The "heat intolerance" even in a warm shower sounds quite a bit like Uhthoff's symptom. It can be a symptom in just about any CNS neurologic condition. The only way to really differentiate Lyme;s Disease demyelination from other CNS demyelination (as far as I know) is to have a blood test for Lyme's Titers. If the titers are low, you cross Lyme's off the list. You just need titers not Lyme's Western Blots, Lyme's DNA PCRs. Those are just for active Lyme infections in the blood. They are usually only positive with the active EM skin rash. I think I previously mentioned that the CBC values you posted looked like a possible very early infection with a slight shift to the left. If you didn't have a temp, I think I would have ignored it. If your ESR was Normal, that mean you really don't have any systemic inflammatory process going on, so that kind of down plays Lyme's, but I;d still get a Lyme's antibody titer.
MRI is really the next important test.
Welcome to the forum. While your symptoms could be related to MS, they coould also be related to other conditions. You have enough neurologic symptoms that you should be referred to a Neurologist for evaluation. I think the Neurologist would order an MRI of the brain "just to be safe." The Neurologist would also determine if you had any muscle spasticity, clonus, hyperrefelexia, or other abnormal neurologic signs. Your WBC differential looks like a slight shift to the left (less mature Lymphs and and more immature EOS, BASOs, NEUTs.) That may indicate a early infection like a UTI, etc.
Hope this helps,
Hi Bob and Thank You for your reply.
I will add that I also had a urine test done. It showed protein, bilirubin and high levels of mucus for which she made me retest though that came back normal.
I was in hospital on xmas day for a UTI and Kidney Stones. Then another UTI about June this year. Do you think its possible Kidney Stones are coming back?
I have had tingling in my back near my right kidney. With everything else thats going on I get confused at what is where. LOL
Sorry I forgot to add that I also had RBC in my urine also. It was 0-3.
Im not sure what this means?
That is not many RBCs, it should be none, bit a stone kicking around in the kidney could cause you to spill a few RBCs along with mucus and protein. Bilirubin in urine is usually associated with a blocked common bile duct, liver disease, or hepatitis. If it persists, your PCP might want to follow up an that.
Thanks for your reply. I go for a follow up on the 19th so I will question everything then.
I just found it strange that she didnt talk to me about any of my results considering I have so many things going on.
I will update when I find out more.
Well I thought I would give you an update.
On Wed my head was spinning all day, mixed in with vertigo feelings. In the afternoon I started having chest pains, a stabbing feeling on my right side.
I thought I would just keep aware of it for a while and not worry too much. I went for a shower and after the shower my whole left side went numb. My husband took me to hospital and they checked my heart. The doctor said my heart and blood work were fine. She also gave me the Romberg test which I failed and fell backwards. I also had a CT scan which she said was fine also. She gave me a prescription to have a MRI which was done on Friday.
Then Sat I had the same thing happen when I got out of the shower though not as bad, just a slight pulling feeling.
My husband daughter and I had decided to go walk around some shops for a few hrs, though after about half an hr of walking both legs started to pull down and I was dragging both legs. Once I stopped and was back in AC they were fine, though still tingling a little.
I should have the MRI results today though I had a question for you.
With what you have seen with my blood work and symptoms, do you think its possible it could be lyme disease?
Thanks again. I do have a skin rash though nothing like the classic 'Bull's Eye' that I have seen with Lyme's. I have the white blotchy one, that I was told maybe from a B12 Def or Iron Def, though those are both fine.
I do have a rash on my calf and one on either knee that looks similar to ezema or dermatitis. All three are the size of a quater. Also I have red dry knuckles that are slightly peeling. It kinda looks like contact dermatitis. The calf rash is itchy at times though the other two arent.
My ESR was 5 (0-20)
Would you suggest a Lyme titer anyway?
Thanks again, I really appreciate your help.
It wouldn't hurt and would rule out Lyme's.