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Suffering from fatigue and drowsiness with stiffness of both legs. What is this? - Online Doctor Chats

Date : 01-Mar-2013
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User:Hi i have been suffering with fatigue and drowsiness for over six months
User:in the past week i have developed a new symptom, weakness/stiffness of both legs when walking
User:im a 21 yr old male dont smoke or drink dont take drugs
Doctor:Is the stiffness more during the early hours of the day ?
User:but it lasts most of the day
Doctor:How long does the stiffness persist once started ?
User:only when walking
User:i feel like i cant walk properly or that my legs will collapse
Doctor:Do you get fever often ?
Doctor:Do you feel pain in muscles or joints ?
User:just weak/numb/stiff
Doctor:Have you consulted a doctor for the same anytime ?
User:for the drowsiness yes, I am having a sleep study in two days time
User:not about the stiffness though
Doctor:Do you exercise regularly ?
User:not anymore for this reason, although i am fit
Doctor:Are you stressed out ?
User:and i do suffer from anxiety
Doctor:I suspect more of psychological cause than a somatic here
Doctor:The stress could be the main reason also lack of exercise
Doctor:i suggest you to go through the sleep study also get an CRP ( C reactive protein ) test done
Doctor:CRP test rules out any long standing inflammatory diseases
User:Ok, is multiple sclerosis a possibility?
Doctor:And start on exercise slowly , it will help
Doctor:No , with the symptoms you mentioned I do not consider Multiple sclerosis in you
User:Ok, i keep falling over tripping over my feet, can anxiety cause this?
User:ok, should i see my gp? Or is there any action i can take myself
Doctor:I suggest you to get the sleep study and the CRP test done and then visit your GP with the reports who can be able to conclude to the cause
Doctor:Also do start exercising slowly
User:Im finding exercise very difficult because i just cant move my legs properly
Doctor:start with a brisk walk for 20 min a day
User:ok, what could be the cause for the drowsiness?
User:this has got so bad that i am now self-medicating with modafinil to keep me awake
Doctor:It could be related to stress hence the sleep study will be useful in confirming it
User:ok how can i reduce this stress and anxietuy
Doctor:Mind relaxation exercises like Meditation and Yoga will surely help
User:so all in all you feel theres nothing i need to worry about?
Doctor:Yes, for sure
User:ok thanks very much for your time
Doctor:Take care
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