Hi, Welcome to icliniq.com. I understand your concern. It is clear that you do not have MS (multiple sclerosis) as of this date. None of your symptoms is typical of multiple sclerosis. Back and thigh pain are posture-related, and tremors are anxiety-related.
Hello, Welcome to icliniq.com. I understand your concern. I appreciate the way you have provided your detailed history (attachment removed to protect the patient's identity). Answers to your queries: Should I just accept the MS (multiple sclerosis) diagnosis and move on? The criteria for MS appear to be fulfilled, whether it is the MRI (magnetic resonance imaging) criteria, clinical criteria (relapsing focal deficits, such as the first episode of facial numbness and the second episode of torso numbness), or laboratory criteria, including an elevated CSF (cerebrospinal fluid) IgG (immunoglobulin G) index. Therefore, there does not seem to be any doubt about the diagnosis of MS.
Hi, Welcome to icliniq.com. I can understand your concern. I have gone through your mother's NCS (nerve conduction study) report, which mentions symmetric sensory motor radiculoneuropathy (attachment removed to protect patient identity). To be straight, if it is due to radiation and chemotherapy, then IVIg is unlikely to help that much. On the other hand, if etiology is something else, like CIDP (chronic inflammatory demyelinating polyradiculoneuropathy), of which there is a lesser chance, IVIg is likely to help.
Hello, Welcome to icliniq.com. If you would have presented to me as an outpatient, I would have advised you to do mental relaxation exercises, yoga, and meditation. If I am asked to make a clinical diagnosis on the basis of medical history, I would say tension-type headache (TTH) without any doubt. Headache at the back of the head with associated neck pain, inability to put the head down and difficulty in getting sleep all are very classical for TTH. Meditation and yoga will definitely help if it is TTH.
Hi, Welcome to icliniq.com. Passing fart up to 10 times a day is normal. However, constipation, gastrointestinal infection, irritable bowel syndrome may worsen this. For you, I suggest you take a good amount of water and dietary fibers. Hopefully, that should improve your symptoms.
Hello, Welcome to icliniq.com. You have been elaborate in providing your medical history and that always helps to form an opinion. Coming to your straightforward query, I really do not see any indication for a fresh brain imaging study like CT (computed tomography) or MRI (magnetic resonance imaging) in view of your transient, very short lasting symptoms and a normal MRI brain, just one year back. Instead, I would suggest here to get one electroencephalogram (EEG) done to look for abnormal electrical discharges in the brain during those episodes. EEG done during the time frame when you are frequently having those episodes will be more rewarding in terms of diagnostic importance.
Hi, Welcome to icliniq.com. It is good to know that your child's seizures are under control with medication. Tablet Clobazam is mainly used to control acute seizures and used for a short duration. The main drawback with long term use of Clobazam is physical dependence. It is observed that, if the drug is used for a long-term and suddenly withdrawn, it will cause withdrawal seizures along with other symptoms.
Hi, Welcome to icliniq.com. If your father had presented to me as an outpatient, I would have immediately taken him for a NCCT Head (CT scan of brain) as this is likely a case of stroke. Ayurvedic medicines and nurokind will not help at this stage. Immediately, get a CT scan of head done. In the CT scan, if there is no hemorrhage (bleeding), that means if hemorrhage is ruled out, he should immediately be put on tablet Ecosprin 150mg per day and tablet Atorvastatin 20mg per day.
Hi, Welcome to icliniq.com. Your MRI spine reports osteophytes at multiple spinal levels along with bilateral neural foraminal stenosis at C6-C7 level (attachment removed to protect patient identity). These cervical changes though can cause dizziness but persistent imbalance is not usually seen with these spondylotic changes. If you would have presented to me as an outpatient, I would have asked you the following questions to answer your query well- 1. Do you have history of double vision? 2.
Hello, Welcome to icliniq.com. I reviewed your files (attachments removed to protect the patient's identity) and found no biological cause for your weariness. Do you feel weary in your daily life, not only when you exercise? Do you get enough sleep? Is your hydration sufficient, as proper hydration is essential for muscular health? Are there any other symptoms than weariness, such as sadness or generalized body pains? I would be pleased to follow up with more information. Thank you..
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