Hi.
I am an 18-yr old male and I have recently been experiencing some unusual symptoms. I went to my primary care physician about a week and a half ago because of headache, dizziness, lightheadedness, and eye-twitching. I had never had such a combo of symptoms, so I assumed the worst, of course, something neurological maybe (especially because my mother passed away from brain cancer two years ago). However, all tests appeared fine: EKG, normal; blood work, normal (aside from slightly high potassium, but was retested in another lab and everything was perfectly fine); and MRI without contrast, normal EXCEPT for inflamed sinuses. Doctor diagnosed sinusitis and put me on 10-day regimen of Augmentin (I am due to finish this weekend). The lightheadedness has improved and is almost completely gone, but I still do not feel right and other symptoms remain.
My biggest problem right now is extreme fatigue. I seem always to be tired, and I have been getting plenty of rest, usually at least nine hours a night. The other day I had a 10-hr night of sleep, woke up, and three hours later, was extremely drowsy again. Took a three hour nap and still felt so lethargic. Oddly it seems to improve at night, but I have hypothesized it might be because that’s when I’m “supposed” to feel tired so I don’t notice it as much. I mention this because I have read many articles about how chronic fatigue and sinusitis have recently been linked, and that it is believed by many physicians now that fatigue may be one of the best indicators of a sinus issue. I have no problem believing this, and all my symptoms seem to fit sinusitis: headache (always on the right side of my head), dizziness, even the eye twitching because of nerves which run through/near the sinuses and which, if irritated, can cause muscle spasms. The headaches haven’t been too bad lately, but when I have them, I almost feel like they may be originating from the right side of my neck and radiating towards my right temple near my ear (I had an ear infection a couple of months ago, put on z-pac, don’t know if it ever went away). I find myself cracking my neck a lot, and also cracking/popping my jaw to alleviate some pain (which is more annoying than excruciating). Also, and this has been happening for a long time so I don’t know if it’s connected, I have been having lots of random muscle twitching in basically any and every part of my body. I’m actually not too concerned about this because I understand benign muscle twitching is quite common, and plus it seems to get worse or become more noticeable if I think about it deliberately (may be related to anxiety?) However, it’s hard to put my finger on it, but I still don’t feel right. Sometimes it feels that my whole body is vibrating, though I am not visibly trembling. Often my brain feels like it’s shaking inside my skull, odd as it sounds, and I feel like my head is pounding, as if I am suddenly VERY aware of the blood pumping through my head. This is usually the worst when I am relaxing or about to sleep. Sometimes I wake up suddenly and feel like my body is trembling but it’s not. It’s quite scary, not painful, just disconcerting. In addition, and I don’t know if this has any relation, but for the past 2 weeks I have been having very loose stool, sometimes diarrhea, 4-5 times a day. My appetite is maybe a little less than usual, but still pretty good, and I have been staying very hydrated. (Could the loose stool be in response to antibiotics/ anxiety over my symptoms?)
Oh, and about two weeks ago, I noticed I kept smelling this sort of grape scent, but it seems to have gone away oddly, and now my nose trouble is a constant stuffed feeling, almost like extremely narrow nasal passages and difficulty smelling things.
Basically, it seems that my symptoms could very easily be due to CHRONIC sinusitis, especially considering my past (allergies since I was very young, always have had a kind of “clogged” nose but never thought it was abnormal). However, if this is true, I fear that the antiobiotics may be doing nothing because of the scarce blood supply to the sinuses, AND because it may be fungal or viral. I am strongly considering seeing an ENT, but I also still have fears that it may be neurological, and all sorts of crazy thoughts have gone through my mind: MS, fibromyalgia, chronic fatigue syndrome, brain infection (can that spread from sinuses?), a missed growth?? Could it even be Chiari malformation? (nothing said after MRI examination but could they have missed it?) I just am very stressed about this, slightly paranoid, especially because I move into college in a couple days and do not want to deal with all these symptoms (in fact my doctor suggested a lot of my symptoms may be in response to the difficult transition and anxiety about college, but I don’t know, these symptoms are very real to me). Is this all psychological, partially, or completely physiological? I would appreciate ANY advice you can give. I just want to feel like me again! Thanks!
(just a random thought, can a growth spurt cause one to feel out of whack like this? Because I just recently grew more, as in while I have been feeling this way, and I haven’t grown in over a year)