Get E-Book on COVID-19

Q. Suffering from seemingly indefinable symptoms. Could it be caused by anxiety disorder?

Answered by
Dr. Ashok Kumar Choudhary
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 21, 2018

Hello Doctor,For the past one year I have been suffering from seemingly unexplainable symptoms, which have been getting progressively worse.

I have been through a series of medical examinations which did not find anything. My doctors are clueless and I am desperate. I hope you may have some suggestions.Symptoms:

  • Persistent unbearable fatigue which is worst in the morning and afternoon, worsens after eating a meal, after standing up and after drinking coffee. It gets better after lying down with legs raised and after stretching the neck and after drinking alcohol. Otherwise the fatigue prevents me from doing most normal daily activities. I can barely sit and watch videos, eat and use the toilet. I am not able to do any other work. While sitting I fall asleep during the daytime.
  • Resting and intention tremor (while rotating the wrists).
  • Sluggish memory, fairly frequent memory lapses (forgetting my friends names). 
  • Clumsiness - when pressing buttons on the computer or microwave I often miss the button and while opening drawers or doors I grasp air instead of the handle, etc.
  • Eye coordination problems - while reading my eyes jump over words thereby making me misread words for something else or just omit words.
  • Cognitive difficulty - with mental arithmetics and planning and I often mispronounce words or use different words than the appropriate one in a sentence during speech.
  • Post-void urinary dribbling and frequent defecation.
  • Flashes of past memory like dreams while awake, euphoria turning into nausea and extreme tiredness afterwards.
  • Pain in the neck, muscle cramps and stiffness in the neck and TMJ area. (I have had orthodontic treatment for the past 2.5 years for correcting underbite). Slightly dislocated coccyx.
  • Pain and pressure behind the eyes, urge to blink often.

Tests done and reports:

  • MRI scan of the brain: normal.
  • Thyroid function tests, Liver Function Tests (LFT), serum electrolytes, vitamin B12, kidney function tests: normal.
  • Glucose blood test: normal.
  • Lyme disease: no abnormalities.
  • Gluten intolerance: no abnormalities.
  • Complete Blood Count: no abnormalities.
  • Urine microscopy: no abnormalities.
  • Psychiatrist: no abnormalities, except worry about my health.
  • No hypotension or orthostatic hypotension.
  • Sleep study: no hypoxia or sleep apnea.
  • No papilledema and nystagmus.
  • Plantar reflex - flexion, negative Romberg's sign.
  • Symmetrical reflexes.
  • No family history of any disease, no childhood history, no epilepsy, no drugs ever taken.
  • Serum C-reactive protein level, serum vitamin B12, serum ACE level, serum folate, complement C3, complement C4, ESR (Erythrocyte Sedimentation Rate) are within normal range.

Could all of these be caused by anxiety disorder/ depression?What all tests would you recommend to rule out all possible underlying neurological conditions? What is the most probable condition I am suffering from?

Dr. Ashok Kumar Choudhary

Andrology Geriatrics Psychiatry Psychologist/ Counsellor Psychotherapy Sexology
#

Hi,

Welcome to icliniq.com.

All the symptoms which you have mentioned cannot be explained on the basis of anxiety disorder or depression.

The points against anxiety and depression are resting and action tremors, problems with eye coordination and the memory lapses that you are experiencing.

You have already undergone almost all required tests in neurology. But a few more tests are necessary:

Complete neurological examination by a neurologist - this is the most important test.

  • EEG - this will help rule out any seizure disorder.
  • MRI brain T2-FLAIR and MRI with gadolinium contrast, if not done already.

Screening for heavy metals.

At this stage, I am not able to make a provisional diagnosis for you but there is a possibility of Synucleinopathy (group of disorders associated with abnormal deposition of synuclein), if your age is beyond 50 years.Revert back with the reports to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist


Was this answer helpful?

 | 

Related Questions:
My anxiety disorder relapsed after I drank beer. What should I do?
Postpartum Depression
I have anxiety disorder and was prescribed with 5mg lorazapam. But this dosage gives poor response. Is it safe to take one more tablet?
 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


I have lack of concentration, memory problems and negative thoughts. Please help

Query: Hello doctor, I have symptoms related to the mind and body. I have no clarity in thinking. I cannot make any decisions. Even if I do, the moment I make the decision, I get negative thoughts and a sudden jerk in my mind with a sensation of fear. Also, I have on and off memory issues. It appears fine ...  Read Full »

How to overcome insomnia and memory problems?

Query: Hi doctor, For the past three months I have been suffering from worsening insomnia. I fall asleep with great difficulty. I used to get a light fragmented sleep, where I wake up several times and have many dreams. In fact do not even know if I have fallen asleep or not. I just know that time has pass...  Read Full »

Depression - Awareness, Self-Diagnosis, and Treatment Modalities

Article Overview: Depression is among the top five causes of morbidity in today’s world. It remains largely undiagnosed and underreported because of a lack of adequate knowledge, both among the patients as well as the physicians. It is majorly characterized by the presence of a continuous sad mood, anhedonia, and easy fatiguability along with a host of secondary symptoms, which aid in quantifying the severity of the depressive disorder. So, it is the need of the hour that awareness is raised among the masses regarding this illness that is soon poised to be the number one cause of morbidity. Read Article


Dr. Ajay Singh
Psychiatrist

Depression has been recorded in the annals of history since time immemorial, but never has it assumed so much significance as it has in today’s world. With the advent of technology today, the human society is evolving by leaps and bounds with every passing day. As the saying goes that every co...  Read Article

Also Read


Miscarriage
This article provides you with all the information that you should be knowing about miscarriage. Although this is an emo...  Read more»
COVID-19 Testing
COVID-19 testing includes analyzing patient samples to determine current or past infections with SARS-CoV-2. Read the ar...  Read more»
I feel a restlessness in my legs, which decreases my sleep quality. How to get a refreshing sleep?
Hello doctor, I cannot get refreshing sleep some days in a week, and some days it is good. I also have difficulty sleep...  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.