I have been suffering from fatigue, tremor in my hands, slurred speech and delay in processing. Does it indicate multiple sclerosis (MS)?

Q. Do fatigue, tremors, slurred speech and delay in processing suggest multiple sclerosis?

Answered by
Dr. Aida Abaz Quka
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 08, 2022 and last reviewed on: Aug 12, 2022

Hello doctor,

I am a 36-year-old mother of three BMI of 27, no ongoing medication, and had a history of bouts of thyroiditis but 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 vitamin or any deficiencies showed. 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 seemed 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 hearing loss one-sided, a virus may have caused this, but I saw it could also be a symptom of MS.



Welcome to Icliniq.com.

I understand your concern, and I think that your symptoms are not that 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 to take 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.

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