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Old 07-07-2009, 10:28 PM   #1 (permalink)
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Default Do I have ALS/MND?

I have been reading this forum for about two months now and am so impressed by the support and information provided by the members. I am hoping to learn more and share my own experiences now as a member. I aoplogize in advance of for the long post but it is my first time on the forum and I want to provide some background before asking questions.

19 months ago (December 2007) I experienced acute symptoms of blurry vision, fatigue, pins/needles on head/hands/feet, headaches, brain fog, and ear ringing. The vision improved, on its own, within a month. The pins/needles and headaches improved within 2 months. I had negative brain and cervicle MRIs and blood tests galore (all negative). The brain fog, in-and-out fatigue, general vision (ability to always focus) issues persisted. 6 months into not feeling well I had was tested for metals by a naturopath and urine showed elevated levels of mercury. I chelated for 2 months and my mercury was lowered almost to normal. Blood tests also showed I had a high ANA Titer which shows that I may have an autoimmune disease. After countless blood tests I have reynaulds and may end up having limited scleroderma but at this point I do not.

In Februaury 2009 I suddenly experienced extreme stiffness/pain in my hands. X-rays, sedimentation rate, etc. showed no inflammation or arthritis. The pain went away after a few weeks. In March 2009 I experienced hip pain which limited the ability to walk or stand for very long. My hips have improved but are still sore and I have problems standing or walking for very long without pain.

In April 2009 I started to experience muscle pain/subjective weakness bi-laterally in feet, hands, ankles, lower arms, and shoulders shoulders. Within in a couple of days the pain/ weakness appears to be mostly on my right side (foot, calf, arm, hand). My right foot, ankle, hand feels stiff/tight and it is painful to grip anything for more than a couple of minutes. By the end of April fasiculations started in my right foot and has now moved into right arm, right calf, left foot, left calf, chin, and hands. I also get occasional sharp pains in limbs and it hurts to smile/laugh do to mild jaw pain. I had a clean EMG and NCV test one month after feeling the fasiculations. I am told that I have no clinical weakness, although I feel much weaker than usual. The Neuros and Rheumatologist have no explanation have thought it may be a neuropathy, glycogen storage disease, or perhaps a very early sign of a MND. I have poured over the internet and have seen countless doctors. My symptoms seem to be getting worse and progressing quickly over the past three months.

1. Does anybody know if you can have an EMG and/or NCV test too early? Was your first EMG/NCV test clean and then show problems later?

2. Did anybody have an autoimmune disease prior to being diagnosed with a MND/ALS?

3. Do people with a MND/ALS typically have brain lesions?

4. I understand that myopathies and neuropathies typically do not occur with fasiculations. I have been told by a Neuro that I likely do not have benign fasiculation syndrome because I have muscle pain and other symptoms. What else can be associated with fasiculations?

5. I am incredibly scared and concerned that all of the docs do not know what to do nor have they suggested further tests (e.g. spinal tap, glycogen storage disease tests, etc.). Has anybody else had similar symptoms that progressed into a MND/ALS or soemthing else?

Thank you very much for any response.
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Old 07-07-2009, 11:05 PM   #2 (permalink)
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I can't answer most of your questions but your symptoms point away from ALS. Think you should be asking a good neuro these questions. I know we're cheaper but that's because we didn't go to medical school. If you're worried about ALS and I wouldn't be, ask for a referral to a clinic. Maybe you'll get answers you believe.

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Old 07-07-2009, 11:06 PM   #3 (permalink)
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Hi Markpnw-

Have you had any test to rule out MS? Those sound like MS or (maybe?) CIDP symptoms to me, but I am definately no Dr. Lots of automiinue disorders and neuro disorders are very hard to figure out. My advice is to Hang in there and keep pursuing a diagnosis, getting mroe referrals is you need to. now is the time to be your OWN best advocate!!

Keep us posted and thanks for sharing. There are many friendly people on this forum with lots of different ( i said different- NOT weird!) ideas and is definately a good place to get feedback.

Best of luck

Love,
Cindy

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Old 07-07-2009, 11:53 PM   #4 (permalink)
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Hi Al and Sdsyd,

Thank you for your responses. I will look into what SDsyd suggests and keep you posted. Not looking for just answers but rather the correct ones I have yet to get any explanation for these muscle pains/weakness. Keep you posted and stay well.

By the way, I have been gluten free for 5 weeks (very hard to do this) and if this helps at all.
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Old 07-08-2009, 12:00 AM   #5 (permalink)
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I tried gluten free when I was first diagnosed. My ALS doctor ask me why I was putting myself through that ... It will have not effect on your ALS

WooHoo .. food once again flowed into the pie hole
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Old 07-08-2009, 12:26 AM   #6 (permalink)
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Hi GlenBrittle,

I am so sorry to hear of your ALS and indeed agree that it is tough to be gluten free. I am going to give it a shot to see if it help symptoms at all.

I send you my positive thoughts and will well wishes.

--Mark
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Old 07-08-2009, 06:48 AM   #7 (permalink)
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Thanks Mark, back at you !

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Old 07-08-2009, 11:25 AM   #8 (permalink)
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A lot of your symptoms line up with MS and there are some forms of MS that elude detection in the MRI.

I hope you find answers soon but in the meantime, sensory issues such as numbness, pins and needle sensations and such are not typical of motor nueron diseases.

Take heart!

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Old 07-08-2009, 04:20 PM   #9 (permalink)
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hi there!

i had issues like these a few years ago and guess what.. it was aspartarme related since i used a lot of sugar free stuff... give it a try!
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ability, als, autoimmune, clinical, early, emg, fatigue, mercury, mnd, muscle, pain, scleroderma, stiffness, support, symptoms, tests, vision, weakness


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