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What does tingling,weakness,tiredness and difficulty in swallowing indicate?

DOCTOR OF THE MONTH - Nov 2013
Nov 2013
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Hi I've already asked this but wanted to follow up: About 5 weeks ago had a sore throat, went to Dr and was diagnosed with Strep and took medication for it. After 2 weeks still tightness in throat. Started getting tingling in my fingers and toes. About a week later stiffness in jaw, difficulty opening jaw wide, tingling in face. This week my legs mainly my thighs have been sore and my legs feel really heavy when i walk. Also my back has gotten sore as if I have difficulty standing up straight. Also I feel shortness of breath with minimal physical activity.I'm at my desk now feeling like I'm breathing hard. just sitting at my desk. I walked up the street today and could barely breath. I've been to Dr and had EKG, Chest X-Ray, Blood tests to rule out vitamin deficiencies and other common illnesses. Gone to ENT and they put a camera in my throat and didn't find anything. Suggested it could be related to heartburn but I've never had it before and I am not convinced of this being the answer. The past two days extremely weak and feels difficult to take a full breath. If I run even a block I feel extremely winded. I'm feeling worse today feeling like I can barely take a breath, swallowing difficulty has been going on for about 3 weeks. Food feeling like its getting stuck in my throat. Extremely weak at night, I haven't been able to sleep much and after sleeping an hour am waking up out of breath. My dr doesn't think I need to see a neurologist but I almost felt like going back to ER or Urgent Care several times this week but I'm not sure what they would do. Could anxiety cause all of these symptoms?
Posted Thu, 27 Feb 2014 in Brain and Spine
 
 
Answered by Dr. Sudhir Kumar 28 hours later
Brief Answer: My reply is below. Detailed Answer: Hi, Thank you for getting back. I have noted your symptoms, and they point to a neurological problem. Tingling, weakness, tiredness, difficulty in swallowing, etc point to a problem with the nerves. You need to consult a neurologist. After detailed clinical neurological examination, the doctor would be able to come to a conclusion. He may order tests such as nerve conduction studies or MRI brain and spine to confirm the diagnosis. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in
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Follow-up: What does tingling,weakness,tiredness and difficulty in swallowing indicate? 2 days later
Thanks are there any diseases that can cause such fatigue over 8 weeks in such a rapid stage?Also, are autoimmune diseases hereditary? Grandfather had mycinia gravies, grandmother Parkinson's, and my mom Sarquiodisis. Does that put me at a greater chance of getting an autoimmune disease? Could something as simple as an under/over active thyroid cause this?
 
 
Answered by Dr. Sudhir Kumar 9 hours later
Brief Answer: Thank you for getting back. Detailed Answer: Yes, post-infectious syndromes commonly cause fatigue. However, it is more common after viral infections, and less common after bacterial infections. Also, you are more prone to auto-immune diseases in view of a positive family history. Basic screening for auto-immune diseases would include ANA profile, C-reactive protein, Rheumatoid factor, ESR, etc (all blood tests). Best wishes, Dr Sudhir Kumar MD DM (Neurology)
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Follow-up: What does tingling,weakness,tiredness and difficulty in swallowing indicate? 40 hours later
Thanks for your help seeing a neurologist today. I feel like ive been breathing through my mouth all night and that's keeping me up. cant breatje properly through my diaphram
 
 
Answered by Dr. Sudhir Kumar 7 hours later
Brief Answer: Best wishes. Detailed Answer: I am glad you are seeing a neurologist today. Please keep me informed about your health and progress. Dr Sudhir XXXXXXX MD DM (Neurology) XXXXXXX Consultant Neurologist
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Follow-up: What does tingling,weakness,tiredness and difficulty in swallowing indicate? 24 hours later
I saw a neurologist he texted my neurological functioning and all seemed omay to him. be ordered additional blood tests though ill wait and see tge results
 
 
Answered by Dr. Sudhir Kumar 8 hours later
Brief Answer: Thank you for getting back. Detailed Answer: I am glad that your neurological functioning are all okay. Please keep me informed about the blood test results. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
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Follow-up: What does tingling,weakness,tiredness and difficulty in swallowing indicate? 1 hour later
ok ill keep you posted still feeling very weak, face feels rubbery and my muscles feel very weak. Everyone seems to think its anxiety but im not convinced
 
 
Answered by Dr. Sudhir Kumar 2 hours later
Brief Answer: Agree with you. Detailed Answer: Yes, anxiety would be noted by the sufferer (patient) first and if you are sure that it is not anxiety, doctors should accept that. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
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Follow-up: What does tingling,weakness,tiredness and difficulty in swallowing indicate? 5 hours later
ok thanks some drs don't seem to accept that but my therapist thinks the same way
 
 
Answered by Dr. Sudhir Kumar 4 hours later
Brief Answer: Agree with you. Detailed Answer: Agree with you and your therapist. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
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Follow-up: What does tingling,weakness,tiredness and difficulty in swallowing indicate? 14 hours later
The past two nights I can't sleep and can't breathe all night. All day I'm feeling very dizzy and short of breath as well. I can't see straight and everything is blurry. I'm not sure what to do. Anything you can advise?
 
 
Answered by Dr. Sudhir Kumar 7 minutes later
Brief Answer: My reply is below. Detailed Answer: Thank you for getting back. Taking an anti-anxiety medication such as clonazepam would help with sleep as well as any anxiety and breathing problem. Betahistine tablets would help reduce the dizziness. Breathing problem should be investigated in the meanwhile. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
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Follow-up: What does tingling,weakness,tiredness and difficulty in swallowing indicate? 4 hours later
Thanks, I'm following back up with my PCP as neurologist did not find anything. Breathing tests came back normal as well from pulmonologist. Is there anything else that could be tested that you could suggest?
 
 
Answered by Dr. Sudhir Kumar 4 hours later
Brief Answer: You are on correct evaluation process. Detailed Answer: It is good to note that your neurological examination was normal. Normal breathing tests are also good. You should continue to follow up with your PCP. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
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Follow-up: What does tingling,weakness,tiredness and difficulty in swallowing indicate? 2 days later
Are there any other tests you would recommend I have done? At night it feels as if I can't breathe properly through my nose and that I'm breathing through my mouth all night. I wake up with an extreme dry throat and tongue. Feels as if I can't swallow properly.
 
 
Answered by Dr. Sudhir Kumar 6 hours later
Brief Answer: Thank you for getting back. Detailed Answer: If you have not done sleep study (polysomnography), it may be done to exclude sleep apnea. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
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Follow-up: What does tingling,weakness,tiredness and difficulty in swallowing indicate? 18 hours later
Ok, I'll ask the Dr about that. Sorry for so many questions shortness of breath appears to be getting worse my stomach feels very tight and I can't breathe well through my nose. Mostly breathing through my mouth all day which I think is causing the dry mouth issues as well.
 
 
Answered by Dr. Sudhir Kumar 6 hours later
Brief Answer: Thank you for getting back. Detailed Answer: Is there any issue with nose, which is preventing you from breathing through the nose? Please get that also looked into. Yes, mouth breathing could be causing dry mouth. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
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Follow-up: What does tingling,weakness,tiredness and difficulty in swallowing indicate? 2 days later
Got Pulmonary function testing back and all looked okay. Still my legs feel very weak and still shortness of breath and tightness in chest/difficulty swallowing. The Pulmonologist thinks that its all anxiety as well. Is it possible anxieties can cause all of these worsening symptoms all of the time?
 
 
Answered by Dr. Sudhir Kumar 6 hours later
Brief Answer: Thank you for getting back. Detailed Answer: I am glad that your pulmonary function tests have come out normal. Yes, anxiety can cause all these symptoms, and it can be treated with medications. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
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