61 on 8/26/17, buy look younger. What bothers me is the lack of muscle strength or endurance (e.g, taking stairs although have not tried for a while; I can do the PT or descend the stairs; it is the effect on my muscles the following days). This is when my legs feel "heavy." That is the best way I can describe the feeling.

Okay, allow me some time to give you a concrete information.

Ask Your Own Medical Question
Customer reply replied 2 months ago
Ok, thank you.
Customer reply replied 2 months ago
I have a follow-up with new ENT on mid-October. The first ENT who I did not care for has offered a referral for vetibular exercise and for a neurologist. The second ENT did not think the vestiubular exercises wise in my case as it may cause regression. My PCP, who is very conservative, does not want me to see a neurologist, the thought being that the brain MRI was OK, although the first ENT said neurologists look at things differently, although she said she was 99.9% sure I did not have MS.
Customer reply replied 2 months ago
As an example, around mid-July I had a date and walking just a couple blocks in the heat, and my legs were sore/weak for the first part of the movie; later that night when it cooled I felt ok, and went up and down stairs at her apartment with no problem. I had PT last Friday, and still fell in legs. Deciding whether to do the exercises or part of them tonight, or just ride bike for ten minutes or so, or just walk for a while. Currently taking odds and ends to curb for neighborhood clean-up appointment.
Customer reply replied 2 months ago
Prior to 2/6 and following months, I had done similar exercises with none of this heaviness the following days as I sought to ensure leg/knee is good condition to finally resume jogging.
Customer reply replied 2 months ago
From 6/26 with PCP who did not advise an MRI (I went ahead with anyway):Gregg,My strong sense is that we're not going to find a cause to the dizziness, weakness, or palpitations. I think we've done enough testing on each, including an examination in the office, to reassure me that there are no serious conditions to cause any of these, though also no quick and easy fixes, and maybe no fixes other than time. My preferred treatment and management of these issues are for you to try to live with them. I recognize that this is easy for me to say, and again, this is all just my strong sense; it's certainly possible I'm wrong. I do worry about false positives, and I feel compelled to point out that while you may not have to spend money on the MRI, the system dose, and a large reason for the health care system mess that this country is in is due to excessive testing and treatment. I'm not sure if more tests in your case is excessive, but I don't have a high suspicion that the MRI is going to give us an answer. I'd give PT more time, and I'm encouraged that they
apparently didn't see anything on their evaluation that was concerning that there was some underlying sinister cause. I'll go ahead and order labs.Mike----- Message -----
From: Me
Sent: 6/26/2017 2:05 PM PDT
To: MD
Subject: Health Status / Medical Test Request - Message 5For example, when the A/C was not working in my house and I knelt for few minute to pick up some broken glass, I needed to rest in bed for the fatigue to go away.I appreciate you reading all this, and giving me your medical opinion based on your education and experience. Should I go ahead with the MRI on Friday or give the PT a few more weeks. The cost is not a concern since I have a PPO and likely to go over my co-pay for the year regardless. Only concern would be risk of contrast, and false positives. I do not have sufficient knowledge to know all the pluses and minuses. If this was happening to you or one of your children, what would you advise? Please feel free to ask me any questions. Thank you for your care.

My impression is that this fatigue of muscles is not normal. The cause for it should be found (vestibular nerve inflammation may be related to it). But MRI is not the right investigation for it. I would do;

1) Creatinine Kinase

2) Autoimmune panel.

Both of these are blood work.

3) EMG (electromyography).

These may be able to give you the cause of it.

You may meanwhile continue the PT.

Ask Your Own Medical Question
Customer reply replied 2 months ago
Thank you for your response. What could these tests show or rule out? Could it just be muscle atrophy or do you suspect something else? Thanks. I will ask new questions as follow-up. I appreciate your diligence.

You are very welcome.

These investigations tell;

If there is any muscle fiber injury associated on physical activity.

If there are some autoantibodies which have decreased the muscle strength.

It is privilege associated.

Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 36,429
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified
Dr. Arun Phophalia and 87 other Medical Specialists are ready to help you
Ask your own question now
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 36,429
36,429 Satisfied Customers
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

Dr. Arun Phophalia is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,734 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,746 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,399 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

14,390 satisfied customers

20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
I had blood work done and I have high Vitamin D levels. The
I had blood work done and I have high Vitamin D levels. The doctor was puzzled, as I live in a northern state and I do not take any Vitamin D pills. What could be the cause of this? … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,031 satisfied customers
Started finasteride yesterdayand my blood pressure is up
Started finasteride yesterdayand my blood pressure is up nervous and a blood vessel in my eye burst today. Could this be the medicine. I take hytrin too for bph and my blood pressure is usually fine. … read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
743 satisfied customers
I take Premier Value Calcium Citrate Plus Vitamin D Tablet
I take Premier Value Calcium Citrate Plus Vitamin D Tablet Centrum Tablet, Fluoxetine Hcl 20 Mg Capsule, Iprat-Albut 0.5-3(2.5) Mg/3 Ml, Levothyroxine 112 Mcg Tablet, Montelukast Sod 10 Mg Tablet, and… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,070 satisfied customers
I've been going to physical therapy for a few weeks once or
I've been going to physical therapy for a few weeks once or twice a week for 40 minutes for my hips. Can that cause slight weight loss? I have arthritis in SI joints and ileum joint.… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,634 satisfied customers
Blood pressure today priour to, blood pressure today prior
Blood pressure today priour to JA: Is this consistent, or is there some fluctuation in blood pressure? Customer: blood pressure today prior to ectocardiagram was JA: Anything else in your medical hist… read more
DrRussMD
DrRussMD
Board Certified Physician
51,734 satisfied customers
Can I take 5000u of vitamin D if I have plaque in arteries
Can I take 5000u of vitamin D if I have plaque in arteries will it cause more plaque buildup … read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,674 satisfied customers
I have been getting physical therapy for about 6 mos. now
I have been getting physical therapy for about 6 mos. now per my pain management Clinician's suggestion. Like once before, today, they will give me a tablet where I will have to answer questions about… read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
14,390 satisfied customers
I've been asked to test for thyroid antibodies because my
I've been asked to test for thyroid antibodies because my TSH was high (6.5). Does it mean that I am suspect of Hashimoto's disease or is this test done for some other reasons? Thank you.… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,399 satisfied customers
What are symptoms of vitamin D toxicity? He prescribed a
Yes. He prescribed a vitamin D supplement because it was low. … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,070 satisfied customers
If vitamin d is low at 15, and 5,000 units are taken every
hi...if vitamin d is low at 15, and 5,000 units are taken every day for 2 months, would that be enough to restore vitamin d to a normal level? thank you....… read more
Dr.Sawhney
Dr.Sawhney
Post-Doctoral Degree
6,258 satisfied customers
Thyroid globulin antibodies of 845. what does that mean,
thyroid globulin antibodies of 845. what does that mean … read more
DrRussMD
DrRussMD
Board Certified Physician
51,734 satisfied customers
48 yo male. I take thyroid medication. My blood pressure and
48 yo male. I take thyroid medication. My blood pressure and cholesterol and good, and I exercise 6 days a week. Recently, in the last few days I am really tired 3/4 through the day. Suggestions?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
36,429 satisfied customers
I had been in physical therapy for two months. After one of
I had been in physical therapy for two months. After one of the manual traction pulls I felt pain in the back of my thigh. It has been a couple months since I stopped therapy and that pain is still th… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,634 satisfied customers
I have been having a lot of fatigue and lupus/autoimmune
I have been having a lot of fatigue and lupus/autoimmune type symptoms but my blood tests overall come back normal recently I had a sed of 3, which I know they usually look at it being high, but is th… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,634 satisfied customers
I took 1,000 mg vitamin D at night, at around 9 pm,
I took 1,000 mg vitamin D at night, at around 9 pm , remembering that I hadn't taken any for days. aNow something is going on. My bp is up and my sleep is being disrupted. Did I make a mistake taking … read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,897 satisfied customers
Low white blood cells epstein bar low testosterone. Fatigue.
low white blood cells epstein bar low testosterone … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,634 satisfied customers
Regarding Vitamin D levels, what does 250H mean? Yes, my
Yes, my endrocronoligist and he had advised me to stop taking Vitamin D. He wants me tested again in four months. This will be my third testing. … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,634 satisfied customers
Is it possible for someone with negative thyroid antibody
Is it possible for someone with negative thyroid antibody count to reverse autoimmune condition by strict diet and exercise alone. Went from levothyroxine to armour back to the other one and wondering… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,634 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x