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pager27

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Hello!

My name is Ray. I am having some serious symptoms and have been terrified that they could be ALS. I have twitching in my foot, which started a few months back and has gotten worse over time. Now this twitching is fairly constant, even upon awakening in the morning. Within the last couple of weeks, this twitch has also appeared on my calf and shoulder; all on the left side. I have been clumbsy and without good balance. My foot/ankle feels weak; the affected foot that is. It swells up a lot on certain days as well. My left hand has a tremor and my ring and middle fingers on that side are pretty disaligned. I even get twitches in the abdomen and in my head. Sometimes I feel like my whole body is shaking and nobody can appreciate it because it is internal, meaning not visible. I urinate a lot, have been suffering from nasal congestion that is seemingly unclearable and stuck behind my nose, if that makes any sense. My saliva gets very slimey and my tongue feels heavy. This is not all the time. I also get a sensation of my throat closing up at night. I can walk on my heals and my toes but my balance is not great when doing so. I also feel much weaker on the left foot than the right when attempting this. However, I do no have any signs of foot drop. I've noticed that I have bit my tongue a few times within the last couple of weeks. My left leg and left shoulder also feel extremely stiff. I have hand pain which occurs intermittently. I have been experiencing a drooling sensation and keep wiping my lip, only to find that nothing is there. I get pins and needles in my hands and feet and experience an occasional warm sensation in my left hand. These pins and needles are not the normal kind that go away in 30 seconds or so after a quick shake-off. They last for sometimes up to ten minutes. I have had memory loss, cognitive dysfunction, depression, extreme anxiety and outright sadness. I am 31 years old and am an Honors College Student with big plans. I have had a troubled past and have been trying very hard to redeem myself over the last few years and have been met with an extreme up-hill battle, with respect to my health. By the way, I also have respiratory problems and am on two different inhalers as well as an oral medicine for it. Over the last few years I have had many health problems, but none really pointed to ALS. They were pretty much all over the place. I've had Edema of the feet, pins and needles, shortness of breath, constipation and or diarrhea, blurred vision, excessive urination, fatigue, facial numbness, painful neck stiffness, uncontrollable shaking, cold sweats, constant throat clearing/congestion, Gerd or Erosive Esophogitis, on and off oral thrush, jaw pain, extremely dry hands, especially at night, bitter metalic taste in mouth, random moles popping up, mouth sores , oral blisters and white patches, blackened tongue; which lasted about a month, palpitations, distended abdominal area, elevated triglycerides and more. Now the last symptoms are all over the place and have lasted a few years. I do not assume they are all ALS related. The symptoms I mentioned earlier have been leading me to believe I might have something very serious on my hands. I have been to the Gastro, Cardiologist, Opthamologist, Urologist, Neurologist, ENT, Infectious Disease specialist, many primary physician visits, hospital visits, sonograms, XRays, Cat-Scans, MRI's, Blood Work, etc… Most recently the Neuro did a brain as well as upper and lower spine MRI and and EMG/NCS. We also did a Lumbar Puncture and it has been three weeks with no results. The EMG/NCS was upper and lower and found carpal tunnel in both my left and right hands. The bottom half of my body was fine; however, since then, my symptoms have grown worse. This was a couple of months ago. The lower spine MRI was unremarkable and the upper spine MRI showed minor degeneration, I believe. The brain had something going on with my frontal lobe but nothing remarkable. They want to follow up in a year for that. We did an MRI on the knee and they found a popliteal cyst and a sprain I believe which makes no sense b/c I did not injure that knee. This knee is the affected leg, by the way. Anyway, between the twitching, the foot weakness, the leg and shoulder stiffness, the tremors, drooling sensation, breathing problems, pins and needles, cognitive difficulties, warping of the fingers, hand pain, clumsiness and balance problems, I am terrified where this might be going. I have also considered parkinsons, Lyme and MS, which would obviously be preferable to ALS. Not that anybody would want any of them. I am just so terrified and don't know what to do. I really need help. I have even made an apt. to see a pyschiatrist. I am distraught. I am just completely devasted and want so much to feel better. I would give anything for it. Please help me. Also, please do not get angry with me. I see that many times people who have a disease on these forums get angry at inquiring members. I don't mean to insult anyone and although I do have extreme anxiety, I do not believe it to be the cause of my symptoms. I believe that my symptoms are more likely to be the cause of my anxiety. I mean nobody harm and do not wish to insult anyone, but as you can see, this is just too much to handle for a 31 year old. I should be healthy right now. Every doctor looks and says that every time. I get so upset because these symptoms are not a choice. I just want to cry, but I can't. I feel stuck in a body that I have no control over and I am terrified. Please Please Please, HELP ME!
 
>My name is Ray. I am having some serious symptoms and have been terrified that they could be ALS.

Hi, Ray -- Please read the stickies for this sub-forum as they may help you. Next, amidst all of your symptoms, seeing a shrink is a good idea as anxiety can amplify symptoms and worry. Also a physical support group can help.

Kind regards,

Max
 
Hi Max,

Thank you for your post. Are you suggesting anxiety as the cause? Also, by stickies, do you mean the links under the tags section? I have done a lot of research on this and have read a lot. At this point, I am looking to hear from people as opposed to reading. I don't know how much more comfort I can extract from literature. I am scared and need some answers. It's been a long journey and I am just so down.

Thank you for your post :)
 
>At this point, I am looking to hear from people as opposed to reading.

go to the root of the DIHALS forum -- the stickies are at the top written by folks answering the questions you are asking ...
 
Pager27, you wrote, ("I really need help. I have even made an apt. to see a psychiatrist.") Bingo! Why did you start two Threads with different titles 25 minutes apart? Maybe severe insecurity is another one of your 25+ symptoms. Keep that Psychiatrist appointment for sure.
 
Another member told me to post elsewhere. Thats why! I'm not here to be spoken down to. I specifically asked that nobody treat me that way. An experienced member told me to post in the Do I Have ALS section. He said that is where people are answering questions like mine. You shouldn't be so presumptuous. It's not fair to people who are afraid.
 
By the way, I am not sure what I am doing. I have never participated in a forum like this.
 
>By the way, I am not sure what I am doing. I have never participated in a forum like this

best way to start is to read the threads here -- it will get you a lot of info and some answers. also it can help you to understand how to participate :) ...
 
Reading through all your symptoms, I fthink that many of them, if not all, could be attributed to stress and/or depression. Long-term stress can completely wreck your body, and it is very good that you have booked an appointment with a psychiatrist.

I am no doctor, but I would also recommend getting a test for Lyme, since it is known to produce multi-systemic symptoms. However, if you have been to all of the medical professionals you say in your post, one would think they would have checked for that.
 
Kosmoskatten,

Thank you for your reply. Yes I have been checked for Lyme. The first time, I had two reactive bands, which I soon learned was not enough to definitively diagnose Lyme. It was however, enough for them to treat me with oral antibiotics, which I took for about a month and a half. The literature that I have read on Lyme suggests a huge controversy with the CDC and accurate diagnosis. I also understand that with late stage Lyme, oral antibiotics are not enough. I would have needed intravenous picc line treatment. Because I only had 2 reactive antigens, I was denied that treatment according to exacting diagnostic criteria imposed by CDC. I actually did a ten page research paper on Lyme for a college report. I figured I would kill the proverbial two birds with one stone. I realize when you are unhealthy that you must become your own advocate. This is precisely why I gave Lyme it's due dilligence, so to speak. I've also learned that the longer Lyme is in your system, the less antibodies your body will make to fight the disease. This of course leads to a negative diagnosis due to the fact that the acitve bacterium for Lyme is not directly sought out, but rather, the antigens your body makes to fight the disease. In laymens terms, this means, the longer you have it, the less chance there is that laboratory results will reveal it. It's a depressing and never ending cycle. For a long while, I was convinced that my symptoms were systemic in nature. Because they are so random and out of whack, it seemed to be the only logical explanation. However, I am now experiencing neurologically specific systems and am quite nervous. I don't know what is going on and I know that my symptoms are scattered and ridicuouls. If I heard somebody blabbering about all of these random symptoms and no definitive diagnosis, I too would be skeptical and have various questions regarding their mental health. I am not crazy. I am stressed and have anxiety, but my anxiety is primarily due to my symptoms. If I could get some answers and some medical treatment, I feel confident that I could resume a normal, healthy, anxiety free lifestyle. Until then, it's a praying and waiting game.

-Ray
 
Pager27, maybe oversensitivity is another issue you are dealing with also because you- yourself wrote that you have made an appointment to see a psychiatrist which I only pointed out. Then you wrote, ("I'm not here to be spoken down to. I specifically asked that nobody treat me that way.") This is a Forum... you don't start an extremely long Thread with countless symptoms then DEFINE the replies you wish to hear.

Like the old saying, "Sometimes the truth hurts." And some... take it offensively. Again, this is a Forum and you may not like all the replies you get... be prepared.
 
I see, do you know if your IgM or your IgG had two active bands? I am from Sweden, and here testing for Lyme might be a bit different. So I might not be familiar with the course of testing in the US. But did you have a spinal tap to get this information or was it through another method, e.g western blot or similar?

Due to your lifestyle ( high performer, pressure prone etc ) and high anxiety level I would myself really put my bets on the psychiatrist, but ofc it is important to rule out Lyme or other infections.
 
“Anyway, between the twitching, the foot weakness, the leg and shoulder stiffness, the tremors, drooling sensation, breathing problems, pins and needles, cognitive difficulties, warping of the fingers, hand pain, clumsiness and balance problems, I am terrified where this might be going.”

Twitching—can be caused by too much caffeine, anxiety, fatigue… it is non diagnostic.

“My foot/ankle feels weak…” This is perceived weakness, not clinical weakness. It is not diagnostic.

The leg and shoulder stiffness—could be anything, not a primary symptom in ALS.

The tremors—could be anything, not a primary symptom in ALS.

Drooling sensation—sensory; ALS involves the motor nerves, not the sensory nerves.

Breathing problems—incredibly rare for ALS to start with breathing.

Pins and needles—sensory; ALS involves the motor nerves, not the sensory nerves.

Cognitive difficulties—not where ALS usually starts.

Warping of the fingers—you admit EMG indicated carpal tunnel syndrome.

Hand pain—sensory; ALS involves the motor nerves, not the sensory nerves.

Clumsiness and balance problems—could be a sensory problem sending info to the brain, or it could be dozens of other things, including meds you are taking, but this does not point to ALS

“I get so upset… I just want to cry… I am terrified.” It sounds to me like you have worked yourself up so high that your anxiety is throwing off symptoms as fast as it can. Anxiety-driven symptoms make a diagnosis of real problems extremely difficult. Calm down. Nothing you’ve said here makes me think it’s ALS. See the psychiatrist. Get you anxiety under control. Yes, everything you have said—except the EMG results—could be caused by anxiety. You need to get that under control first.
 
Al,

Your reply was counter-productive. You basically called me out, accusing me of being insecure by posting this thread twice. I only did that under the advice of another member. I'm new to this and am not sure what I'm doing. I followed his guidance and you made me feel like crap for it.

Would you disagree that your post was a bit condescending and argumentative in nature? I just want advice, bud. I don't want trouble. If you don't have anything nice to say to me, I respectfully ask that you don't reply. I truly mean respectfully, too! I am not here to fight. I sincerely want ALS advice and nothing more.

I really am asking you, please don't reply if you feel that I am wasting your time or if you have no further advice to offer other than to insinuate that my problems are psychosomatic. I want somebody who can relate. And truth be told, I am sensitive and you did hurt my feelings. Is that a crime or indicative of a mental health issue? My sensitivity levels should not be on trial here. That is an emotion, not a diagnosis.

I really am seeking help, Al. If you can't offer it, I understand and appreciate your prior participation. Thank you and God bless.

-Ray
 
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