Neurology

Ask a neurologist. Get answers to your neurology questions.

Ask a Doctor,
Get an Answer ASAP!

This answer was rated:

I've had medical things going on that I just can't seem to…

I've had medical things going...
I've had medical things going on that I just can't seem to pinpoint a problem. This all started probably around February or March of 2017. I would wake up with stiff feeling and aching around my knees. Either surrounding the knee itself or just above them, always both never just one. Throughout the day the stiffness would get better, the aching would not. The stiffness would also return after long periods of standing. I feel like the problem has gotten a little worse since then. In august it was really bothering me, I had a fever and was feeling really fatigued, so I went to the doctors. They ran a CBC and my WBC was 11.7 so I was given a 3 week course of doxycycline. I had a another CBC about a week and half in and the WBC was 8.8. It was determined I had an infection since the WBC decreased. About 3 or 4 days into the antibiotic course, I started to get a numbness/heavy/cold feeling in my right foot around the toes, which still now persists on and off. The top part of the foot where it meets the ankle is what feels stiff when I move it. Also in August I had a negative ANA, negative ANCA, SED rate of 1 mm/hr, negative RA, negative Cirtulline AB, Lyme, HIV, Hep C all diseases ruled out. I would say the period in August was the worst I felt, prompting the doctor visit and all these tests. The feelings have since persisted with my legs and my foot, some days are worse than others and some days are totally fine. I especially feel better when moving around a lot. Vigorous exercise isn't necessarily the answer but moving defineitely is a help. My questions are:
1. Does having the WBC count decrease on antibiotic rule out anything not infection related that causes a high WBC count? Or would an antibiotic always lower WBC regardless?
2. Were my autoimmune test results (ANA, RA, ANCA, etc.) reliable at the time taken? They were at least 5-6 months after symptoms started? Also taken at a time when the feelings were worst.
3. What could cause this with my foot? I saw a potential side effect of doxycycline is this problem, is it possible mine just never went away?Also just a little more information, I had a sinus and neck CT in July 2016 all normal andchest x ray in October 2016, also normal. As was a echocardiogram in November 2016. Is there any other medical issue I should be considering? Thank you.
Show More
Show Less
Ask Your Own Neurology Question
Answered in 6 minutes by:
1/17/2018
drphophalia
Category: Neurology
Satisfied Customers: 38,168
Experience: Regularly deal with musculoskeletal neurology, spinal issues, bowel and bladder dysfunctions etc.
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 Neurology Question
Customer reply replied 4 months ago
39;ve also had a lymph node you can feel in my neck since July 2016 at least, its a cervical lymph node, that the doctors have told me is about 1.5 cm so not too big, but I feel like anything lymphoma or leukemia related would have gotten much worse by now. I've also had a full eye exam in August of 2017, which I was told would see things like MS. Just really not sure what could be causing these things. I have no family history of anything at all
Customer reply replied 4 months ago
I guess it'll probably be a question, but not really having any issues with fatigue. I'm getting only 3-4 hours of sleep per night for the last 1 or 2 months maybe 6-7 hours a night on weekends, and if that's not making me tired, I wouldn't say I'm having an issue with fatigue

A solitary lymph node, which has not changed is likely to be benign. An ultrasound can further substantiate that.

Now your specific questions;

1) A decreased WBC count by antibiotic usually is indicative of infection.

2) The autoimmune panel results were reliable. Autoimmune panel may need repetition and many times an investigation which was negative before may become positive later.

3) There is a cause and effect relationship, that when doxycycline was started the foot felt cold/heavy/numb. Neuropathy though is not a common adverse effect of Doxycycline. You may get a nerve conduction velocity study (NCV) for the evaluation.

You may also need;

Thyroid function tests

Thyroid autoantibodies

Repeat of autoimmune panel.

Vitamin B 12.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Ask Your Own Neurology Question
Customer reply replied 4 months ago
I did have an ultrasound in conjunction with the CT scan when I first noted the lymph node, no abnormalities seen. That was July 2016, and no changes to the feel of this lymph node. Thyroid also viewed in this study, no abnormalities. Also had a thyroid cascade last December in annual physical no issues. I have not had B12 checked.
With my foot, it is not always there and seems better when I am not wearing shoes or tie my shoes loosely. Does that indicate less likely to be nerve related? Blood circulation maybe? But weirdly the ankle feels stiffer when I lie down. And its not weak at all like ive seen through google searches for drop foot.
The doctor was betting if it was autoimmune it would be Lupus or Vasculitis. But you said the autoimmune testing was reliable. Also the sed rate was so low. Does the low sed rate also help prove that its not autoimmune because there is no actual inflation?
With no actual inflammation, could this be more of a perceived thing rather than actually having something wrong? Like stress related or depression? Not that I feel like I have either of those things, but weirdly all this started at the end of a Middle East deployment.
Customer reply replied 4 months ago
The whole low sed rate situation boggles my mind because if there is no inflammation what could actually cause these things
Customer reply replied 4 months ago
Wanted to clarify the feeling in my foot, its not numb like tingly pins and needles. More so feels stiff/heavy in the top of the foot by the ankle joint and a long the base of the toes. I still have full feeling and movement, ive tried poking at it and pinching it to make sure it feels

Low sedimentation indicates that chance of autoimmune phenomenon was less, especially the autoimmune panel too being normal.

Pain decreasing on opening shoes is difficult to explain though. Blood vessel or circulation issues do not explain the phenomenon.

A neuropathy is the best explanation at this point. And a NCV may be the investigations of choice with B 12 estimation.

It is privilege assisting you.

Ask Your Own Neurology Question
Customer reply replied 4 months ago
What are some examples of a neuropathy? Do they tend to be more serious? And would they cause all other issues? Can B12 definiciency alone cause these feelings?Is there also a chance this is just all perceived? WIth so much testing normal, could it just be that simple?
Customer reply replied 4 months ago
Sorry, just wasn't sure what you mean by neuropathy?
Customer reply replied 4 months ago
This foot thing has been going on just about 5 months now, with no changes for the better or worse and no neurological symptoms showing up anywhere else in the body, does that decrease the chances?

I can assure your it is nothing serious.

This can be just perceived thing. Anxiety can cause any or all symptoms.

Neuropathy can be caused by;

Diabetes

Vitamin deficiencies

Thyroid diseases (usually hypothyroidism)

Autoimmune connective tissue disorders

Heavy metal toxicity.

Ask Your Own Neurology Question
Customer reply replied 4 months ago
Ok thanks, ***** ***** what you mean by neuropathy now. Since all this started, so about a year or so, I've never had any, not even once, an upper body symptom. Anything at all above about 2 inches above the knees. Is that weird?Is there any vitamins you recommend I try? Only thing I take is Vitamin C. Should I get a B 12 Vitamin? Anything else you recommend I do? Daily or at least every other day workouts seem to provide some if but a relief, but anything else based on what you think it could be?
Customer reply replied 4 months ago
I just googled foods high in B12. BEst I can say from that list is I eat maybe 5 eggs per week and maybe 1 fish and 1 beef meal per week. Sometimes not even. I'm guessing that's not enough?
Customer reply replied 4 months ago
I'm also pretty confident I do not drink enough water, could dehydration cause these symptoms? It's pretty much every night I wake up in the middle of the night needing to chug water.

Dehydration does not cause these symptoms.

You may take an over the counter multivitamin and a B 12 supplement.

And please do not get anxious.

There is nothing serious going on.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

Please consider a positive 5 star rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating.

The rating button is on the left upper side of this thread.

You can continue to ask questions after positive feedback.

Thank you.

Wishing you all the very best in life.

http://ww2.justanswer.com/help/how-do-i-rate-answer-hl

Ask Your Own Neurology Question
Customer reply replied 4 months ago
My apologies for not responding yesterday, got caught up in work and couldn't get back to it. I just have one last question. I have a friend who is a PA and she gave me some strength tests to do to test foot and I can do them all, along with having a numb feeling and a coming and going kind of thing points away from serious things like ALS. Basically agreeing with what you said and that it sounds like a neuropathy. My question is when a neuropathy occurs in the foot like this is it reversible or is it kind of a permanent damage thing?

Neuropathy can recover completely.

Physical therapy may play a definite role.

drphophalia
Category: Neurology
Satisfied Customers: 38,168
Experience: Regularly deal with musculoskeletal neurology, spinal issues, bowel and bladder dysfunctions etc.
Verified
drphophalia and 87 other Neurology Specialists are ready to help you
Ask your own question now
Customer reply replied 4 months ago
Thanks for all the information and help. Guess its time to make an appointment.

You are most welcome.

Wishing you the speedy resolution of your symptoms.

Ask Your Own Neurology Question
Was this answer helpful?
Ask drphophalia Your Own Question
drphophalia
drphophalia
drphophalia, Other
Category: Neurology
Satisfied Customers: 38,168
38,168 Satisfied Customers
Experience: Regularly deal with musculoskeletal neurology, spinal issues, bowel and bladder dysfunctions etc.

drphophalia 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)

3,731 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've had a bad headache that has lasted 4 days so far and
I've had a bad headache that has lasted 4 days so far and the doctors I've been to do not know why and do nothing to help. What do I do ? My temperature has not gone under 100 … read more
Dr. Scott
Dr. Scott
Doctor
1,120 satisfied customers
My TCD showed an increase of flow velocity in the basilar
My TCD showed an increase of flow velocity in the basilar artery. The nurse said this means my artery is narrowed. Is that true?… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
My wife will tell you that she had a construction on the
My wife will tell you that she had a construction on the side of her neck and felt like she couldn't swallow and it recedef in a couple of seconds What does that look like to you… read more
drphophalia
drphophalia
Other
38,168 satisfied customers
My dad had an accident on March 25. He had a brain injury.
Hello, my dad had an accident on March 25. He had a brain injury. On April 2 he had a stroke in right side of his brain. His left side was paralyzed. He is able to walk now. His left hand is taking a … read more
Dr.Sawhney
Dr.Sawhney
Post-Doctoral Degree
6,502 satisfied customers
Just changed from neupro 6mg to mirapex 0.25. Neupro was
Just changed from neupro 6mg to mirapex 0.25. Neupro was great but sudden bouts of sleep while driving. The change has my RLS going crazy . Is there protocol in switching medications … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,777 satisfied customers
Plantar fasha. My heal hurts to walk, it seemed to have
my heal hurts to walk, it seemed to have started after a hard run on the treadmill, i am 62 … read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
4,125 satisfied customers
22 years ago I was rear-ended in an auto accident. It took
22 years ago I was rear-ended in an auto accident. It took years, but eventually I was diagnosed with a seizure disorder. I've been on anti-seizure meds for 10+ years, and except for one occasion, hav… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
For the past 5 weeks, I have had a Keppra level ranging from
For the past 5 weeks, I have had a Keppra level ranging from 68.2 - 63.8. And I've been hospitalized (via EMS) twice for (1) breakthrough seizures and (2) status epilepticus x 5+ hours. As instructed … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,196 satisfied customers
I have been having leg pain for years (to what I thought was
I have been having leg pain for years (to what I thought was restless leg syndrome) then I was told by my family doctor that it could be neuropathy due to some xrays of my back. I was taking gabapenti… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,196 satisfied customers
For about 2 months I've been experiencing this strange cough
For about 2 months I've been experiencing this strange cough sensation off and on. It feels like pressure under my adams apple, and I get a cough reflex when I exhale. It almost feels like the cough t… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
4,125 satisfied customers
I have had strokes in the following areas. Which ones are
I have had strokes in the following areas. Which ones are supplied by the left posterior cerebral artery, and which are supplied by other arteries?Brainstem: left cerebral peduncle and pons Cerebrum: … read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
What mean ischemic disease? So far no, I got an RMI of my
so far no, I got an RMI of my brain.Having a appointment next week with a neurologist … read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
A few weeks ago I smoked a fairly excessive amount of. It
A few weeks ago I smoked a fairly excessive amount of weed. It was my first time and I overdid it and gave myself a nasty panic attack. I was better by the next day, but still had residual effects whi… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I am a 37 year old male who has been having muscle twitching
HelloI am a 37 year old male who has been having muscle twitching for over a year. It has been widespread. I had an EMG done of my right arm last May. It was all clear from what the doctor said. I, ho… read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
821 satisfied customers
I've experienced dizziness, blurred vision and double vision
I've experienced dizziness, blurred vision and double vision for four days. … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,196 satisfied customers
I used to be super outgoing, funny, very talkative, and very
I used to be super outgoing, funny, very talkative, and very happy but now I am constantly mind blank and never know what to talk about with people, friends, and family. I almost feel completely dumb … read more
Dr. Nina Lim
Dr. Nina Lim
Doctor of Medicine
473 satisfied customers
My husband is currently on short term disability due to
My husband is currently on short term disability due to slight carpal tunnel in his wrist. His primary doctor signed the forms to go on disability while in the process to determine surgery. He has vis… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
My right hip is always inflamed. I injured my hip joint two
My right hip is always inflamed. I injured my hip joint two years ago training and the pain and inflammation never goes away. I am a massage therapist and I have tried every method I know to heal but … read more
Connie Pennington
Connie Pennington
Colon & Rectal Surgeon
318 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