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What Causes Sudden Weakness Of Legs Immediately After Waking Up?

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Posted on Thu, 7 Jul 2016
Question: hi
was on holiday last week in the maldives and woke up on wednesday with no grip in both hands then over 48 hours my legs became very weak and wobbley . i have since returned to the uk and my gp did full bloods and they came back clear but still have no grip, my legs are a little stronger but its very weid . i see a doctor on the island and he first thought it was dehydration and gave me a salt and orange drink then my bp went up to 190/100 so then was given an injection to bring it down then bp tabs but it was not that as my bp is normal and i have never had a problem with it before . do you have any idea what this could be, i thought it might be amenia but it was not
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doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
My answer as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I carefully passed through your question and would explain that your symptoms could be related to different causes:

- an electrolyte imbalance
- an infection like Botulinum toxin infection
- acute inflammatory polyradiculoneurits.

Have you had any other symptoms like nausea, vomiting, abdominal cramps, fever or diarrhea during these days? Have you eaten conserved fish?

I would recommend performing some tests:

- blood electrolytes, especially potassium plasma levels
- a nerve conduction study to examine your nerve function
- complete blood count
- PCR, sedimentation rate for inflammation.

You should discuss with your doctor on the above issues.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (3 hours later)
I have had no other symtoms. Just the weakness grip in both hands and weak knees . Well I was away when it.
My bp was high .but it is normal now .
My GP is baffled she has referred me to have the nerve tests
.have you seen anything like this before.
I feel perfectly normal in my self and nothing shied up in the blood test all completely normal .
But it has improved since single day
doctor
Answered by Dr. Ilir Sharka (4 hours later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

This condition could be related to inflammation of the nerves and acute damage of their layer, probably related to an infection. This disorder is also called acute demyelinating polyradiculoneuritis.

A nerve conduction study (electroneurography) is necessary for ruling in/out this disorder.

Anyway, this disorder is associated to symptoms that last in time and not just one day. So your symptoms are not typical of this disorder.

As all your performed tests have resulted normal, a nerve conduction study would be the next step to exclude possible nerve affection.

Hope you will find this answer helpful!

Best wishes,

Dr. Iliri

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

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

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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What Causes Sudden Weakness Of Legs Immediately After Waking Up?

Brief Answer: My answer as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I carefully passed through your question and would explain that your symptoms could be related to different causes: - an electrolyte imbalance - an infection like Botulinum toxin infection - acute inflammatory polyradiculoneurits. Have you had any other symptoms like nausea, vomiting, abdominal cramps, fever or diarrhea during these days? Have you eaten conserved fish? I would recommend performing some tests: - blood electrolytes, especially potassium plasma levels - a nerve conduction study to examine your nerve function - complete blood count - PCR, sedimentation rate for inflammation. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Kind regards, Dr. Iliri