Doctors Lounge - Neurology Answers
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Forum Name: Neurology Topics
|TigerShot - Sun Aug 02, 2009 3:13 am||
I'm a 23 year old male and my problems started after I burnt myself out after an extremely stressful Fall 2006 college semester. My internal medicine doctor couldn't figure out what was wrong with me. He made no diagnoses, but he thought that I could have chronic fatigue syndrome or depression. I took 5 mg of Celexa, but no effect. He also told me acid reflux could cause my problems. I took Prilosec, but no effect. Finally, I consulted with a nutritionist online who told me I had 2nd stage adrenal fatigue. I was on a nutritional supplement plan of liposomal vitamin C, pantethine, and a vitamin C with a proprietary blend. After 1 month, many of my symptoms went away but haven't seen any improvements ever since. The symptoms I experience now are fatigue, perceived muscle weakness and stiffness, slight "shaking" when under mental or physical pressure, moderate dry mouth/thirst, increased hearing sensitivity, and difficulty going to back to sleep after waking up. I went to a chiropractor recently who told me that I would need 10 treatments, but after the 3rd one and not seeing any improvements, he recommended I see a neurologist and obtain a MRI test. I did see a neurologist some time in 2008, but I don't think he did enough tests on me. The last test he was about to do on me was one which wires would be attached to my fingers, but I'm afraid I can't remember the name of the test. I told him my tingling was little better that day so he didn't do the test and told me to come back if my symptoms didn't get better, but I didn't come back. My question is would you recommend me seeing a neurologist or getting a MRI test? Would you have any ideas of what I may be going through and if it could be a neurological problem?
|Tom Plamondon PA-C - Wed Oct 28, 2009 9:43 pm||
Collectively, your symptoms remind me of major depression but you should also rule out diabetes and connective tissue disorder (Sjogrens) - some simple blood work should suffice for screening.
If you are at high risk, also check for HIV infection.
Your family physician can do a basic neurological screening including an exam exam, cranial nerves, peripheral nervous system exam (e.g. deep tendon reflexes, sensation and muscle testing).
Cortisol levels for adrenal fatigue may/may not be helpful due to the inconsistent plasma concentrations throughout the day.
MRI of the head may be in order especially if there are tremors, cognitive deficits and any of the above neurological system tests are positive.
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