Neurology

Ask a Neurologist. Get Answers to Your Neurology Questions.

Ask a Doctor,
Get an Answer ASAP!

Neurology
This answer was rated:

I had Guillian-Barre Syndrome a year ago in Georgia. Moved

to Utah in Oct. 2012...
I had Guillian-Barre Syndrome a year ago in Georgia. Moved to Utah in Oct. 2012. Now have repeated symptoms of extreme fatigue/weakness, dyspnea, body aches/pains, chills, swollen glands, and more.
Had bloodwork done. CMV IgG was 16.4 on 8/26 and on 9/11 it climbed to 17. CMV IgM on 9/11 was >0.9 and said it was not active at present.
WBC on 8/26 was one point from being subnormal. It was 4.1 On 9/11 the Mono Test and Toxoplasmosis and CK were all NEGATIVE. The Epstein-Barr Test was POSITIVE, but stated
infection was in the past.
QUESTIONS:
1.) Can you tell me if I do not have Guillian-Barre, why is the CMV IgG climbing? 2.) No fever. This is obviously a Viral Syndrome with the swollen glands (large and tender).What other Blood Tests should be done?
3.) Do you have any other ideas on a condition this could be?
Thank You!
Diana
Show More
Show Less
Ask Your Own Neurology Question
Answered in 9 minutes by:
9/16/2013
Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5,568
Experience: Neurology & Int Medicine (US Trained): 20 yrs experience
Verified
Dr. Bob :

Hi Diana. Do you know what triggered your GB last year?

Customer:

I believe it was super-stress in the month of December 2012. I began having flu-like symptoms Nov. 1st and by Dec 21st, I was flat and unable to move or get out of bed. All my muscles shut down with choking on food, constipation, unable to sit up without support, weakness in walking (had to use electric carts in store to get food.) I lived alone with no help.

Dr. Bob :

Sounds awful. It often follows a viral or bacterial infection of the upper respiratory tract or GI system. CMV is not especially associated with it.

Customer:

I also had pain shooting down both arms and legs. I was admitted from the E.R. to the hospital and kept overnight to be tested and to r/o heart attack. It was all fine and then was referred to an Infectious Disease M.D. in Atlanta. By the time I got into see him, I was 90% better. I have remained fatigued and am not sure it ever resolved totally.

Dr. Bob :

About 30 percent of those with Guillain-Barré still have a residual weakness after 3 years. About 3 percent may suffer a relapse of muscle weakness and tingling sensations many years after the initial attack.

Dr. Bob :

Were you treated with plasmapheresis or IVIG?

Customer:

The Infectious Disease doctor told me with the symptoms I had that it was GB even though by that time the bloodwork just showed a 16.4 CMV IgG...not sure if the CMV IgM was elevated then. I also had tremendous difficulty breathing and talking then as I do now.

Dr. Bob :

Sounds very much like GB, including the time course. It is not typically associated with CMV so this could be a "red herring".

Customer:

My new doctor is young and just took his Boards and does not seem to know what to order or what to do, so he told me to see a Neurologist, but I can't get in for quite sometime.

Dr. Bob :

So you have not been treated?

Dr. Bob :

Were you treated for the GB? Did it help?

Customer:

I read on-line that even when the IgM is normal it can just mean that the antibodies are too few or two weak to show up. It can be a false-negative.

Dr. Bob :

Yes, but it really is not important in this case, because no matter what triggered your GB the first time, you likely have some remaining circulating antibodies to the myelin sheaths surrounding your nerves. Any subsequent infection that provokes an immune response can trigger a resurgance of the anti-myelin antibodies and lead to new symptoms, though usually less intense than with the primary infection.

Dr. Bob :

Similarly, if you have an underlying rheumatologic condition that made you more vulnerable to the GB the first time. it could be flaring up a bit and causing similar (as well as additional) symptoms.

Dr. Bob :

I would suggest you ask your PMD to do some basic blood tests to rule out a rheum condition and ask him to expedite the neuro consult.

Customer:

Hi, Bob...I am so sorry. I did not see your printed answers until now. To answer your question I did not have any treatment to include plasmapheresis or IVIG.

Customer:

I have a Heart Murmur and have had Mitral Valve prolapse which improved over time and is now considered a Mild M. V. Insufficiency. I agree with you about the antibodies. I tried last year eating avocadoes and acaia berry juice and strted improving after that. I tried that this last week and have seen a 25% improvement in breathing and fatigue.

Dr. Bob :

That's pretty good...especially if the trend is continuing.

Customer:

Do you know which specific tests should be done for a Rheumatic condition? Do you think I need to see a Cardiologist instead of the Neurologist first? Do you know why an IgG would climb if it only shows that I have had GB before, but supposedly indicates it is inactive?

Customer:

Is it possible for me to get a print out of our conversation? I do not want to forget all that you have shared with me which has been wonderful!

Dr. Bob :

Check CRP (C-reactive protein), ESR (sed rate), FANA (anti-nuclear antibody), RF (rheumatoid factor), CBC and anti-MBP (myelin basic protein)

Dr. Bob :

I think a neurologist would be most helpful, because if this proves to be a recurrence (or a residual) of the GB, you may need to be treated more aggressively this time.

Customer:

Thank You, Bob! I have received more information from you than any doctor anywhere since this all began. I am extremely grateful! The CBC was done on */26 and I have the results right here. What would you be looking for in there? To me the WBC indicates my immune system is suppressed. How do I eventually get a WBC back up? Reduced stress with more exercise? I have tried walking and gym since I arrived, but I am so fatigued I couldn't keep it up. I can last from about 8-2 or 9-3 everyday and then I become so tired I do not have the strength to even make food to eat at night. What do you think about Adrenal Fatigue and cortisol levels? I would have to see an endocrinologist, but I felt it was GB when the IgG began climbing.

Dr. Bob :

IgG levels can wax and wane a bit depending on overall health, recent exposures, state of the immune system, etc. If they are rising steadily this might mean, however, that your immune system is ramping up, which could lead to a recurrence of some symptoms.

Customer:

This occurence is as you said, less severe than the first time. Since ther is somewhat of an improvement in one week. Do you think waiting a bit to see if it resolves on it's own would be detrimental? I just am very reluctatnt to go into aggressive treatment..it frightens me. There are always risks.

Dr. Bob :

Yes, and you seem to be doing a great job of researching and being proactive.

Dr. Bob :

You are obviously trending in a good direction, and hopefully will continue to improve on your own.

Dr. Bob :

Just keep in mind what we have discussed, mainly so you better understand what might be going on and what can be done about it should this continue to affect you.

Customer:

Thanks, ***** ***** been fantastic and I have appreciated ALL the information and advice in your field of expertise.

Dr. Bob :

You're welcome. I hope all works out for the best. Something tells me it will. :-)

Customer:

I have a deep investigative nature and analytical skills which I consider a Gift. I traced my Family Tree back 13 generations a long time ago. I have been in the Medical Field for 47 yrs. and things change on a daily basis and I am always curious to dig and find out the latest update in various areas. I am not a Doctor. I am an R.N. and for many years some doctors would ask me what I thought was going on with a patient, so I kept "on-top" then. I do not pretend to know very much at all and that is why I have appreciated your advice. It has been invaluable. May God richly "bless you" for blessing me! I have a Nursing Ministry and work for God full-time now. Very rewarding. Have a Wonderful Week! Good-Bye and Thanks again! Diana

Dr. Bob :

It's been a pleasure, Diana. As you know, we all work for God, whether we know it or not.

Customer:

P.S. The Nursing Ministry is to minister to the physical, emotional and spiritual needs of people in their homes in the community. Jesus recently gave me an assignment to do a Jail/Prison Ministry. I see the inmates every Saturday for 30 minutes each. One day I saw 10 inmates! Hearts and lives are being changed. I deal mostly with the emotional and spiritual with them in their home (jail). Our website is www.nursingforchrist.com I pray that as I continue to help others heal, that God will heal me! Thinking positively!

Dr. Bob :

Faith and hope are powerful medicines. I only wish we could bottle them up and dispense "as needed." :-)

Customer:

You are absolutely right! Medical professionals ALL are serving others wherever they are and it is truly the work of God. I only meant that I left the Hospital, E.R., Hospice, Home Health, Rehab. Dir., L.T. Care and other jobs to concentrate on going and doing what the Lord instructed me to do. He is now my CEO...Ha. I met a Christian Doctor who has a Practice in WDC who prays with his patients and writes scriptures on his Rx pad instead of an Rx. He teaches at Georgetown University and wrote a book called the "Faith Factor." His name is***** and I put one of his quotes on the cover of our Brochure. He said the Bible was the most important item he had in his Black Bag. :) Must go and not take up any more of your time as you help so many others! Enjoy your week!

Dr. Bob :

You too.

Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5,568
Experience: Neurology & Int Medicine (US Trained): 20 yrs experience
Verified
Dr. Bob and 87 other Neurology Specialists are ready to help you
Ask your own question now
Ask Dr. Bob Your Own Question
Dr. Bob
Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5,568
5,568 Satisfied Customers
Experience: Neurology & Int Medicine (US Trained): 20 yrs experience

Dr. Bob 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)

5,568 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
Can taking very High dose of serotini every night for over a
can taking very High dose of serotini every night for over a year cause Brain damage? … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,679 satisfied customers
I don't know if you remember me but j have had this weird
Hi I don't know if you remember me but j have had this weird feeling in my left side for about a year now. It's only when I lay on my left side. It feels like I am laying on a flat piece of something … read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I've been treated for glossopharyngeal neuralgia for many
My name is ***** *****'ve been treated for glossopharyngeal neuralgia for many years. For a long time Lyrica was working but symptoms started to break thru. I was tapered from Lyrica and place on Tegretol. I took the tegretol for about 3 month. And when it did not control my symptoms and I started to get a dizzy spells. My doctor put me on Baclofen and I started to taper the tegretol. I'm worried that these dizzy spells won't go away. Dizzy does not mean loose equilibrium, but more like my thought process is interrupted for about 1-2 second and has to reset. Any idea what this is? … read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
My wife took amitriptiline last night and she now has had
My wife took amitriptiline last night and she now has had Myoclonic jerks for 7 hrs. what can she do? … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,311 satisfied customers
I have some lower left leg pain and I have had it for
I have some lower left leg pain and I have had it for awhile. Some numbness in my foot also. The pain has moved up my leg a little bit, but still below the knee. Should I go to urgent care? … read more
Dr. Chip
Dr. Chip
M.D.
12,985 satisfied customers
This started at 8 am this morning. My husband said he was at
This started at 8 am this morning. My husband said he was at work and his right arm down the middle finger, there is a pain that shoots down when he tries to pick up something or tries to pull open so… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
There is much talk about lead and other heavy metals
There is much talk about lead and other heavy metals lowering IQ in children's brains, but I am wondering about the effect of toxic metals on adult brains, brains already fully developed. Does it have… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
Im a 89year old with type 2 diabetes i have been limited
im a 89year old with type 2 diabetes i have been limited mobility for 5 month iwent for awalk and my toes started to tngle its a burning sensation if both feet what can i do for this ?? its the first … read more
Dr. Hasan
Dr. Hasan
Consultant
Post-Doctoral Degree
3,619 satisfied customers
I have been having twitches in my left thumb, calves, arms,
Hi - i have been having twitches in my left thumb, calves, arms, thighs etc. also, have been waking up with pins and needles and numbness in my left hand and forearm. Could this be ALS..?… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
For the past few weeks now (maybe close to a month) have had
For the past few weeks now (maybe close to a month) have had a clear watery salty fluid drip from right nostril. Blowing out clear mucus from both nostrils, sneezing, postnatal drip, sometimes itchy t… read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,722 satisfied customers
Slowly, fort he past 4 months, I have severe joint pain that
Slowly, fort he past 4 months, I have severe joint pain that is slowly overtaking my body. Over the summer it started in my left thumb. It swelled and I couldn't bend it. The joint would click. Then i… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,951 satisfied customers
What causes a foot to suddenly turn inward involuntarily, no
What causes a foot to suddenly turn inward involuntarily, no pain, and leaves shortly. … read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
My sister had a baby last August and 3 days after her family
Hi Pearl, my sister had a baby last August and 3 days after her family MD prescribed sertraline, she developed chronic headaches. They are ongoing to this day. she's had MRIs, been to emerg 4 x and ha… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,679 satisfied customers
I have been having numbness in my arms, legs and tongue for
I have been having numbness in my arms, legs and tongue for 2 years now. I have had probably every test done and all come back negative.… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
I awake frequently with severe leg cramps. I have poor
I awake frequently with severe leg cramps JA: What seems to make the symptoms worse or better? Have you noticed any swelling? Customer: I have poor valves in legs JA: Anything else in your medical his… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,951 satisfied customers
I have inflammation in my hands, wrist and feet. I also have
I have inflammation in my hands, wrist and feet. I also have nerve pain in my toes. I'm trying to figure out what is going on. … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,311 satisfied customers
I was wondering if yo know why my head feels light as if
I was wondering if yo know why my head feels light as if nothing in it. I find it in the front? … read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I have type 1 diabetes for 19 years now. I am 57 I have
I have type 1 diabetes for 19 years now. I am 57 I have painful numbness in my 8 fingers for two months now. I from NYC but have been staying in Mexico, will stay until until April. The best Doctor I … read more
Dr. Scott
Dr. Scott
Doctor
1,030 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