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2190999 tn?1504988891

Undiagnosed

Hello,

I need a little help figuring out some really strange symptoms that have bothered me for several months now. I started with hand tingling, which has now spread to my arms, legs, tongue and head. At this point I have full body head to toe  tingles continuously, with varying degrees of sensations. Along with the tingles, I have had bugs or worms crawling on me sensations that literally kept me awake at night.

In March, I completely lost my appetite for three weeks, and at the same time had a golfball sized lump feeling in my throat. It was a little hard to swallow. After losing 15 pounds in three weeks (Bonus!), my appetite came back, the lump went away, and then I noticed when I swallowed I could only feel one side of my throat muscles.

Then I had an electric shock I described as an intense and forceful, buzzing electrical shock that ran from the crown of  my head down to my tailbone. I noticed my ears were ringing more often, I kept looking for new reading glasses, and had a few new muscle jerks in my arms and legs.

Several weeks ago, I nearly passed out three times at home and once at yoga class within a 2 week period. At that yoga class I noticed when we were lying flat on our mats on the floor, I was leaning far to the left and could't use the top of my left leg muscles to push myself back to centered. It was an eerie feeling and I thought stroke ? And of ignored it and moved on (life is so busy).

The muscle jerking is uncomfortable and inconvient at this point and seems to happen when I am about to do something. If I am working and about to move my mouse, my arm may jerk uncontrollably.

Everything seemed to escalate to a point in June. My left leg seemed to be weaker and my left foot didnt want to pick up like usual. I actually tripped and fell flat on my stomach while running. Then, my left knee didnt want to lock. My lightheadedness went from occasionally to continuously and the ringing in my ears is conituous as well. I am asking my kids to look at me when they talk to me. I kept having to hold onto things around my home because of dizziness and lightheadedness when I turned too quickly, and had to keep side-stepping to keep from falling over while I was bumping into doorways.

For seveal months I felt as though I were standing on a buzzing wire that was so uncomfortable that I dropped between 15-20 lbs int he month of May without trying. And yes I know that's not healthy weight loss. Now, however, it is either going away or I'm getting used to it.

And finally, after a hot shower several weeks ago, I literally could not walk for about 30 mintues until my left leg would work again and my right leg cramps went away. This was the culmination of several months of all of these symptoms which have all but completely subsided at this point. Now I have that constant ear ringing, prickly tingling, episodes of lightheadedness and a light buzzing on my insides. Still no appetite and still down an easy 20 lbs from May.

My PCP ordered an MRI of the head which was negative. Now I am waiting to see the Neurologist but still don't have an appoinment scheduled as they are supposed to call me.

Thanks, 
Marell
52 Responses
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1763947 tn?1334055319
It is hard for someone not medically trained to give you an answer because it good mean many things. It could fit Lyme and the co-infection bartonella. I think the ringing in the ears I had in the past but have all the other symptoms now. It may be worth going to find a Lyme literate doctor, what we call LLMD which you could find one going to ILADS.org and finding one near where you live. I was misdiagnosed with MS, Lupas and a whole variety of ailments before finding out it was Lyme . Yours may not be so if I were you, knowing what most of us go through, I would find an LLMD and let him lead you and by the way, I never had the circular rash that most people say they get with a tick bite. Go to the neurologist and get copies of all your tests, even the MRI and then go to an LLMD. I had a clean brain MRI and several months later they saw lesions on the brain.
Good luck to you let us know what happens!
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2190999 tn?1504988891
Thanks mojogal. I am definitely considering Lyme which is why I have posted here. I will look up the bartonella, haven't heard of that one before. Most of my symptoms have gone or are just very toned down from what they were. Is it typical for Lyme to flare? Or are symptoms usually steady? And what made your doctor rescan your brain only several months later? You mentioned lesions, does Lyme create lesions similar to MS?
Thanks,
Marell
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Avatar universal
Welcome -- you are going through a lot!  

I agree with the suggestion to find an LLMD.  There is a split in the medical community about how serious Lyme is, how widespread it is, how to diagnose it, and how to treat it .... pretty much every aspect you can think of.

The most logical group of docs who should treat Lyme are neurologists and infectious disease specialists (since Lyme is a bacterial infection), but sadly these two groups are following diagnostic and treatment procedures set up decade ago when little was known about the special quirks of Lyme.

When Lyme is considered rare and easy to cure, docs don't pay much attention to it -- and especially they don't tend to consider other diseases often carried by the same ticks that need different diagnosis and treatment (called generically 'co-infections').

It is very typical for Lyme to come in waves, or flares, often seasonally (worse in the spring and summer in some of us).

MRIs may show fuzzy spots that could be Lyme, but could be MS, and docs who don't "believe" in Lyme will assume it's MS and not even consider Lyme.  MRI is not therefore useful in differentiating Lyme from MS, and if you have a doc who doesn't believe in Lyme, then the doc may default to a diagnosis of MS.  So, yes, Lyme can create 'lesions' in the brain that look similar on MRI to MS lesions.  But that is not a reason to assume you have MS.

There is another test that Lyme docs use, called a SPECT scan, which instead of indistinct fuzzy spots that could be MS or could be Lyme, instead shows areas of low blood flow in the brain, which does not occur in MS but can occur in Lyme, because Lyme can cause brain swelling.  Swelling means constriction of blood vessels, which then means low blood flow.

A Lyme doc will know from taking your history and asking about your symptoms what tests to order for the different co-infections that often (maybe 50% of the time) come from the "Lyme" ticks.  Bartonella is one, babesiosis and ehrlichiosis are others, and maybe a couple more.  

Lyme won't go away by itself, though it may go underground and not make you feel miserable.  Lyme is a spiral-shaped bacterium in the same family as the bacteria that cause syphilis.  Syphilis, until antibiotics were discovered less than 100 years ago, was a terrible disease that could lead to dementia and death.  Some people live with a low level of these diseases for a long time, but others are strongly affected, perhaps due to genetic differences in each of us and to our own immune system efficiency and effectiveness.

In other words, Lyme is to be taken seriously, and unfortunately much of mainstream medicine is not up to speed on current diagnostic and treatment approaches.  That's why finding a Lyme specialist is critical.
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1763947 tn?1334055319
Lyme is known to recycle its symptoms. Before treatment mine did every 4-6 weeks like clock work. Now it's more scattered.
The doctor did anther MRI because I could hardly walk, had big time memory and vision problems. Unless the radiologist knows Lyme, he will think its MS that is why the LLMD has to read it. I also had muscle weakness, I couldn't open the fridge. I was living in another state at the time and saw several doctors, it wasn't until I moved to Fl that I found an LLMD.
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Avatar universal
My Lyme mimiced MS, and I also have heat sensitivity, light sensitivity, tinnitus, sore ribs, tachycardia, and lots of GI problems.  I had flare ups or attacks of symptoms every 6-11 months for nearly 5 years.  In between I would recover.  I was thinking I had mono flare ups, because that is the closest thing I could compare it to.  (I had a bad case of mono several yeays earlier.). Now I know that Lyme suppresses the immune system and allows previously controlled viruses and other opportunistic infections to flare up also, complicating symptoms.  I also have Bartonella, which is common when Lyme symptoms are predominantly neuro or gastro.

You'll want a Western Blot test.  The blood screening test is way to unreliable. Even a Western Blot can be false negative, so you need to see the "bands" in your results, or you need to get tested at IGeneX, a specialty lab that does a better job of testing for tick borne diseases.

Google "Tom Grier Lyme" for a scientist's explanation on the flaws of Lyme testing.

Also, this document might be helpful for you.  It was for me.
http://www.ilads.org/lyme_disease/B_guidelines_12_17_08.pdf

Keep us posted!
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Avatar universal
Question:  when you say to get a W blot bec. the blood screening test is unreliable, what blood screening test is that?
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Avatar universal
The CDC two tier testing protocol says to run a screening test, either an ELISA or an IFA first.  Then, only if this is positive, run a Western Blot.  ILADS docs say at least 30% or more of their patients are false negative on the screening test. (That was me.)  Some say up to half.

A Western Blot is more useful as it shows actual antibodies present.  A lab that looks for bands beyond the ones the CDC looks for is crucial, as there are several other bands that show evidence of infection that are ignored by the CDC.  A simple CDC negative result by no means excludes Lyme.  But lots of non-IGeneX WB results can be diagnostically useful if they show other bands.

IGeneX does a better job of finding antibodies in the first place, and then reports everything that is relevant.  They show the CDC result, and then also give their own opinion on whether or not the test shows Lyme infection.

IGeneX will only run a screening test along with a WB.

Of course Lyme patients can also test false negative at IGeneX if they are just not creating enough antibodies to show up on a test.  
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Avatar universal
You say above:  "IGeneX does a better job of finding antibodies in the first place, and then reports everything that is relevant.  They show the CDC result, and then also give their own opinion on whether or not the test shows Lyme infection."

Although IgeneX runs the W Blot/ELISA tests if requested (LabCorp also runs these tests), only IgeneX has a PCR (polymerase chain reaction) test which looks for bits of Lyme bacteria DNA and does not rely on the immune system to still be up and producing antibodies, which trail off after a while even tho the infection is still present and active.

That's the advantage of IgeneX -- a completely different kind of test, as I understand it.
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Avatar universal
Since your symptoms look like both Lyme and MS, you might consider pursuing both until you have a definitive answer on either one.  It can take years to get a MS dx, so parallel paths makes sense.  

There are some old posts asking about LLMDs in PA, so you might search for those and message the posters for suggestions of doctors.  ILADS is a good source, but actual patient referrals are gold. (There are some docs out there who say they will treat Lyme who don't know what they are doing.) A local patient support group can also be helpful.  Unless a doctor is very public about treating Lyme, we don't put their names here.  Some practice quietly, as not to be harrassed by doctors who don't agree with them.

Did I already give you this link?  If so, sorry for the duplicate.  It talks about Lyme and coinfections and has a good symptom list.  You can also google a symptom with the word Lyme and see what comes up.  I found that helpful for  my strange symptoms.
http://www.ilads.org/lyme_disease/B_guidelines_12_17_08.pdf
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Avatar universal
Another thought:  are you taking magnesium (Mg) supplements?  Lyme bacteria use up Mg in their rude little reproductive process, and it is easy to become depleted.  Mg helps carry the electrical impulses from cell to cell in our bodies, telling muscle cells (for example) when to contract etc.  

You can take Epsom salt baths, if that is soothing to you, or you can take capsules.  I take capsules and it makes a huge difference in how I feel.  You know how babies get all floppy after a bottle?  Partly it's the full stomach and the warmth of the milk and being held by mom/dad, but also there's Mg in the milk.  It's a naturally soothing mineral.

I take 400mg twice a day, for a daily total of 800 mg.  I had a doc warn me not to take too much, but I was also told that if I got diarrhea, just back off on the dose a bit.  I'm a real lightweight when it come to any med or beer or anything, so if I can do 800 mg/day, probably most people could too.

I read that any kind (not brand) of Mg that ends in "-ate" is most easily absorbed by the body, like citrate, orotate, aspartate, etc.  I tried several varieties along the way, and the one I like best (that is, have the best effect from) is a brand called Magnesium CAO capsules, which has a blend of citrate, aspartate and orotate (C, A and O).  But different people might have different reactions to what works best.

While some Lyme-related pains and aches are probably due to something other than Mg deficiency, you might give it a whirl and see if it helps.  I ran out recently and before the new shipment came from the vitamin depot, I could really feel the difference ... aching and not at my best generally.

Just a thought!

Helpful - 0
2190999 tn?1504988891
What a discussion :). Thank you for responses.
Ricobord- Good suggestion about looking into LLMDs in my area. I like to know what to expect, so that seems like the next logical thing to do. I'll check out the link as well.
JackieCalifornia- I hadn't thought about the magnesium yet but it makes sense. Cardiac patients often take magnesium supplements after surgery to help their hearts electrical rhythm.
Helpful - 0
Avatar universal
I was just about to sign off for the night, and am too sleepy to go back up and re-read to see if this was mentioned or not, but if you follow the two-track method (pursuing Lyme and MS at the same time), be aware that the treatment for MS is steroids, which suppress your immune system, while Lyme is a bacterial infection, which needs your immune system up and fighting.  

It has happened (so people have posted here) that they were misdiagnosed with MS when they really had Lyme, but before that mistake was figured out, they got treated with steroids (a common treatment for MS), which just digs the hole deeper by shutting down your immune system in the face of Lyme (and often other bacterial co-infections.)  

On that cheery note -- good night all!
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2190999 tn?1504988891
I wouldn't have thought about that Jackie, makes perfect sense though.
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1763947 tn?1334055319
My Western blot was a false negative which I hear is pretty common.
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1763947 tn?1334055319
I am the one that goes hysterical if you take steroids and have Lyme and not MS or Lupus as they told me I had. I almost died, woke up on a ventilator from the steroids and was in the hospital for 2 weeks. If a medical professional Lyme friend from another state didn't talk with them, I may not be here. They don't believe in Lyme. Very sad and scary.
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Avatar universal
Egad!  I keep wondering what it's going to take for the Lyme deniers to air out their musty brains.  I'm guessing it's going to have to be a personal tragedy for one of them, someone in their family getting a bad case of Lyme and getting the "approved" [mal]treatment.  Humility in the face of Mother Nature is a rare commodity in the medical profession, it seems.
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Avatar universal
Glad Jackie mentioned steroids!  Do not take steroids or any immune suppressing drug unless you are absolutely convinced you do not have Lyme.  I also had some steroids which put me in the ER and set off a downward spiral of new and worsening symptoms.  It is harder to cure after steroids.

And many with Lyme are deficient in Vit D, B12, and magnesium.  Supplementing all three can ease some of the symptoms.
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2190999 tn?1504988891
I'm on my way to GNC for supplements now. Thanks guys.
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Avatar universal
Hi I suggest your first starting point is to get tested by a lyme literate dr if able and get tested for lyme. Lyme is called the great imitator- many people are being misdiagnosed with parkinsons MS Motor neurone and many other diseases the drs want to fit you into their little boxes. If you know your were definitely bitten by a tick then you are 99.9% there. Get your blood test done and  go from there. Doxycline is the drug of choice for lyme you also need other drugs to treat the co-infections and its various forms - spirochete, L form then cyst form. Be aware this is a very complex disease the sooner you find out the sooner you treat- the longer you've had it the harder to treat- the key to treatment is very slowly- if you treat hard you can have a herxheimer reaction and so it goes- Very sadly it is a very expensive disease not only on therapies but on relationships and you as the patient- Doxy also makes you photophobic and you get very severely sun burnt- it reduces your Vitamin d levels- then when you try to increase your vitamin D you become unwell- Lyme tries to get at you anyway it can- Good luck- we are commencing RHP therapy whereby the blood is cleansed and returned to you-  clean- currently blood is black from the toxins and also thick - so it makes sense to clean- the treatment has been around for many years and also  having  detox therapy- to drive the parasites out - When drugs become a toxic cocktail - livers become enlarged and inflamed and so it goes- when you find yourself taking anywhere to from 20 to 100 tablets a day just to survive you find you have to investigate more and find like we have that this treatment works - it is expensive but is our last attempt at getting our lives back - and it is NOT in Malaysia. Good luck- Have a family member help you as this is an exhaustive illness.
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Avatar universal
I would disagree that doxycycline is necessarily the drug of choice for treating Lyme.

Doxy was the original med used for Lyme, but there are others as or more effective and without the stomach irritation from doxy.

Also, unless the Lyme infection was caught VERY early, doxy is not, to my understanding, as effective as other meds to penetrate the biofilms that Lyme bacteria hide in to evade the immune system.

And the sun sensitiving of doxy makes it not so good, esp in summer.
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Avatar universal
hello,

i attended a lecture sponsored by lymenet.org and the doc from pennsylvania said that the standard 200mg/day dose of doxy tends to drive the bugs into cyst form rather than eradicate it once chronic lyme takes hold.

i was quite discouraged when i heard this news because i took it for 6 months last year and it's the only antibiotic i am not allergic to.  

now i'm working on herbal treatment.  it is a long road.

blessings,
binx
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2190999 tn?1504988891
I picked up magnesium  and vitamin D supplements today. Looking forward to feeling a little better, I'm tired of these prickly tingles, dizziness and numb spots. Regarding the first appointment, what kind of things should I expect to be ordered? I don't want to even think about an LP until I've been tested for lyme. Will I be referred to an LLMD right away?
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Avatar universal
Unless you start with an LLMD, you might find it hard to get a referral to one.  Most mainstream docs don't 'believe' in Lyme, so the usual way we find ourselves at an LLMD's door is by going there directly.

Many (if not most) regular, nonLLMD docs practice very quietly and often alone or in a small group setting with like-minded docs.  NonLLMDs don't want to be accused of committing malpractice by sharing a medical practice with an LLMD.  That's why you find many LLMDs practicing alone or with a very small group of like-minded MDs.

You can go the route of internist/GP, neurologist, infectious disease doc, collecting test results and tenative diagnoses along the way, and if you don't get an answer that satisfies, then see an LLMD.  

Or you can go straight to an LLMD.  

I took the long road, because I had no idea I had Lyme and babesia.  Twenty docs later, I finally got myself to an LLMD.  

It's a different road of each of us, and understanding that LLMDs are pariahs in most of the medical community is important.  Sorry to be a downer ....
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Avatar universal
I stuck with "the system" as long as I could.  I went through 12 doctors.  The last four said Ii didn't have Lyme because I tested negative.  But by that time I was convinced I did.  There was absolutely nothing else that could cause the wide variety of symptoms that I had.  

I went out of network to find one who knew enough about Lyme to tell me if I had it or not..  I have heard in the northeast whre Lyme is more common, there are some doctors in insurance networks who will treat it.   That's where the local referral comes in handy.
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