Neurology

Ask a Neurologist. Get Answers to Your Neurology Questions.

Ask a Doctor,
Get an Answer ASAP!

Neurology
This answer was rated:

I also fear Bulbar ALS have asked many Questions on this

site Ive had 2 negative...
I also fear Bulbar ALS have asked many Questions on this site Ive had 2 negative Limb EMGs and three neurologists exams that say I don t have Bulbar onset, None of them did an EMG on my tongue or face. I got a diagnosis of silent reflux by ENT but the dysphagia has not gotten better with prevacid.
Show More
Show Less
Ask Your Own Neurology Question
Answered in 2 minutes by:
6/23/2013
Dr. Frank
Dr. Frank, Board Certified Physician
Category: Neurology
Satisfied Customers: 9,000
Experience: Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
Verified
neuromd2012 :

Welcome to Just Answer. I am an Adult Neurologist and was contacted to answer your question.

neuromd2012 :

Hello I am waiting for you to come online for a chat session

neuromd2012 :

as you are offline, I will switch this to the question and answer service, please get back to me with questions.

neuromd2012 :

one of the things I could say to you online, is that in bulbar ALS, the pseudobulbar affect is present in up to 50% of patients

neuromd2012 :

so emotional lability, meaning inappropriate crying, laughing,

neuromd2012 :

I would ask if you have any of those symptoms?

Customer:

No I dont have thosr symptons

neuromd2012 :

also with bulbar forms, you can have ALS dementia, which is a subcortical type of dementia,

neuromd2012 :

so you have problems of facial expression

neuromd2012 :

spasticity in the face

neuromd2012 :

also dysarthria

neuromd2012 :

or a spastic dysphonia

neuromd2012 :

your language is really messed up

neuromd2012 :

you sound like you have "hot potato" mouth

neuromd2012 :

so I would not attribute dysphagia, without any other cerebellar signs or other cranial nerve signs to als.

neuromd2012 :

I assume the other neurologists did not needle the tongue, because there is no atrophy or fasciculations

Customer:

No I haven't had those symptons. But there is something causing this swallowing issue. I read that this can present in Bulbar ALS before other signs

neuromd2012 :

you should have evidence of atrophy leading to dysphagia

neuromd2012 :

so your pharnygeal muscles should be more flaccid, your uvula should be hanging

neuromd2012 :

at least that is what I have seen in my practice life

neuromd2012 :

do you have any of that?

neuromd2012 :

do you have a gag reflex?

Customer:

How would that be checked for? Thanks

neuromd2012 :

when they put the tongue depressor in your mouth???

neuromd2012 :

are you there?

neuromd2012 :

I will switch this to the question and answer section, get back to me when you come back online

neuromd2012 :

Please rate my service if satisfied. Dr Frank T

Ask Your Own Neurology Question
Customer reply replied 4 years ago

Yes I have a gag reflex, not sure about pharyngeal muscles...

the gag is a very good sign, the presence of a gag reflex when you have difficult swallowing suggests that it is not a lower motor neuron problem. In bulbar ALS, you have predominantly lower motor neuron symptoms, like a loss of gag and dysphagia. So I would suggest your dysphagia may be due to GERD or some other non-neurological process.
Ask Your Own Neurology Question
Customer reply replied 4 years ago

Ihave been treated for 8 weeks with prevacid with no improvement which is why I fear bulbar ALs would the neurologists be so sure I dont just by exam that they woild do emg for Bulbar signs I am negative on my limbs as of 1 month ago

bulbar ALS is rapidly progressive, so if you had enough appendicular symptoms to warrant not one but two emgs, then your bulbar symptoms would have advanced significantly in the interim. Having two normal EMG"s is of course a good sign that you do not have motor neuron disease.
I cannot explain why you are not better after 8 weeks, you should be scoped for a diagnosis if that is the case.
Ask Your Own Neurology Question
Customer reply replied 4 years ago

Isn't there such a thing as bulbar onset though so limbs test negative?

Hi. Bulbar Onset ALS means that the initial symptoms are involving cranial nerve musculature. It involves the corticobulbar fibers in the brain. That includes muscles of respiration and studies have shown that the first testing to identify this disorder can be pulmonary function tests, because the intercostal muscles between the ribs are often effected. But most if not all bulbar AlS patient have weakness and atrophy in the muscles of the arms and legs eventually as it spreads from corticobulbar to corticospinal fibers that are adjacent in the brain. The limb muscles can test negatively initially, as mentioned before, intercostal EMG can be positive early.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
it sounds like this could be Bulbar ALS. Should I ask for EMG of tongue or intercostal muscles. Though no one has suggested these to me. I have been to 3 different neuros and the just did exam of tongue muscles and cheeks eyes erc
HI. I cannot examine you here online, so I cannot give you a diagnosis. If you have symptoms suggesting bulbar ALS, you do need an EMG evaluation of your bulbar muscles, either the tongue or the intercostals if you are having problems breathing. In bulbar ALS, the examination of the tongue is usually sufficient to decide if you need an EMG, because the fasciculations create a rippling effect on the tongue itself which is usually easily seen. But if there is any reason for concern, you need the needle exam of the tongue to confirm that there are no fasciculation discharges.
I hope I was able to answer your question. As you know, there is a whole phobia regarding ALS, and many patients go from doctor to doctor looking for that diagnosis. Ask yourself if you fit that picture, or have general concerns that need to be followed by the neurologist.
Dr Frank T
Ask Your Own Neurology Question
Customer reply replied 4 years ago
I don't have fasiculations of my tongue that I know of
then it is unlikely that you have bulbar ALS, which may be what the neurologists told you. I would not think you need a needle exam of the tongue, intercostals or facial musculature in that situation.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
it wouldn't start with this throat issue. I would have fasiculations by now of the tongue.
that is correct
Tongue fasciculations, a loss of your gag reflex, etc.
Dr. Frank
Dr. Frank, Board Certified Physician
Category: Neurology
Satisfied Customers: 9,000
Experience: Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
Verified
Dr. Frank and 87 other Neurology Specialists are ready to help you
Ask your own question now
Customer reply replied 4 years ago

Update . Went to neuro today regarding swallowing problem. she checked my tongue for fasiculations test my babinski and a few strength tests I saw her a month or so ago, She said no ALS but did order a modified Barium swallow study and speech eval but why would she do this if no ALS

Hi. That is good news of course, but I am not surprised. The modified Barium Swallow is for dysphagia, and will show if there is some obstructive problem effecting your esophagus, like a pharyngeal/esophageal diverticula or something like barretts esophagitis. I assume the speech evaluation is to exclude some sort of dysarthria, even if you do not notice it, as the same lower motor neurons are involved though the cranial nerves. There are all these other neurologic problems, like oropharngeal dystonia, that can give you swallowing problems. It the speech pathologist and the test decides you have a spasticity to your pharngeal musculature, you can consider medications like Botox injection therapy. Another test in case the barium swallow is inconclusive, is a cine-esophagram, which is a video study of the swallowing reflex, it can provide more detail as to the exact muscles involved in the problem.
Please get back to me if you have questions Dr Frank T
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Since she didn't order the EMG of tongue I'm assuming she doesn't suspect bulbar onset right? But the fact that she ordered speech eval makes me nervous. Why wouldn't she just do needle EMG to be sure
She feels like I feel and most neurologists that do EMG feel, that if you cannot see fasciculations on the tongue with inspection, they are not going to be seen with an EMG needle. If you do see them, then you want to look at things other than the fasciculations in the tongue, like the motor unit amplitudes and durations, polyphasics, etc. As there are other reasons to have fasciculations on the tongue than ALS, reasons that are more common actually (bulbar ALS with fasciculations of the tongue is 1:200000) and in those conditions, there are other findings on needle EMG (like if you have dystonic discharges) to give you a diagnosis other than ALS.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Thanks but that's to advanced for me lol. She says no ALS so why the speech eval?
sorry. Lets start over.
You look closely at the tongue, you don't see fasciculations. Then there is no reason for a needle exam, because if you cannot see them, the needle will not see them either. If you do see fasciculations, then you needle the tongue. Why? Because there are many other more common disorders that can cause tongue fasciculations, and they also have other changes that you can see on the EMG, to give you a sense that this is the problem and not ALS, or you can find things to suggest that yes, the fasiculations are from ALS (very rarely, 1:200000 in the US). The speech evaluation and the imaging study are to look at causes for swallowing problems. The speech eval will look for dysarthria which is the language issue associated with swallowing problems. The speech pathologist is going to look at if you become fatigued, to suggest you have a neuromuscular problem like Myasthenia Gravis, etc. There are other neurological diseases (like certain strokes) that can give you swallowing problems and language difficulties. But basically, the speech eval is for the neurologist to get a report that says you are normal, in most cases, so she can be confident she did not miss a speech problem. Some speech problems (like from a cerebellar lesion, can be subtle). I hope that answers your question.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Thank you so you don't think she is looking for bulbar ALS?
No. She is not looking for Bulbar ALS.
But she might be suspecting that you have a problem and this is not silent reflux either.
In Neurology, the basic theme is to cover everything, and when it comes to swallowing, it is a very complicated neurological system, no one feels confident by just checking your gag response if you have complaints, so we order the studies just to be sure. Did she think you had a language problem??
Ask Your Own Neurology Question
Customer reply replied 4 years ago
No she had me say a bunch of sentences when I saw her last month to test me when I feared bulbar als all normal. Didn't do that this time. She didn't mention any problem with me just speaking with her
she is just being thorough, she wants to be sure you don't have any language problem. (or any neurological swallowing disorder)
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Thanks. I hope I am free from this swallowing issue and this fear of ALS sometime soon. And I hope I don't have a neuro swallowing disorder...
Do not worry. Let them look closely at you, then come back if you have questions Dr Frank T
Ask Your Own Neurology Question
Customer reply replied 4 years ago
thanks. Are the other neurological disorders it could be incurable like ALS is or could it be something not so drastic
Well anything that effects your swallowing is very serious. I am not going to lie to you about that. It can effect your airway, you get pneumonias, etc.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
either way I'm looking at something awful. Guess I knew it wasn't gonna be good well at least I know the probable outcome
Let them do the tests, it really may be nothing at all. I assume you can swallow anything (usually in neurological swallowing problems, you cannot swallow liquids, solids are fine) and you are having problems with coughing because of aspiration (secretions getting into your lungs). If you do not have any of that, then this is probably nothing.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
What are the other neurological problems it could be?
You have to reduce your anxiety. Thinking about conditions that do not exist has brought you to a position of anxiety. I do not think I am helping you talking about conditions that do not exist.
I am here to help. If you have a lab test and do not understand the results, let me know. Dr Frank T
Ask Your Own Neurology Question
Customer reply replied 4 years ago

Went to ENT for follow up for reflux she looked back there with a small scope at my throat and vocal cords would she have seen changes if Bulbar ALS in my throat muscles

Hi again, If you had swallowing problems as a result of ALS, then you would have changes noted on the laryngoscope. The smooth muscle that composes your pharynx would have been flaccid, your uvula would be hanging, the pharnygeal arches sagging. Did she mention any problems to you?
Ask Your Own Neurology Question
Customer reply replied 4 years ago
None of those problems. She doesn't really know what it is. Told me to continue Prevacid and add mucinex to mess but would she see post nasal drip with scope
Customer reply replied 4 years ago

Since my previous Questions to you I have seen an expert in ALS at columbia presbyterian hospital in New York City. He did a full exam and looked at my 2 previous EMG's of limbs one 2 months ago and 1 8 months ago. He did a thorough neuro exam. Found negative babinski Hyperreflexia which I have had fior years But what scared me was positive hoffmans bilaterally. He told me I appeared very anxious and that I did not have ALS and did not want to do further testing inless other symptons developed. I wanted a EMG of tongue as I am convinced of bulbar as you know from previous posts, however he did not order one. I got the other neuro to order one for me at weill cornell on 8/8 will this help determine ALS I had a normal swallowing study.

Hello. thanks for the follow up. So that is all good news. Especially the normal swallowing study, as it is hard to have tongue fasciculations and normal swallowing, so I expect your tongue EMG to also come back normal. Please get back to me with questions if I can help Dr Frank T
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Thanks. I wonder why the expert didn't want EMGs. Especially with hyper reflexia and hoffmans. But all he sees are ALS pts. Should I feel confident about his diagnosis without testing
That is correct. He thought you were anxious as a cause of this problem and saw no reason for another EMG.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Is there any testing I can do with my mouth to reassure me. I still remain with difficulty swallowing solid food it feels stuck in my throat
did you get a barium swallow study, and then an upper endoscopy? those are the studies to evaluate swallowing, other than meeting with a speech pathologist for an evaluation.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
I had a swallowing study with barium in different consistency of foods it was X-ray and video it was normal. Then I had an ENT do an esophaguscopy all normal. Would any of those show bulbar ALS
both would have shown changes if your glossopharyngeal, hypoglossal, or the ansa cervicalis was effected.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Those are muscles affected with bulbar ALS
those are the nerves that come from the brainstem, that are effected in bulbar ALS. All three work in unison to make uniform peristaltic movements of the back of your throat, and down your esophagus. You lose that communication between the nerves early on in bulbar ALS, so that is why the doctor, if he only sees ALS, knew that you did not have ALS
Ask Your Own Neurology Question
Customer reply replied 4 years ago
It was the ENT that did those esophagus tests and a radiologist and speech pathologist that did barium swallow not the neuro. Would they be able to tell if I had bulbar thanks
Customer reply replied 4 years ago
Thank you don't mean to be a bother
no bother. good luck to you
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Thanks. EMG on Aug 8th for my tongue. Nervous. Thanks for answering my questions. My family and friends are sick of me!
you are welcome. Dr Frank T
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Last question I know you can't diagnose me but woth all the exams and testing so far do you think I have bulbar onset?
I would say that the chance you have bulbar onset ALS is less than 0.0001%. The incidence of bulbar onset ALS is roughly 1:200,000 in the general population, and you have been tested repeatedly, and tell me your tests are negative. ALS phobia (see attached abstract) is well described and has a much higher incidence than the disease itself.
http://www.ncbi.nlm.nih.gov/pubmed/23096027
I cannot diagnose you here online. I can tell you that many other patients come to JA with the same story, that they have had 6 or more EMG's, all normal, yet they cannot drop the idea that they are developing ALS. Phobias are completely treatable and curable. ALS is not, so I would suggest that you consider this diagnosis as obviously this is causing you extreme anxiety.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Hmmmm. Thanks
you are welcome please rate my service if you can. Dr Frank T
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Is cough a sign of bulbar ALS. I am going for EMG testing for this 8/8 what should I make sure the test thanks
Hello again. An absence of cough is more consistent with bulbar ALS. You should ask for a needle exam of your platysma muscle (it is on your neck) as that is a very fine muscle that can be effected by bulbar ALS, and the tongue as we discussed earlier. Good Luck to you . Dr Frank T
Ask Your Own Neurology Question
Customer reply replied 4 years ago
For the past two days I feel like everything goes down the wrong way like tickling sensation then I cough feel a cough happen after a bit. I had a modified barium swallow 4 weeks ago which I'm told was normal. Isn't bulbar ALS fast enough to have affected my swallowing in that amt of time. Thanks
you are welcome. that normal barium swallow is good news, as you know, your chance of having bulbar ALS is exceedingly remote. Please remember to rate my service, as that is how I am compensated for my work. Good Luck to you Dr Frank T
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Could the swallowing mechanism change in 4 weeks
Well you had symptoms leading to having the barium swallow, correct?

Anything can change in 4 weeks. It sounds like you are having trouble swallowing, but have not lost your ability to swallow. In ALS, you usually lose your ability to control your secretions first, so you drool.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
I think you are tiring of me Im so sorry. Just don't understand what these symptons are coming from if not Bulbar.
did you get endoscopy/biopsy of the esophagus? eosinophilic esophagitis is my guess.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Not recently. I did in 2009. But I had an ENT do an esophaguscopy. No biopsy it looked ok. Still thinks silent reflux. But that's his thing and I've been on nexium or Prevacid since may.
here is a webpage from the Mayo clinic on EE. you need a biopsy to diagnose this condition, it can be overlooked on inspection alone. If you have a suspicion, you should check your absolute eosinophil count when symptomatic. The mayo came up with this disorder, maybe you should go see them?
http://www.mayoclinic.org/eosinophilic-esophagitis/
http://en.wikipedia.org/wiki/Eosinophilic_esophagitis
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Will check it out thanks. I still believe it is Bulbar ALS but no one listens...
you are welcome, please remember to rate my service, as that is how I am compensated for this work Dr Frank T
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Looked at symptons of that on mayo site. I don't have heartburn or vomiting. I have difficulty swallowing so I don't think that's it. EMG in 3 days. Hope I'm wrong. I know good luck ...
good luck
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Is that necessary really?
Customer reply replied 4 years ago
My husband told me not to use these sites should have listened. I will rate you
let me know about the EMG ok?
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Sure if you want. They haver scheduled for an emg2/NCV. Don't know what that means. Hopefully Bulbar testing
NCV means nerve conduction velocities? usually it is NCS....
emg2 probably means 2 extremities. You bill, and therefore allocate time spent by number of extremities.
I would call ahead and inquire if you are getting a bulbar study, tell them you have had 2 extremity studies already, and they won't get paid by insurance.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
I did thank you.Do Speech or swallowing problems occur first in bulbar. What panicked me last night and today is feeling like constriction in throat. I drink and a few minted later I cough a bit and it tickles. I'm afraid I'm aspirating
Hello. Speech problems are more subtle, they effect the facial muscles as well as lingual muscles, so it is different than swallowing problems, that are lower cranial nerves. There is no set rule which cranial nerves are effected first in a case of bulbar ALS, it usually is a patchy process, so any type of pattern can happen. It does not have to be symmetric involvement, so you might just have atrophy on one side of your tongue, or your palate may sag on one side, or one side facial weakness, etc.
what did the speech pathologist say? did you see them and have a speech study as well, or just the swallowing study?
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Just the swallowing study. Didn't order speech study. Would als specialist I saw July notice those things?
they would have scheduled you with a speech pathologist if you had slurred speech.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Would they have noticed sagging palate or tongue atrophy. Today I've had this awful sensation when I eat or drink I get a tickle and cough a couple of times. I think bulbar
HI. They would have noticed it.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Does this tickle cough thing sound like bulbar
Hi. I would say no, not bulbar ALS presenting as a tickle/cough, with a normal swallowing study.
Ask Your Own Neurology Question
Customer reply replied 4 years ago
EMG/NCV normal. You wanted to let me to let you know. They did under my chin above my lip and under my eye and felt it was enough to rule out bulbar. I need to accept that
HI. yes, they did some very small, fine muscles on your face. The reason is that the number of muscle cells to motor unit of nerve is very small, so they are a sensitive measure for motor neuron disease involving the face. So I am glad to hear you are accepting the findings. Please let me know if I can help Dr Frank T
Ask Your Own Neurology Question
Customer reply replied 4 years ago
Thanks for the help
sure anytime bye
Ask Your Own Neurology Question
Ask Dr. Frank Your Own Question
Dr. Frank
Dr. Frank
Dr. Frank, Board Certified Physician
Category: Neurology
Satisfied Customers: 9,000
9,000 Satisfied Customers
Experience: Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.

Dr. Frank 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

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Mark

Dr. Mark

Neurologist (MD)

1,985 satisfied customers

Neurosurgeon - Brain, spine, and peripheral nerve surgery

Jack Scariano Jr

Jack Scariano Jr

Neurologist (MD)

1,056 satisfied customers

Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine

Dr. Bob

Dr. Bob

Neurologist (MD)

3,692 satisfied customers

Neurology & Int Medicine (US Trained): 20 yrs experience

healthydoc

healthydoc

Board Certified Physician

1,851 satisfied customers

Board Certified U.S. Neurologist

Dr. F

Dr. F

Board Certified MD

266 satisfied customers

Neurosurgeon with more than 20 years experience in practice and teaching.

Phytube.com

Phytube.com

Neurologist (MD)

86 satisfied customers

Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications

Stroke Doc

Stroke Doc

Board Certified Physician

51 satisfied customers

I am board-certified in Neurology and the subspecialty Vascular Neurology.

< Previous | Next >

Related Neurology Questions
I have had back pain for 25 yrs....and getting so much
I have had back pain for 25 yrs....and getting so much worse.....have been told I have no discs between 3 vertebrae...degenerative disease, arthritis and osteoporosis....with nerve pain. I am unable t… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
I 'm a non-diabetic with neuropathy on both feet and have
I 'm a non-diabetic with neuropathy on both feet and have been suffering with sharp pain and pins and needles on both feet. I can't relax in a chair or sleep more than two hours at a time. I've been t… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,379 satisfied customers
I Have a Left Arm condition... I can Barely Lift it my Bicep
I Have a Left Arm condition... I can Barely Lift it my Bicep and Left should muscles have Weaknesses and Atrophy.. Years ago I was Diagnosed with a Brachial plexus injury.. My Strength returned but no… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,619 satisfied customers
My son got hit playing basketball on his right ear and
My son got hit playing basketball on his right ear and immediately said he couldn't hear out of that ear. No pain other than when he chews it hurts a little he said. Not sure if that will clear up on … read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
238 satisfied customers
My 42 year old cousin recently started having pain on the
My 42 year old cousin recently started having pain on the back side of her left shoulder, which is radiates down her left arm, forearm and wrist to hands. It's a burning pain. She's been to the dr and… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,379 satisfied customers
I'm certain I broke the big toe on my left foot. The first
I'm certain I broke the big toe on my left foot. The first toe and the next three are very bruised top and bottom of foot plus they are swollen. Should I go to the ER, or just let it heal on it's own?… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,816 satisfied customers
My mother, age 77, has shown signs of short term memory loss
Hello. My mother, age 77, has shown signs of short term memory loss for two years - i.e. getting lost in conversations, forgetting the day of the week, whether or not she has been to a scheduled appoi… read more
Dr. Brims
Dr. Brims
U.S. Licensed Physician
Doctoral Degree
5,047 satisfied customers
I have ischaemia, the result of breaking my neck in 1987.
I have ischaemia, the result of breaking my neck in 1987. The only treatment so far has been for depression which I don't believe I have. … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,035 satisfied customers
I had a severe herniation in C6-7 about 2 months ago.
Hi. I had a severe herniation in C6-7 about 2 months ago. Conservatively treated. Pain has resolved, but have no improvement in muscle strength. … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,379 satisfied customers
I fell on a bathtub edge on my artificial hip post two weeks
I fell on a bathtub edge on my artificial hip post two weeks ago (had the hip 5 years). Now i am having tingling pain in the area if i bend differant ways that area gets warm. What may be causing this… read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,712 satisfied customers
This is a follow-up to a question Dr. Subbanna asnwered for
Hi, this is a follow-up to a question Dr. Subbanna asnwered for another person concerning a feeling of goosebumps onthe scalp. I too have this sensation several times a day but it lasts only a few sec… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,035 satisfied customers
My question is about an historic event. My sister died aged
My question is about an historic event. My sister died aged 10 years old in 1964. I'd like to know a little more about what may have resulted in her death. The symptoms first appeared as severe nose b… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
I am 42 year old male. When I was 17 years old in 1992, I
Hello I am 42 year old male. When I was 17 years old in 1992, I was subjected to a loud noise at a night club and since then I had high frequency ringing in my ears. I had learned to cope with it sinc… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,035 satisfied customers
I have had migraines since i was 12 and am now 38. I've been
Hello! My name is*****: Do you have frequent headaches? Any issues with coordination or balance? Customer: I have had migraines since i was 12 and am now 38 … read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I was just diagnosed with Parkinson. The doctor prescribed
I was just diagnosed with Parkinson. The doctor prescribed Amantadine. Did some research, everything is saying it's not a cure, just may help delay the development. I need somebody's honest opinion. I… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,379 satisfied customers
I have hashimotos fibromyalgia chronic pain and fatigue
Hi i have hashimotos fibromyalgia chronic pain and fatigue depression and anxiety. So i havent worked gor 4 years as i have no energy and i sm a nervous wreck. Do you think a neurologist could help me… read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,880 satisfied customers
After a trip to Europe and New Zealnd (which involved 5
Hello,After a trip to Europe and New Zealnd (which involved 5 weeks of binge drinking), I have come back with severe depersonalisation. It first hit me in New Zealand where I suddenly felt spaced out … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,035 satisfied customers
I had a knee replacement in Aug. last year and in Jan. this
I had a knee replacement in Aug. last year and in Jan. this year I fell and broke my ankle on the same leg. It is now 10 months since my ankle problem but now my knee is beginning to show a few signs … read more
Dr.Sawhney
Dr.Sawhney
Post-Doctoral Degree
6,246 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