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unexplained weight loss

      I'm a 26 year old male otherwise healthy.  I drink on average 12 beers a day, which i know is not good for me, and on the weekends or get togethers more than that. For the past 4 years I've been having heart palpitations, and a 26 beat run of ventricular tachycardia.  EP dr thought it to be benign, 1 out of 4 EP's I seen wanted me to do the EP study and "possible" ablation.  As far as that goes and testing I've wore holter monitors, ekgs, stress test, stress echo, MRI of the heart, echos, blood work, all normal besides some PVC's, and that run of V-tach.  Now I'm going to go 3 months back.

3 months ago I started having slight headaches, and a weird taste in my mouth everynow and then. It has been getting constantly worse and now I have headaches occasionally and the bad taste in my mouth is there ALL the time, wife says my breath smells bad/weird sometimes with it, its really hard to explain the taste its just very unusual and feels like sometimes its coming from the roof of my mouth. It dont go away no matter how much I brush my teeth.  Sometimes when I go to wash clothes and I'm pouring the powder laundry detergent and I smell the powder, its almost as if you would put some of that in your mouth and it tastes like that all the time though. Thats the best description I can give of the taste. Since this has started about 3 months or less ago, I've also lost about 18 lbs unintentionally. My appetite is not good at all, just no desire to eat. I dont exercise or do anything so that cant be the cause.  I also recently developed these strange muscle spasms/twinges, and muscle cramps everywhere, this started about 3-4 weeks ago, before they started I was having muscle pains in my thighs, and calves, and it would switch from one to the other throughout the day.  I also get them in my arms, and sometimes feels like in my head. I get the twitches everywhere, legs, arms, eye.  And I have musle pains in my legs all day, mainly in back of calves. My urine is ALWAYS very clear, no color to it at all. I'm also constantly fatigued all day, no matter how much I sleep it seems like Im just worn out and tired.  What could all these symptoms be of?  Dr ordered blood work for thyroid,CBC,kidney,liver,electrolytes,B12 all was normal.   Waiting results of heavy metal screening blood work. Seems like my palpitations are getting worse also with it and my chest feels weird at times. Also have been getting like cold sweats and temporary nausea.  Just seems like all the symptoms are becoming more prominant and more often. The leg pain and the bad taste in mouth is the most constant. I know this is a list of things but if anyone has any ideas please let me know.  

I was wondering about peripheral neuropathy, or autonomic neuropathy that could be causing all my symptoms? As I'm sitting here writing this I keep getting intermittent pain in my left leg like on the left side of my calf, the pain will come on SUPER intense like the muscle is about to pop out and then last about 5 seconds and go away only to come back within like 5 mins or so.  Also when it comes on its like I can feel kinda like a tingling sensation throughout my body and into like the back of my head. Kinda electric like feeling. Also my appetite still hasnt improved, and i still have the strange/bad taste in my mouth.  Also the intermittent leg pain sometimes when it starts it will come on hurt real bad for 5 seconds, get the electric like feeling, and it'll start to subside and right before its completely done it will kick back up.  Its like it starts out kinda painful and slowly progressives to real bad all within 5-10 seconds and then goes back down from the intensity to nothing.  seems like this all might be linked from heart flutters, from intermittent leg shock pain from back of head, to bad taste in mouth and weight loss. Any ideas?
4 Responses
649848 tn?1534637300
Alcohol dehydrates your body and dehydration can cause the muscle spasms and other things.

Hyperthyroidism can also cause some of those symptoms and low vitamin B12 can cause the tingling and other symptoms of peripheral neuropathy.

I'd be interested in seeing the exact test results you got (specifically thyroid and B12), along with the reference ranges.  Very often, results fall within "normal" ranges, but those levels aren't right for you.
Avatar universal
why are those levels not right for me?
649848 tn?1534637300
I'm not saying they aren't for sure; I'm simply saying that everyone is different, and lab ranges are very broad, so even if your results fall into a normal category, they may be too high or low for you.

For instance, take Vitamin B12 --- a normal range is usually from 200-1100, but if my levels get as low as 500, I feel bad, even though my levels are in the "normal" range.  I have to keep my levels over 700-800 in order to feel good.  

Another example is TSH for thyroid testing -- the normal range is 0.3-3.0 (some labs use different ranges), but my TSH has to run at < 0.01, in order for me to feel good.  Or other thyroid tests, such as Free T4, which most of us need to have at least mid range, while some of feel better at the top or bottom of the range.  Same with Free T3 - many of us need to have it in the upper 1/3 of its range, but if yours is that high, it may be causing you to be hyperthyroid, even though it's within the normal range.

That's what I mean when I say "just because your results fall into a normal range, it may not be normal for your body", especially if your levels are at an extreme in the range (either at the high end or the low end).

If you have lab results, you can post them, with reference ranges from your lab report, so I can take a look and see.  
649848 tn?1534637300
You should also get tested for diabetes.
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649848 tn?1534637300
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