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Suggest Treatment For Difficulty In Breathing And Muscle Weakness

Posted on Tue, 22 Nov 2016

Question: Hi, noticed some symptoms of CNS shutdown been to the hospital they say I am fine although they haven't really checked me over throughly and GP's aren't really giving me the time of day but need some advice as to what to do and what could be causing this?

Answered by Dr. Prof. Kunal Saha (1 hour later)

Brief Answer:
Further details required

Detailed Answer:
Thanks for asking on Helathcaremagic.

I have gone through your query. However, I would need you to enumerate and elaborate on the problems that you are facing. Merely mentioning 'symptoms of CNS shutdown' does not help. Also mention how long it has been occurring. It would also help if you could upload the medical notes that you have.

I would await your response. Based your inputs I will guide you further.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (26 minutes later)

Ok, I am having difficulty breathing that you know, muscle weakness, difficulty co-ordinating movements in thumbs due to ridgity and general rigidity in body and gait, difficulty thinking and focusing and remembering, facial numbness and tingling in fingers and drowsiness and feeling my throat closing over and having difficulty swollowing due to this. My health has been declining for the last few months since about mid July. Hope this helps

Answered by Dr. Prof. Kunal Saha (20 minutes later)

Brief Answer:
Could be due to demyelination or due to neuromuscular problems

Detailed Answer:
Thanks for elaborating. I have gone through the mentioned details. You need not assume the symptoms to be due to CNS shutdown. The mentioned problems could originate from demyelinating diseases. However, a detailed neurological evaluation is needed and I would strongly insist you to visit a neurologist for the same. It is only based on the findings that suitable treatment can be planned. I would really appreciate if you could upload the medical notes after visiting a neurologist.

I would await your response.

As of now you can try taking methylcobalamine (a B vitamin) supplements and see if it helps.

Do not hesitate in contacting me back in case of further queries.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (30 hours later)

Great, thank you. Is there a specific dosage or should I let the pharmacist direct me on the dosage?

Answered by Dr. Prof. Kunal Saha (5 hours later)

Brief Answer:
A number of combinations are available.

Detailed Answer:
Thanks for writing back.

Hicobal Capsules (Mecobalamin 1500 mcg, Alphalipoic acid 100 mg, Vitamin B1, Vitamin B6, Folic acid) can be used. There are other combinations of similar strengths available too.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (24 hours later)

Hi, I bought Vitamin B12 today I've taken the and have noticed a popping feeling in my right ear, chest pain, difficulty swollowing (feels like I am swollowing air) rash and a fast heart rate. Just wondering if this is normal or whether I should try something else?

Answered by Dr. Prof. Kunal Saha (2 hours later)

Brief Answer:
Could be due to reflux

Detailed Answer:
Thanks for writing back. It does not seem concerning to me. You are probably suffering from acid reflux. Take some liquid antacid.when required. Take omeprazole once daily before breakfast. I hope it will provide relief. About the popping sensation in the ear, taking steam inhalation through nose and mouth should help.

Let me know if I could help further.

Regards

Above answer was peer-reviewed by : Dr. REMY KOSHY