Hi,
Thank you for posting your query.
I have noted your symptoms. I agree with you that an auto-immune disease such as collagen vascular diseases (SLE, etc) needs to be excluded. For this, ANA profile, anti-ds DNA, Rheumatoid factor, may be done, if not already done.
In addition, vitamin B12 and D levels should be checked to exclude any deficiency.
If all the work up is negative, then, we should consider fibromyalgia/chronic fatigue syndrome.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist
Patient replied :
I've had a shaky feeling and weakness in both of my arms for about 4 days now. I can do push ups with no problem and my hand does not shake while I'm holding anything. It's just the feeling. What would cause that?
Thank you for getting back.
I have noted your current symptoms. They are non specific and do not suggest any serious neurological illness. Please take good food, vitamin supplements and do regular exercises to get better.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist,
Patient replied :
Ok. Well I'm really concerned. I'm awaiting more tests. My fingers hurt. I'm extremely tired through the day, have constant nasal congestion and It's become hard to look outside if it's really bright. I thought it may have been an allergy buy I'm seriously wondering if it is lupus. Wouldn't my cbc be off if it was?
Thank you for getting back.
Could be allergy or a viral infection. unlikely to be lupus. ANA (anti nuclear antibody) blood test would be positive if it were lupus.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist
Patient replied :
This may be a long shot but I've been logging my symptoms the past few days. With left eye pressure left face pressure, vision sensitivity, congestion, fatigue it all goes away around 6 pm. What in the world would that be?
Thank you for getting back.
I have noted your new symptoms. The possibilities include allergy and vascular/cluster headache.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist