Suggest treatment for anxiety with reactive hypoglycemia and pcos
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It started around April .. i was walking and then standing still washing dishes and my body got "Stiff" & i felt a weird movement in my arm.. Within a month it was on and off but i noticed my neck felt like it would jerk and or wanted to jerk on its own .. July came & the neck was no longer an issue but this random muscle tightening became unbearable .. it wasn't painful but more annoying - it was like i was trying to fight off my body from being spasmatic .. this put a fear in me and i became agoraphobic . now i do have bad anxiety so my MD said it could be anxiety as anxiety can do weird things.. since july it has been on and off but since right after thanksgiving til yesterday it was almost non exsistent - yet last night up until now it has been present .. i also notice when cleaning or exerting myself a hot rush comes over me my heart starts racing & my body becomes stiff .. i had routine blood work this summer & only found low levels of b12 and vitamin d - i do suffer from reactive hypoglycemia & have pcos with a hormone imbalance of high testosterone .. i had a head catscan last summer because my hands and feet were randomly going numb with pins and needles - it happened for 2 weeks and then never again - catscan was clear - i raised MS, parkinsons & als to my MD he did a psychical exam & found nothing .. didnt think it was that .. i need to know or be pointed in the right direction as to what i may have .. i have no family history of any neurological disorders or issues, i do not work so its not stress, i dont have any other issues neurologically .. 3 years ago i had an eeg and it was normal and i had a nerve conduction test 2 years ago on my arms..
Posted Fri, 31 Jan 2014 in Brain and Spine
Answered by Dr. Saumya Mittal 4 hours later
Brief Answer: tests Detailed Answer: Hi, welcome to our site. I am Dr Saumya Mittal. Read your query. That is a very significant question and I appreciate your concern. I will try my best to answer your query There are a host of conditions that could explain your problem. While I would agree with your doctor that this could be signs of anxiety and headache disorder, I would suggest we test this further. Since I cannot examine you, I would suggest you have an MRI of the cervical spine done along with an NCV of the affected limb. This way we can rule out if you possibly have cervical radiculopathy. The MRI will also be able to rule out conditions like multiple sclerosis. Alternatively, I would like you to get an EEG to know in case you are having a partial seizure. The best time to have this test would be to have it while you are having an episode. Meanwhile, you should start on the replacement therapies for the deficiencies you have. They can induce neuropathies, which may present as your symptoms. However neuropathy is usually more generalized, but there is always a starting point. I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)
Follow-up: Suggest treatment for anxiety with reactive hypoglycemia and pcos 41 minutes later
Why would you feel a partial seizure is a factor and what are the signs ?
Answered by Dr. Saumya Mittal 47 minutes later
Brief Answer: About partial seizres Detailed Answer: In simple partial seizure, one usually remains conscious and often alert. What happens is that the patient starts having symptoms in a limited part of the body, say only the face, or head and neck, or one limb and face. Usually the symptom is shaking of the body part. But this is not always the only symptom. Sometimes the symptom is numbness, or tingling, or heaviness, or monoparesis. So i feel even this should be ruled out. Of course it is unlikely and so I have mentioned in the end of the stepwise investigation schedule i suggested. Best of luck