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What Causes Weakness In Legs,chest Pain And Muscle Twitching?

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Posted on Sat, 24 May 2014
Question: I get very winded for no reason ...i can walk five feet or lift something and i get very tired and out of breath. My chest been hurting a lot more and my heart rate is always up but goes highter when im out of breath...i am always sleepy like i had no sleep. I use a cpap machine but it feels like im not getting enough air at night..i have myofacial pain sydrome and its feels worse now then ever...with muscles twiching...i do not have enimia...when. I lay on my back everything hurts...ribs and chest.
doctor
Answered by Dr. Binu Parameswaran Pillai (33 minutes later)
Brief Answer:
Hello

Detailed Answer:
Hello,
Good day.
It seems that your exercise tolerance is low. Why are you usuing a CPAP ? Do you have obstructive sleep apnea? It seems so because you feel sleepy all the time.
What is your height and weight?
Do you have high cholesterol, high blood pressure or hypertension?
Are you a smoker?

Have you had any recent blood works or ECG/Echo/Sleep studies? If so, could you attach the reports?

We need to find out your oxygen levels in blood as well.
Dear, it looks like you need a specialist pulmonologist's care.

Could you write to me with above answers?
Regards
Binu

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (18 minutes later)
Hi, thank you for writing back.

I do have sleep apnea, I have high cholesterol but have been bringing them down...my cholesterol now is over all is 210 tris were in the 500 but now is at 119 hdls are bad 26... I weight 221lbs height is 5'4"1/2 I was a body builder 6yrs ago and everything went down the road...when I was all muscle I weighed 170lbs...I have been more active now and it's hard for me...all I know is that when I was admitted in the hospital on March 13 2014....I had severe belly pains and headaches...they found nothing but at night my oxygen levels where really low where the nurse kept running in and heart rate was low when resting at 43-45.

I do have high blood pressure lately it has been acting up but is not bad 135/89 or 140/98 the highest has been 167/105.
All this runs in the family...my sugar have been high and I'm not diabetic morning is 134 after eating 2hr is around 160-170 and at night is 119-130.

When I lay my ribs hurt bad and in the chest is a lot of pressure...once I get my new blood work tomorrow I will attach it...I have blood work from January.
I have been keeping track of everything and I do worry a lot but it is because I don't feel well at all...so I get scared...I think some doctors think I'm over reacting...but no cause I use to love working out twice a day 5x a week.\
I have other issues too...but right now I'm getting a pulsing stabbing pain in the back under the shoulder blade...I don't know if everything else is causing this but I just don't want to confuse you...so I'm giving u thing little by little.
doctor
Answered by Dr. Binu Parameswaran Pillai (7 minutes later)
Brief Answer:
Hi

Detailed Answer:
Hello,
Okay so you have sleep apnea, high cholesterol, high blood pressure and raised fasting glucose as well as obesity.
If you smoke, please try to stop it. Reduce alcohol ( if you use it). You need to reduce your weight fairly soon and that is the answer to most of your problems.You are very young and we need to prevent further damage to your body.

YOU HAVE ENOUGH AND MORE REASONS TO UNDERGO A BARIATRIC SURGERY.
People lose lot of weight after bariatric surgery and most of the symptoms improve. We should think in those lines now.
Regards XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (8 minutes later)
I dont smoke anymore and stopped drinking been good for three months now...i am trying for biatric surgery but must meet some more standards...i also have bad fatty liver from meds...not alchohol...but i amd doing my .

for a while, i been having constipation, diarhea, lots of gas not normal for me, pain when i eat and after then i throw up because my stomach feels too full, lost 18 pounds in less than a month and now fluctuate.i started noticing i have small nodules under my skin on my sides left and righ between hips and ribs...two days later i felt more lumps on my left side of my adomen and uper right side, that same day the bottom of my rib started hurting like if it was my kidney...blood work was with normal levels...wbc was 13 but thats normal for me...my illneses are high blood pressure, gerd and they said i might have gastritis. I also ibs, pcolaps bladder some kind of polyp or hemroid in my anal cavity, and i have had polyps in my colon that have been removed...also lactose inolerent sever pain when drinking milk, ptsd with major depression and panic and anxiety.. But im worry about the lumps on my belly and side cause they hurt....im worried cause my ebergy has also been bad walk 5ft and get tired, sleepy n tired all day, with headaches and my sugars been getting high, getting tested for diabetes because of vision...please hel
doctor
Answered by Dr. Binu Parameswaran Pillai (2 hours later)
Brief Answer:
Some suggestions

Detailed Answer:
Oh dear, you have lots of issues. But dont worry, we can tackle most of these issues. Regarding the nodules in the body, a doctor has to inspect it before a diagnosis can be made.
Regarding Ptsd, deression and anxiety, psychiatrist may be able to help you to reduce the symptoms. Improving those may also improve your energy levels.

Regarding bariatric surgery, your BMI is high and you have co morbidities like sleep apnea, hypertension etc which is sufficient to qualify for a surgery.In my country, you certainly qualify for a bariatric surgery, but i realize the hurdles in USA.

For now, try to relax with some nice soothing music and switch to a low calorie diet.
Use a mobile application called CARBS and CALS in your IPHONE or Android phone to plan a low calorie diet.

Regards
Binu
.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1439 Questions

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What Causes Weakness In Legs,chest Pain And Muscle Twitching?

Brief Answer: Hello Detailed Answer: Hello, Good day. It seems that your exercise tolerance is low. Why are you usuing a CPAP ? Do you have obstructive sleep apnea? It seems so because you feel sleepy all the time. What is your height and weight? Do you have high cholesterol, high blood pressure or hypertension? Are you a smoker? Have you had any recent blood works or ECG/Echo/Sleep studies? If so, could you attach the reports? We need to find out your oxygen levels in blood as well. Dear, it looks like you need a specialist pulmonologist's care. Could you write to me with above answers? Regards Binu