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Difficulty in walking, climbing and cycling - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   i needed to speak with doctor XXXXXXXX if possibel
Doctor :   Dr AAAAAAA is unavailable now. Will be back here in an hour.
User :   ok no issues
User :   i guess then let me check with u
Doctor :   I am Dr AAAAAAA I am a general practitioner and I can assist you within my expertise.
User :   i used to have problem while walkin, climbing stairs n even getting been thru lots of tests and almost 50 days of hospitalization
User :   even now nothing has been diagnosed and i have just been prescribed multi vitamins
Doctor :   Ok
User :   so wanted to know whether the symptoms i have is similar to hypothyriodism or not
Doctor :   May I know if TSH levels have been done during your hospitalisation and check ups?
User :   yes all normal dont have the reports but all where in limits
User :   only CPK was high
User :   around 500
Doctor :   Ok
Doctor :   May I know since when are you having these problems?
User :   around 4 months
User :   i used to be very good trekker n boxer
User :   have trekked 2 days straigt till Mt everest base camp
User :   used to have exclnt stamina
User :   and now dont feel the same
Doctor :   I have seen through your previous chat with Dr AAAAAAA and you had mentioned that you had symptoms of malaria some times back.
Doctor :   May I know when was this?
User :   yes i had malaria in sept first week
Doctor :   Ok
Doctor :   Let me ask a few more questions, to understand your symptoms better.
Doctor :   Are your symptoms only noticed when you walk or climb the stair, or do you have generalised tiredness since the last 4 months?
User :   dec 2009 : Boils in leg, June 2010 - Food Poisoning, July 2010 - Flu, end July 2010 - Intestinal infections, August 2010 - Broke my rib as legs couldnt balance, end August 2010 - Leg fracture again due to disbalance, September 2010 - Malaria, Got admitted in XXX on 20th September n then in Breach Candy on 2nd Oct for further investigations
User :   generalised triedness since last 4 months and its been deterioating
Doctor :   Ok
User :   plus more than all i got married 4 months back n since then i have getting worse...
Doctor :   Can you briefly describe the problem that you have during getting up, walking or climbing stair? - is it the pain that is disturbing you or is it just the feeling of weakness?
User :   its weakness in thighs sir to be very accurate
User :   i can see somethin like myositis
Doctor :   Ok
Doctor :   How is your performance at work? Do you find that your performance at work is also affected?
User :   thighs have become big and also i got a very odd shape belly instead rest body is bonny
User :   no problem concentrating
Doctor :   Ok
Doctor :   Do you have notice weakness of the upper limbs too?
User :   yes.. can say legs have gone worse 80% and hands around 40%
User :   cant do push ups
Doctor :   Do you have any other symptoms such as palpitation, tremors, excessive sweating?
User :   and also for this whole year i cud do much physical exercise
User :   i get twichin all over my body but no excessive sweating
Doctor :   Ok
Doctor :   Do you have past history of any other medical illness such as diabetes/hypertension/heart diseases?
Doctor :   Do you smoke or consume alcohol?
Doctor :   Are you there?
User :   docs in XXXX were earlier sayin symptoms of MND
Doctor :   Ok
Doctor :   Are you on any treatment for the same?
User :   no i used to have high BP and then for 1 year intake of alcohol was high but tht was mainly beer and a bottle a day thts all
User :   no treatment as its not confirmed
User :   emg tests are bit off rest inline
Doctor :   Ok
Doctor :   May I know about your sleep pattern?
Doctor :   Do you work in night shifts?
Doctor :   How many hours of sleep do you get in a day?
Doctor :   These questions would help me in assessing your symptoms better.
User :   i used 2 sleep for not more than 4 hrs on week days but long during weekends and earlier b4 all these things started at times i didnt used to sleep n then go for treks
User :   plus i used to stay alone so food habits n intake of water was also very less hardly 2 litres a day
Doctor :   Ok
User :   but since last 4 months no alcohol lots of foods fruits n water but still it got worse its only from last 10 days i am feeling kinda better
User :   but still cant climb stairs run..
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   Muscle weakness are known to occur in certain neurological conditions, including motor neurone disease, spinal disorders, or demyelinating disorders which includes multiple sclerosis.
Doctor :   These conditions are however can be differentiated on clinical examination and evaluation (MRI scans)
Doctor :   If clinical examination by a neurologist and scans have been done and are normal, other causes for similar conditions are considered.
Doctor :   Let me brief you about other causes that can lead to similar problems.
Doctor :   Research studies have shown that most common cause for tiredness and weakness are lack of proper, constant sleep and insufficient energy.
Doctor :   Since you are known to have sleepless night, you need to consider modifying this.
Doctor :   Are you following?
Doctor :   Are you there?
User :   yes
User :   yes
User :   yes coz of office stress n at times personal sleep was alwys missin also food
Doctor :   Ok
Doctor :   Let me proceed.
Doctor :   Hence you need to assess your sleep patter properly.
User :   okay
Doctor :   Its necessary that you increase your dietary consumption
Doctor :   to boost your energy levels.
User :   and doc is there somethin on the food side which can gimme stamina as i am pure veggie
Doctor :   Proper diet and energy snacks during work can keep your energy levels high, thus preventing fatigue from occuring.
User :   also i was considering joinin yoga and gym will it add any value...
User :   as even yesterday evening i tried riding a cycle and i cudnt paddle it
User :   i had to use my hands to pull my legs upto pedals
Doctor :   A proper mix of diet comprising of cereals and pulses, plenty of vegetables and 3 - 6 servings of fruits can help in maintaining the energy levels constantly high.
Doctor :   Keep stocks of energy boosters along with you such as biscuits, chocolates or even glucose along with you.
User :   i usually drink gatorade
Doctor :   Dehydration and lack of enough amount of water can also add up to the symptoms of fatiguability.
Doctor :   Along with maintaining a proper diet, its necessary that you drink plenty of water.
Doctor :   Water requirements are higher when body metabolism is higher.
Doctor :   This inturn is higher when you are active at work or during physical exercise.
User :   with all these i can see improvements within a month... :)
Doctor :   Hence consider drinking plenty of water before you start for work,
Doctor :   keep a bottle of water near your desk top and keep sipping this during your work.
Doctor :   A normal individual needs atleast 1 - 2 litres of water per day.
User :   u knw wht sir u r the only one who is showin hope tht there is light at the end of tunnel as rest have feared me to death with the words of MND
Doctor :   This requirement is higher in individuals, who have higher body metabolism/
Doctor :   Following this, according to the research papers, psychological factors such as depression, stress, anxiety are the next factor responsible for fatiguability.
Doctor :   Hence its also necessary that you keep this hope going.
Doctor :   The positive point in your case is that your reports and physical examination are normal and no evidence of medical illness have been seen.
Doctor :   Hence positive approach with proper sleep, good nutrition and adequate hydration should solve your problems.
User :   sir if u can help me with a proper diet plan as in wht n whn wud be gr8.. if its possible..
Doctor :   I would suggest you to consider speaking to our nutritionist who will be able to counsel you better.
User :   can u transfer the same 2 her
Doctor :   I shall guide you about it too.
User :   well mr XXXXXXXX thanks a ton for the consultation i can now breathe in a much better way
Doctor :   To obtain a diet counsel and a diet plan, you may have to place an request from the home page.
Doctor :   A member of healthcaremagic will give a call to you in short time and will guide you through this.
Doctor :   If you have any further queries that I can assist you with, you may proceed.
Doctor :   Are you there?
Doctor :   Are you there?
Doctor :   Are you there?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
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