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Suggest Treatment For Severe Eczema, Brain Fog, Chronic Fatigue And Muscle Tremors

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Posted on Fri, 24 Feb 2017
Question: Hi, my name is XXXXXXX I am 25 years old, and I have multiple problems concerning my health and it would be nice to get a doctors opinion. So, I started getting seizures a few years ago when I was 19, around one seizure a year. I was brought to the hospital three times, and all the tests came back normal. The doctors told me they do not know what caused the seizure. I have been getting muscle tremors all over my body sometimes lasting hours, on and off for the past years. I get really bad eczema all over my body, mostly during winter time. I noticed that I am really sensitive to pretty much anything I eat, but some foods are worse than others. I noticed the more I eat, the more tired I am, and the more my eczema and acne worsen. I deveppoled cross eyes somewhere along in high school. Recently, my tremors have gotten a lot worse, my feet and hands have gotten hypersensitive to temperature, I am really tired on and off, I am getting a lot of brain fog, I've been depressed on and off, and having trouble concentrating. I should also mention that a few months ago I had road bike accident, were a car cut me off, and I flew off my bike and hit my head, but I had no major injuries. I do not take any drugs except for a bit of caffeine, I try to stay in good physical shape by exercising and eating right but I still feel that my health is slowly declining. Anyway, I am really not sure what is going on with my health and it would be nice to get an opinion from a professional. I am currently traveling, so I do not have access to my medical records.Thanks, XXXXXXX
doctor
Answered by Dr. Ishu Bishnoi (2 hours later)
Brief Answer:
Cause of your disease and management

Detailed Answer:
Hi XXXXXXX thanks for asking from HCM.


I can understand your concern. You have described your history very thoroughly. I can say that you are having four systems problems - Brain (seizure and psychological distress), skin (eczema), musculoskeletal (muscle tremors, fatigue) and gastrointestinal (hypersensitivity to food). Now to approach your illness and treatment of it require equal attention to every system at the same time. Because any system left untreated can cause affect on others like if eczema persists, it can cause depression.

For management, you have to consult neuropsychiatrist, dermatologist and gastroenterologist. I know it requires lots of effort to approach all these doctors. But you are so young and you are suffering so much. You must get complete relief.

I will give you some insight about your problems and tell you how to manage them.

- Seizures - It can be treated by anti epileptic drugs depending upon the type of seizure. Usually generalised seizures are managed by valproate and focal by levetiracetam. If your seizures are controlled for more than 3 years, no need of these. Just avoid precipitating factors like
lack of sleep
skipping meals
exposure to bright light
mental stress

- Brain fog, chronic fatigue and even muscle tremors can be due to poor psychological health. You might be having active depression along with anxiety. It is very much possible as you are having multi system disease. It can be treated by antidepressants like Fluoxetine or escitelopram and anxiolytics like clonazepam. You can take these medication only after consulting psychiatrist. You can also follow few tips for you psychological health
Do Yoga and mediation daily.
Pursue your hobbies like travelling/painting/singing/watching movies/sports
Watch comedy shows/serials
Share your problem with friends, family
Sleep well. At least 8 hours daily
Eat healthy food like green vegetables, fruits, yoghurt, fish.
Avoid alcohol, smoking or drug abuse.

- Eczema - I cannot suggest much about eczema as I am a neurologist-surgeon. Please consult a good skin specialist for it.

- Hypersensitivity to food - It might be due to food allergy or medications (antiallergic, antiepeileptic or antidepressants). Usually food low in spices and oil are tolerated by most people. Try to eat more in day time as compared to dinner. Take small meals multiple times to increase digestion. Avoid drinking water in between the food. For gastritis, you can take tablet pantoprazole and gastric enzyme supplements after prescription. The enzyme supplements take care of indigestion.

Hope it will help you. If any doubt, do let me know. I will try my best to help you.
Stay healthy. God bless you.
Thanks.

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 901 Questions

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Suggest Treatment For Severe Eczema, Brain Fog, Chronic Fatigue And Muscle Tremors

Brief Answer: Cause of your disease and management Detailed Answer: Hi XXXXXXX thanks for asking from HCM. I can understand your concern. You have described your history very thoroughly. I can say that you are having four systems problems - Brain (seizure and psychological distress), skin (eczema), musculoskeletal (muscle tremors, fatigue) and gastrointestinal (hypersensitivity to food). Now to approach your illness and treatment of it require equal attention to every system at the same time. Because any system left untreated can cause affect on others like if eczema persists, it can cause depression. For management, you have to consult neuropsychiatrist, dermatologist and gastroenterologist. I know it requires lots of effort to approach all these doctors. But you are so young and you are suffering so much. You must get complete relief. I will give you some insight about your problems and tell you how to manage them. - Seizures - It can be treated by anti epileptic drugs depending upon the type of seizure. Usually generalised seizures are managed by valproate and focal by levetiracetam. If your seizures are controlled for more than 3 years, no need of these. Just avoid precipitating factors like lack of sleep skipping meals exposure to bright light mental stress - Brain fog, chronic fatigue and even muscle tremors can be due to poor psychological health. You might be having active depression along with anxiety. It is very much possible as you are having multi system disease. It can be treated by antidepressants like Fluoxetine or escitelopram and anxiolytics like clonazepam. You can take these medication only after consulting psychiatrist. You can also follow few tips for you psychological health Do Yoga and mediation daily. Pursue your hobbies like travelling/painting/singing/watching movies/sports Watch comedy shows/serials Share your problem with friends, family Sleep well. At least 8 hours daily Eat healthy food like green vegetables, fruits, yoghurt, fish. Avoid alcohol, smoking or drug abuse. - Eczema - I cannot suggest much about eczema as I am a neurologist-surgeon. Please consult a good skin specialist for it. - Hypersensitivity to food - It might be due to food allergy or medications (antiallergic, antiepeileptic or antidepressants). Usually food low in spices and oil are tolerated by most people. Try to eat more in day time as compared to dinner. Take small meals multiple times to increase digestion. Avoid drinking water in between the food. For gastritis, you can take tablet pantoprazole and gastric enzyme supplements after prescription. The enzyme supplements take care of indigestion. Hope it will help you. If any doubt, do let me know. I will try my best to help you. Stay healthy. God bless you. Thanks.