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20 year old muscle twitching, headaches, anxiety, heart fluttering,etc ...
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20 year old muscle twitching, headaches, anxiety, heart fluttering,etc for 8+ months (Long read)

Hey everyone,

It seems like I have slowly developed an onset of symptoms that I am looking for help with. First off, I am a 20 year old male with a bi-racial background (white/black)

It first started 8 months ago. I noticed one of my quads muscle was twitching. I dismissed it because it would only last a few seconds and go away. Now keep in mind I was probably only getting 4-5 hours of sleep a day so I assumed it was because of that.

Going forward a few months, my symptoms started to increase. I now was getting muscle twitches everywhere (base of neck, arms, legs,chest wall, temple). I went to the doctors numerous time and they dismissed it as stress, benign fasciculations, etc.I was a little stressed at the time because I was working alot and I was a full time student in college.

*I dont drink energy drinks nor do I consume alot of caffeine
Moving on, after these symptoms I started noticing that occasionally my heart would skip a beat. At first it would be every so often but then it moved on to 2-3, even 4 times a day. Some days were worst than others. I started having anxiety attacks and would really start to freak out.

Current day, I am still having muscle twitches. I rarely get heart skips anymore. I went to the neurologist and told her my problem, and she did a physical exam. She said she didnt notice any muscle or nerve weakness and dismissed it as psychological, which I dont really know how to take that. Its hard to not think and worry about something when it happens

Ive also went to the doctors and they've done every single blood test that I can think of  (TSH, CBC, Hemogram, Urine, T3, + others). They also did a chest xray.  All have come back normal. Yesterday I did a Vitamin D, Prolactin, and TSH test, and am waiting to hear the results. However it feels like the symptoms have gotten worse. Yesterday my legs felt like they were twitching non stop. Sometimes its a noticeable twitch where I can see the muscle move in the leg but the majority of the time it felt more like a vibration or a rumbling that you cant see or feel.

What I did fail to mention to my doctor that about 2 years ago I noticed that I had nipple discharged in the left one. It was cloudy and sticky. I went to the doctors and she said she didnt feel any lumps and she scheduled me for an ultra sound (which I have next week)

I also have a hard time sleeping. I take 5mg melatonin to help (which it does). It seems like some nights right as im falling asleep my right hand will have tremors which will wake me up. It only lasts a few seconds so i'm usually able to fall asleep after.

Another thing to mention is that the lymph nodes on the left side of my neck are larger than the right side of my neck (directly under the chin and left side of neck). Im talking 2-3 times as big. I also went to the doctor for those but they said they felt normal (soft, circular, able to be moved).
It seems like the only thing I haven't done test wise is an MRI or an EMG, which I would have thought they would have given me. But has anyone else had any of these symptoms?

Here is a list just in case nobody decided to read that long post:

Muscle twitches everywhere
Muscle rumbling (where you cant feel or see the twitching but its there, really only happens in legs)
Headaches (my headaches are very mild and usually go away with medicine)
Lower back pain (only when i'm standing for long periods of time)
Nipple discharge 1 side
Occasionally mild lightheartedness and dizziness
Fluttering heart (dont really experience this as much anymore)
Right hand tremor right as Im about to go to sleep
Anxiety
Sometimes when I wake up my pinky on my right side will be numb
Tingling right side of face right below the eye but above the mouth (not very often)
I havent had any changes in vision, but it does seem that sometimes if I look away and back at something (while keeping my head the same way) I will see a really small black spot

If anyone has any insight, I'd love to know. Thanks! If you have any questions feel free to let me know also.

Ps: one thing to note is about a month ago, I had strep. After strep I had gotten c. diff, which i'm now on flagyl for. This all happened before this though. Just thought i'd mention it
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Avatar_dr_f_tn
Hi there. I understand your situation,there are certain causes responsible for muscle twitching like diet deficiency, drug overdose, and side effects of diuretics, corticosteroids, estrogens, exercise, benign twitches, and nervous system conditions like amyotrophic lateral sclerosis or ALS, muscle dystrophy, spinal muscular atrophy and myopathy. Your neurologist needs to look into these conditions one by one. The other possible cause could be multiple sclerosis and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI in addition, a spinal tap. Therefore, it would be prudent to consult your neurologist with these concerns. Take care
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Avatar_f_tn
i have no idea what this is, but i just wanted to let you know that someone did take the time to read it, i wish i had an answer for you, best of health :)
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