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Undiagnosed Symptoms (Expert Forum)
ALS,Lyme,Mercury Toxity,Psychological
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Undiagnosed Symptoms forum are answered by Dr. Kevin Pho. Topics covered include , breathing difficulties, feeling cold, cough, diarrhea, dizziness, fainting, fever, indigestion, itching, nausea, numbness, pain (chronic), paralysis, rash, sweating, swelling, urination problems, and vomiting.
ALS,Lyme,Mercury Toxity,Psychological
by Achilles84, Aug 11, 2009 12:20PM
Hi there,
hope you can help me with an objective opinion:
please read my full story here:
http://www.medhelp.org/posts/Undiagnosed-Symptoms/ALS-Lyme-Mental-Problem/show/1021155?personal_page_id=643241&;post_id=post_4755443
thx for your time
hope you can help me with an objective opinion:
please read my full story here:
http://www.medhelp.org/posts/Undiagnosed-Symptoms/ALS-Lyme-Mental-Problem/show/1021155?personal_page_id=643241&;post_id=post_4755443
thx for your time
Doctor's Answer
by Kevin Pho, MD, Aug 12, 2009 07:07AM
, Aug 12, 2009 07:07AM
You clearly have had a comprehensive workup including multiple neurological consultations. It is unlikely that I can add anything new over the internet, especially without examining you.
Safe to say, if you have seen that many neurologists, the chance of a neurologic disease becomes less likely. I'm sure this has already been performed or considered, but an MRI of the brain should be done if not already.
Looking outside the neurologic system, you can consider metabolic disease like thyroid disease, which can cause some of the symptoms you describe. B12 deficiency can also cause balance issues as well.
A Holter monitor or cardiac event monitor can evaluate for heart rhythm disturbances. And if the tests all return negative, then you can focus on psychiatric conditions, like anxiety.
Regarding Lyme, the blood test should exclude the disease. If there is still question regarding this, repeating the test can be considered.
These options should be discussed with your personal physician.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin Pho, M.D.
KevinMD.com
Twitter.com/kevinmd
Safe to say, if you have seen that many neurologists, the chance of a neurologic disease becomes less likely. I'm sure this has already been performed or considered, but an MRI of the brain should be done if not already.
Looking outside the neurologic system, you can consider metabolic disease like thyroid disease, which can cause some of the symptoms you describe. B12 deficiency can also cause balance issues as well.
A Holter monitor or cardiac event monitor can evaluate for heart rhythm disturbances. And if the tests all return negative, then you can focus on psychiatric conditions, like anxiety.
Regarding Lyme, the blood test should exclude the disease. If there is still question regarding this, repeating the test can be considered.
These options should be discussed with your personal physician.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin Pho, M.D.
KevinMD.com
Twitter.com/kevinmd
