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For 3 years I've suffered with muscle jumping (twitching),

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For 3 years I've...

For 3 years I've suffered with muscle jumping (twitching), muscle weakness, nausea, and extreme fatigue. I fall sometimes and I never know why. My balance isn't the best. I have had tremors in my hands since I was a kid but they seem to have become worse. I've also lost 30% of my body weight in the last 7 months with no changes to my eating except when the nausea is bad and I can't eat. Any ideas?

Doctor's Assistant: What seems to make the symptoms worse or better? In general, how would you describe your health lately?

My health is poor. I almost feel like I have the flu sometimes because I'm tired and nauseous and stiff. Doing too much like excersize and housework make it worse

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

My face fell 3 years ago and my GP said my reflexes on my left side were off but I've never had any confirmation as to what happened. I also have several small lesions on my brain that I get checked yearly

Submitted: 9 months ago.Category: Neurology
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Answered in 5 minutes by:
9/17/2017
Neurologist: DrRussMd, Board Certified MD replied 9 months ago
DrRussMd
DrRussMd, Board Certified MD
Category: Neurology
Satisfied Customers: 65,673
Experience: Internal medicine doctor, diagnose and treat neurology patients, many years
Verified

Hi.
Welcome to just answer. I am here to answer questions for education and information. I will respond shortly with an answer, or a question for you

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Neurologist: DrRussMd, Board Certified MD replied 9 months ago

Have you seen a neurologist and what do they say/

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Customer reply replied 9 months ago
I saw a neurologist years ago they said the lesions were "non specific". He was not a very good doctor. He had no answers and I opted not to see him again.
Neurologist: DrRussMd, Board Certified MD replied 9 months ago

I am not sure what your question is at this point.

We do not diagnose or treat.

What are you wondering?

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Customer reply replied 9 months ago
If you have any ideas of what it COULD be. What I should try pursuing?
Customer reply replied 9 months ago
Or if I even should be pursuing anything.
Neurologist: DrRussMd, Board Certified MD replied 9 months ago

Anything serious after 3 years would have put you in the hospital.

You need to have the scan done again.

You said that is being followed.

Have you had a recent MRI of the brain?

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Customer reply replied 9 months ago
in aug
Customer reply replied 9 months ago
Ya I didn't think it was anything serious. Though it does seem to be getting worse and my GP is very worried about the weight loss and falling.
Neurologist: DrRussMd, Board Certified MD replied 9 months ago

Please type in the MRI report

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Customer reply replied 9 months ago
I don't have a copy but there were no major changes to the lesions.
Neurologist: DrRussMd, Board Certified MD replied 9 months ago

They would have had a differential diagnosis on the report with several things to consider, what were they?

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Customer reply replied 9 months ago
demyelinating diseases. It did say that my brain was not typical for my age because of the lesions. I believe they were foci white matter lesions but I could be wrong.
Customer reply replied 9 months ago
They didn't do a scan with contrast with any of them.
Neurologist: DrRussMd, Board Certified MD replied 9 months ago

You need to follow up with a neurologist.

This can be MS, multiple sclerosis, and the lesions do not have to change for the disease to advance physically.

Back to the neurologist for you, for sure.

Find a good one.

That is really the only test currently you have to go on, but other problems, such as hyperthyroidism, need to be ruled out.

Your doctor does not seem to be doing much in the way of work up, so I would go to the specialist.

Also, please click a positive rating on the rating scale. [This must be done manually at the top of the page]. In fact, a 5 rating squares me with just answer and allows me to provide prompt and accurate service to you, but does not increase your cost. And, I will be here for any follow up needed

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Customer reply replied 9 months ago
They have done blood work to rule out adrenal issues, thyroid and celiac. I've never heard of MS causing rapid weight loss
Customer reply replied 9 months ago
The only thing abnormal was one time my white blood cell count was low and it showed I had probable anemia
Customer reply replied 9 months ago
would it also cause pretty extreme heartburn?
Neurologist: DrRussMd, Board Certified MD replied 9 months ago

What is your age and gender?

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Customer reply replied 9 months ago
35 female
Neurologist: DrRussMd, Board Certified MD replied 9 months ago

Have you had a scope of the esophagus and stomach?

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Customer reply replied 9 months ago
No
Customer reply replied 9 months ago
My GP has sent a referral to an internist but the wait is 4-6 months
Neurologist: DrRussMd, Board Certified MD replied 9 months ago

Severe esophagitis can cause heartburn and wait loss.

Stomach gastritis, ulcer or cancer can do the same.

I would go straight to GI doctor.

In any case, that is the other area of investigation.

Also, please click a positive rating on the rating scale. [This must be done manually at the top of the page]. In fact, a 5 rating squares me with just answer and allows me to provide prompt and accurate service to you, but does not increase your cost. And, I will be here for any follow up needed

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