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How Do I Diagnose Fatigue, Swallowing Problem, Plugged Ears, Ear Popping, Muscle Cramps All Over The Body, Concentration Loss, Pedal Edema And Toes Numbness?

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Posted on Wed, 12 Jan 2022
Question: I have had W brain MRI,s done 6 years apart both showing white spots. They are growing or shrinking. I am in horrible pain. Easily fatigued just do something little feels like I have done it all day. Problems with swallowing. Can not get to bathroom on time every time. I had an ear plugged where I could not dr said was infection. When it opened back up before it closed and now ear popping and always feels like fluid. On a scale of one to 10 my lower back is a 12. Muscle cramps all over body. Forget where I put stuff, have trouble flinging the right word to say. Loose concentration. Lost my last 4 jobs because I am too slow. Never lost a job before that. I have had lymes in past all tests are now negative. Other symptoms I forgot my feet and ankles swell huge for no reason, have difficulty swallowing, choking on food, always feels like food is stuck in back of throat numbness in toes. And my hand is tingling and hurting because I am holding iPad. Serious anxiety, don’t go to stores and afraid to drive after 48 years. Doctors and especially Pain management have just brushed these mri’s off and I just found out about them this past Dec 2017 when I had a bout with MRSA out of no where. Dr at er said I was about a day or 2 away from being put on ventilator. I also have toes go numb and turn white. When I go outside into heat I sweat from every part of my body and see dark spots and feel lightheaded. My knees are also hurting so bad as well. Please let me know your opinion.

Thank you
doctor
Answered by Dr. Neeraj Kumar (39 minutes later)
Brief Answer:
Get investigations as advised and visit to an immunologist or neurologist

Detailed Answer:

Hello,

The widespread symptoms needs evaluation for metabolic abnormalities or vasculitis or autoimmune disorders.
Blood investigations like thyroid profile, vitamin B 12, Vitamin D, renal function test,liver function test, ESR, rheumatoid factor, ANA and ENA profile are required.
Upload any reports or previous prescription if available.
Fibromyalgia is another entity with widespread body pain and associated with anxiety too.
MRI brain changes can be non specific. Mild white matter changes occurs due to aging.
Duloxetine or sertraline will be the appropriate medications to start with.
Visit and consult a neurologist or immunologist.

Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
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Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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How Do I Diagnose Fatigue, Swallowing Problem, Plugged Ears, Ear Popping, Muscle Cramps All Over The Body, Concentration Loss, Pedal Edema And Toes Numbness?

Brief Answer: Get investigations as advised and visit to an immunologist or neurologist Detailed Answer: Hello, The widespread symptoms needs evaluation for metabolic abnormalities or vasculitis or autoimmune disorders. Blood investigations like thyroid profile, vitamin B 12, Vitamin D, renal function test,liver function test, ESR, rheumatoid factor, ANA and ENA profile are required. Upload any reports or previous prescription if available. Fibromyalgia is another entity with widespread body pain and associated with anxiety too. MRI brain changes can be non specific. Mild white matter changes occurs due to aging. Duloxetine or sertraline will be the appropriate medications to start with. Visit and consult a neurologist or immunologist. Hope you found the answer helpful. Do get back to me for further information. Regards Dr N Kumar Neurologist