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What are the symptoms of progressive multiple sclerosis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello, doctor,

I am a 36-year-old mother of three with a BMI of 27 and no ongoing medication, and I have a history of bouts of thyroiditis, but have been stable for the last six months. My question is, could the symptoms below be multiple sclerosis (MS), and should I get tested for this?

I have been suffering from fatigue for over seven years now. Any physical exertion completely wipes me out, no matter how small it may be, such as walking upstairs. I have no energy, and I am exhausted. My general practitioner told me it is the children making me tired, but this is not the case. All blood test results are normal. No vitamins or any deficiencies were shown. In addition, I have been getting pins and needles or numb patches sporadically on my hands and feet, sometimes on my top lip too.

I also have a tremor in my hands, and during my last pregnancy (about one year ago), I had an episode of slurred speech and inability to speak. This was thought to be a transient ischemic attack (TIA), but tests showed it was more likely a migraine with aura.

I feel that when I read the work, there is a delay in actually processing what I have read. I recognize the word, but it takes a while to remember it. The final symptom is one-sided hearing loss; a virus may have caused this, but I saw it could also be a symptom of MS.

Kindly help.

Hello,

Welcome to icliniq.com.

I understand your concern, and I think that your symptoms are not those of multiple sclerosis (MS). Anyway, both chronic fatigue and brain fogginess may be related to migraine. Depression and fibromyalgia can also cause a similar clinical situation. I suggest performing a brain MRI (magnetic resonance imaging) to completely exclude MS and put your mind at peace.

I suggest you take the tablet Amantadine (Amantadine Hydrochloride) 100 mg twice daily. If this improves your fatigue, I would conclude that it is chronic fatigue syndrome.

If your situation worsens, I suggest switching to Cymbalta (Duloxetine) 60 mg daily for fibromyalgia.

Consult your specialist doctor, discuss with them and take medicines with their consent.

I hope you find this information helpful.

Thank you.

Medically reviewed byiCliniq medical review team

Published At August 9, 2022
Reviewed AtDecember 19, 2025

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