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Suggest Remedy For Tenderness On Back Of Skull And Tingling On Face
Question: Dear Dr,
it all begins with me 2 years ago...
it begins with tender places on my back of skull and face tingling
after 1 week i finished a treadmill average speed training for only half an hour, after stoping my hearts pound and my pressure decreased alot and i cant move untill i got alot of salt with water, after this accident i felt very fatigued and i couldnt sleep for days as i was very tired even to breath and open my eyes unable to do any physical job, pain in all my body, pounding heart for any physical activity, i did all the tests of blood including thiroyd test and heart & kidneys ct scan and brain mri, everything was in normal range then one dr gave me arcalion 200 and multivitamines also beta lock zok50 to control blood pressure, also i took lexotanil. after abt 1 month i get better and i started to be able to concentrate in work without being fatigued just to concentrate on my job,
after 2 months i tried to do sport also slow treadmill excercise for 30 minutes while iam walking there is no problem but after stoping (gradually) i feel dizziness and something squeezing on sides of my head and i feel jaw
weakness then i started to have great fatigue and i have to return to arcalion & vitamins i know its bad but i skipped working out because of the pain and great fatigue i feel as i couldnt do my job which needs focus as iam commercial manager for a big company now after 2 years,
without doing physical activity i felt now pain in both sides of my head i can't focus also little hard to move i feel like blood pounding on sides of my head and infront of my ear and pain in all the body do you think its chronic fatigue syndrom, or something with the brain i did the mri 2 years ago, must i do it again with another lab
my blood pressure is steady at 12/8 and i always check it and its the same
my weight 105 kg
my height 172 cm
i want alot to restart walking and excersising but always ends with fatigue
also the new pressure in head and blood pounding on sides of my head
i feel most of time when i stand or sit but i feel better when i lay my head on the pillow
also i want to tell you that after i stop excercise (after 30 minutes of walking with speed 4) i feel the following:
first step: weakness in jaws & pressure in head and front of ears.
2d step: great fatigue and weakness
then fatigue will last for days, untill i have to take the arcalion and the multivitamin for 2 weeks untill i feel better
very appreciate if u can help me as iam very tired of this situation
it all begins with me 2 years ago...
it begins with tender places on my back of skull and face tingling
after 1 week i finished a treadmill average speed training for only half an hour, after stoping my hearts pound and my pressure decreased alot and i cant move untill i got alot of salt with water, after this accident i felt very fatigued and i couldnt sleep for days as i was very tired even to breath and open my eyes unable to do any physical job, pain in all my body, pounding heart for any physical activity, i did all the tests of blood including thiroyd test and heart & kidneys ct scan and brain mri, everything was in normal range then one dr gave me arcalion 200 and multivitamines also beta lock zok50 to control blood pressure, also i took lexotanil. after abt 1 month i get better and i started to be able to concentrate in work without being fatigued just to concentrate on my job,
after 2 months i tried to do sport also slow treadmill excercise for 30 minutes while iam walking there is no problem but after stoping (gradually) i feel dizziness and something squeezing on sides of my head and i feel jaw
weakness then i started to have great fatigue and i have to return to arcalion & vitamins i know its bad but i skipped working out because of the pain and great fatigue i feel as i couldnt do my job which needs focus as iam commercial manager for a big company now after 2 years,
without doing physical activity i felt now pain in both sides of my head i can't focus also little hard to move i feel like blood pounding on sides of my head and infront of my ear and pain in all the body do you think its chronic fatigue syndrom, or something with the brain i did the mri 2 years ago, must i do it again with another lab
my blood pressure is steady at 12/8 and i always check it and its the same
my weight 105 kg
my height 172 cm
i want alot to restart walking and excersising but always ends with fatigue
also the new pressure in head and blood pounding on sides of my head
i feel most of time when i stand or sit but i feel better when i lay my head on the pillow
also i want to tell you that after i stop excercise (after 30 minutes of walking with speed 4) i feel the following:
first step: weakness in jaws & pressure in head and front of ears.
2d step: great fatigue and weakness
then fatigue will last for days, untill i have to take the arcalion and the multivitamin for 2 weeks untill i feel better
very appreciate if u can help me as iam very tired of this situation
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
I read carefully your question and reviewed all your test reports.
I would say that from your tests everything seems to be fine, except for slightly higher plasma levels of uric acid (you are taking taking zyloric for that) and an abnormal spermogram.
Your symptoms don't seem to be cardiac related.
Have you measured your blood pressure during these episodes? An orthostatic hypotension could explain a part of your symptoms and the fact that your symptoms are relieved in lying down position.
You should carefully monitor your blood pressure in sitting and standing up position. A decrease in your systolic blood pressure more than 20 mm Hg in standing up position, compared to sitting position would be indicative for orthostatic hypotension.I would recommend performing a head up tilt test to rule in/out this possible diagnosis.
From the other hand, the chronic decurse of your symptoms and the fact that your symptoms are relieved by lexotanil, arcalion indicates that a strong psychological factor is contributing in your clinical situation.
Depression and anxiety disorder could mimic a similar clinical scenario. Chronic fatigue is also caused by a similar physiological mechanism.
I don't think there is any lesion in your brain (it has been excluded by your brain MRI). But taking into consideration the brain cells function and the brain neurotransmitters, a decrease or imbalance of some of these neurotrasmitters is responsible for all the above mentioned disorders (anxiety, depression, chronic fatigue).
So I would advise discussing with your attending physician to take into consideration starting and antidepressant therapy ( sertraline, paroxetine, doluxetine, etc), which could be very helpful in your clinical situation.
Before coming into the above conclusion, I wuold recommend performing cortisol plasma levels to exclude a possible adrenal gland disorder, which could be the cause of chronic fatigue. (Your thyroid gland function result OK based on your test reports).
Hope to have been helpful!
I am at your disposal for further questions, whenever you need!
Best wishes,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
I read carefully your question and reviewed all your test reports.
I would say that from your tests everything seems to be fine, except for slightly higher plasma levels of uric acid (you are taking taking zyloric for that) and an abnormal spermogram.
Your symptoms don't seem to be cardiac related.
Have you measured your blood pressure during these episodes? An orthostatic hypotension could explain a part of your symptoms and the fact that your symptoms are relieved in lying down position.
You should carefully monitor your blood pressure in sitting and standing up position. A decrease in your systolic blood pressure more than 20 mm Hg in standing up position, compared to sitting position would be indicative for orthostatic hypotension.I would recommend performing a head up tilt test to rule in/out this possible diagnosis.
From the other hand, the chronic decurse of your symptoms and the fact that your symptoms are relieved by lexotanil, arcalion indicates that a strong psychological factor is contributing in your clinical situation.
Depression and anxiety disorder could mimic a similar clinical scenario. Chronic fatigue is also caused by a similar physiological mechanism.
I don't think there is any lesion in your brain (it has been excluded by your brain MRI). But taking into consideration the brain cells function and the brain neurotransmitters, a decrease or imbalance of some of these neurotrasmitters is responsible for all the above mentioned disorders (anxiety, depression, chronic fatigue).
So I would advise discussing with your attending physician to take into consideration starting and antidepressant therapy ( sertraline, paroxetine, doluxetine, etc), which could be very helpful in your clinical situation.
Before coming into the above conclusion, I wuold recommend performing cortisol plasma levels to exclude a possible adrenal gland disorder, which could be the cause of chronic fatigue. (Your thyroid gland function result OK based on your test reports).
Hope to have been helpful!
I am at your disposal for further questions, whenever you need!
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
dear dr,
tks alot for yr reply
there is no orthostatic hypotension
as for cortisol test i already did when i had the symptoms 2 years ago
and attached it now to you
i dont have depression as iam very optemestic man but maybe anxiety as i think alot and icant stop thinking positivly or negativly
do you think that with antidepresant the fatigue will go away and i can do sport again?
b.rgrds
tks alot for yr reply
there is no orthostatic hypotension
as for cortisol test i already did when i had the symptoms 2 years ago
and attached it now to you
i dont have depression as iam very optemestic man but maybe anxiety as i think alot and icant stop thinking positivly or negativly
do you think that with antidepresant the fatigue will go away and i can do sport again?
b.rgrds
Brief Answer:
I think that a depressant would be very helpful in your clinical situation.
Detailed Answer:
Hello again!
Thank you for the information provided.
I would like to know if you have performed a head up tilt test to exclude orthostatic hypotesion. It is difficult to diagnose this disorder only clinically.
I am glad that you feel optimistic. It is very helpful in this situation.
I would like to explain that some disorders like depression, chronic fatigue, anxiety disorder and fibromyalgia, tension type headache, etc. even though are clinically different (different symptomatology), they are caused by similar pathological mechanisms : an imbalance or a dysfunction in the neurotransmitters metabolism in the brain (serotonine, dopamine, adrenaline, noradrenaline).
So the antidepressants actions in these cell levels and on the neurotransmitters metabolism, restoring the imbalances, have shown to be very effective in all above disorders.
So antidepressants are the main treatment of these disorders (even though they are clinically different).
And I think that they would be very effective in your clinical situation. You should discuss with your attending physician on this possibility and on the best antidepressants options. (I would recommend first starting with a SSRI class drug).
Hope to have been helpful!
Feel free to ask any other questions, whenever you need!
Greetings!
Dr. Iliri
I think that a depressant would be very helpful in your clinical situation.
Detailed Answer:
Hello again!
Thank you for the information provided.
I would like to know if you have performed a head up tilt test to exclude orthostatic hypotesion. It is difficult to diagnose this disorder only clinically.
I am glad that you feel optimistic. It is very helpful in this situation.
I would like to explain that some disorders like depression, chronic fatigue, anxiety disorder and fibromyalgia, tension type headache, etc. even though are clinically different (different symptomatology), they are caused by similar pathological mechanisms : an imbalance or a dysfunction in the neurotransmitters metabolism in the brain (serotonine, dopamine, adrenaline, noradrenaline).
So the antidepressants actions in these cell levels and on the neurotransmitters metabolism, restoring the imbalances, have shown to be very effective in all above disorders.
So antidepressants are the main treatment of these disorders (even though they are clinically different).
And I think that they would be very effective in your clinical situation. You should discuss with your attending physician on this possibility and on the best antidepressants options. (I would recommend first starting with a SSRI class drug).
Hope to have been helpful!
Feel free to ask any other questions, whenever you need!
Greetings!
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
dear dr sharka,
tks alot for yr quick feed back
i didnt do the orthostatic hypotesion in a clinic
i did it at home bymyself
one dr said to me that i have to do serum metanephrines test to check adrenal
gland work, do you think i have to do?
b.rgrds
tks alot for yr quick feed back
i didnt do the orthostatic hypotesion in a clinic
i did it at home bymyself
one dr said to me that i have to do serum metanephrines test to check adrenal
gland work, do you think i have to do?
b.rgrds
Brief Answer:
Opinion as follows:
Detailed Answer:
Hi!
Checking the blood pressure difference between sitting and standing up position may be an option, but the only standardized and most sensible test for such a disorder remains Tilt testing.
Regarding metanephrine test, I would explain that it is used to rule in/out a possible adrenal cause of hypertension (concretely pheochromocytoma), which in fact has nothing to do with your current clinical status. I don't recommend that test, as it is useless for any diagnostic purposes (in your case).
Best wishes,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hi!
Checking the blood pressure difference between sitting and standing up position may be an option, but the only standardized and most sensible test for such a disorder remains Tilt testing.
Regarding metanephrine test, I would explain that it is used to rule in/out a possible adrenal cause of hypertension (concretely pheochromocytoma), which in fact has nothing to do with your current clinical status. I don't recommend that test, as it is useless for any diagnostic purposes (in your case).
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
dear dr sharka,
tks alot for yr kidness & cooperation
b.rgrds
tks alot for yr kidness & cooperation
b.rgrds
Brief Answer:
You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
In case of further uncertainties, you can ask me directly on the link below:
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765
Kind regards,
Dr. Iliri
You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
In case of further uncertainties, you can ask me directly on the link below:
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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