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Weakness and difficulty breathing

Hi, i am a young woman in the age of 24. I am experience some symptoms over a month and i had multiple tests without a result. I have chest pain especially in the rib cage which make it difficult to breath. It is more intense when i am in flat position. I am not sleeping well i am always tired and the last days i can't even get out of bed. I feel my limbs weak and tired. I am tired of eating or dressing. This kind of fatigue i have never been before so sudden.the other symptom that makes me worry is the twitching in my muscles, in my tongue and pain in my back and arms. I had many appointments with many doctors. I had blood tests, MRI of brain and spinal cord, EKG and all are normal. My vitamins level are too. I am worry if it is AlS with these respiratory and weakness problems but my doctor don't even hear it. He told me that i shouldn't have an EMG because he doesn't see any atrophy. I am having a difficult time i am taking some pills that doctor gave me but i haven't seen any difference. Please if someone knows something or having similar symptoms i appreciate answer me. Thanks a lot.
2 Responses
Avatar universal
You say vitamin levels are normal but if they are low normal range you can still have symptoms.

Vitamin D should be between 40-60ng/mL. Above 50 is better
Vitamin B12 should be above 500. Closer to 1,000 is better
Magnesium should be 6.5

Vitamin D deficiency symptoms:

Bone/muscle pain
Muscle weakness
Heart palpitations
Sensitivity to light/sound
Brain fog
Excessive Sweating
Weight gain
High blood pressure
Restless sleep/insomnia
Bladder problems
Constipation or diarrhea
Irregular menstrual cycles

Vitamin B12 deficiency symptoms:

» Neurological Symptoms:
Irregular reflexes
Numbness and tingling sensations
Impaired position sense
Weakness of arms or legs
Balance related issues
Unsteady or abnormal gait
Absentmindedness or memory loss
Difficulty ambulating
Restless legs
Vision related disturbances
Urinary or fecal incontinence
'Beefsteak tongue' (Your tongue may become red and swollen, with a beefy appearance if you have B12 deficiency. This change in appearance comes from depapillation of the tongue: loss of the little bumps that that normally give the tongue a light pink, velvety appearance)
If you have pernicious anemia, often caused by B12 deficiency, the tongue may look pale
Your tongue may feel sore or painful if you have a B12 deficiency, or you may complain of a burning sensation in the tongue. Burning may occur in the absence of any other symptoms
You may develop microglossia, a small tongue, with B12 deficiency. Microglossia occurs when the papillae atrophy, or shrink. Microglossia occurs late in the disease
» Psychiatric Symptoms:
Changes in personality
Violent behavior
» Related to Blood Cells:
Generalized weakness
Shortness of breath

Magnesium deficiency symptoms:

Behavioral disturbances
Irritability and anxiety
Impaired memory and cognitive function
Anorexia or loss of appetite
Nausea and vomiting

Muscle spasms (tetany)
Muscle cramps
Hyperactive reflexes
Impaired muscle coordination (ataxia)
Involuntary eye movements and vertigo
Difficulty swallowing
Avatar universal
Thank you so much for the answer, i will check the levels again, but i don't think that is wrong. Thank you again
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