b2_or_not_b2 replied: "MS can present with weakness/numbness/tingling/unsteadiness in a limb. But seems unlikely because of your chronic migrating pain in muscles and joints. Other than the above, MS can also have ocular symptoms (like double vision or blurry vision or blindness) and urinary urgency or hesitancy.
Often the symptoms of MS come and go, but sometimes they may be progressive without any relief in between.
The best test for diagnosing MS would be a MRI.
In your case, MS seems less likely, although still possible because of the involvement of different areas of the body at once).
Also, it could certainly be a side effect of the medications you are taking (could u specify the names?), since quite a few medications can cause tingling/numbness and tremors. Infact this seems more likely, looking at the acute onset. Did the onset coincide with you starting those medications?
Also, if you have side effect with the meds, you should say so to your doc and ask him/her for alternative medications, but do not stop or start any medications without asking your doc!
Also, Fibromyalgia is definitely a possibility for your symptoms - the common symptoms being widespread musculoskeletal pain, fatigue, headaches and numbness. even minor exertion aggravates the pain and increases fatigue.
So the best thing to do right now would be to continue the medications that your doc gave you for the fibromyalgia and take an appointment ASAP and then discuss about these new symptoms and a possible change of medications at your next appointment. Until then, it would be difficult to assess what exactly is causing these symptoms and hence stopping your medications wouldn't be advisable. (What meds were you prescribed? Could you specify their names?)
____________________________________________________________
Neurontin can cause mild sedation, tiredness, dizziness and unsteadyness.
Hydroxychlorquine can cause visual disturbances, neuropathy(tingling/numbness), myopathy(muscle pain), graying of hair and Irritable Bowel Syndrome.
Amitriptyline has quite a few side effects that include sedation, weakness, mental confusion, fine tremors, dry mouth, constipation, decreased Blood Pressure, etc.
The numbness that you are experiencing in the arm could probably be related to the blood work that you underwent. If its in both arms, then it could be a side effect of the hydroxychloroquine. Since you have numbness in the lips too, it could be the drug side effect.
What you describe as fingers jumping certainly seems to be tremors- probably a side effect of the amitriptyline, but if it would be due to the drug, it would have been in both hands. Since you only mentioned the left hand, I think it could again be related to the blood work.
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The thing is that since you are on 6 medications, it could very well be a side effect of those. Also, the numbness in your arms could be due to the blood work (since u mention that it left your hand bruised and swollen). The tremors too could be side effects of the meds. It would be difficult to say without examination, and infact, even after examination.
Ask your doc for a possible change in meds. Try and understand what each medication is being given to you for and what side effects you should expect. Maybe changing one medication at a time would best help you to determine what the exact cause is.
I personally avoid taking meds as far as posible, but what you've got to understand is that Fibromyalgia is a diagnosis of exclusion, ie, when one has excluded other possible diagnoses, then a patient is said to have Fibromyalgia. Thus it is not a 100% accurate diagnosis and it may be difficult to distinguish it from other similar diseases.
The prednisone that you have been prescribed is not useful in Fibromyalgia but is useful in SLE (lupus) which itself can produce most of the symptoms that you have, but can be diagnosed fairly accurately with blood tests. Maybe thats what your doc had ordered. Had you asked about why the blood work was being done? Also, you should ask your doc about the diagnoses she is considering as possible. It seems, that she is still considering a few other diagnoses.
The hydroxychloroquine that you have been prescribed is used in Rheumatoid arthritis.
Amitriptyline is used in Fibromyalgia.
So what I would suggest is, whatever is causing the symptoms, it wouldn't be an emergency. Schedule an appointment with your doc ASAP. Then, when you meet her:
1.Enquire about the diagnoses she is considering.
2.Understand what you are being prescribed each drug for.
3.Ask about the side effects that you should expect.
4.Understand the tests that have been done and that need to be done.
5.Understand what each diagnosis implies to you in terms of what you can expect later on(chances of improvement/worsening) and the amount of relief of symptoms that you can expect.
6.Get a second opinion if you still fel unconvinced.
7.Above all, work with the doc to help improve your symptoms. So dont omit any medicatons. If you have side effects, tell the doc and let her offer you alternatives.
IT IS YOUR DECISION TO MAKE. NO ONE CAN FORCE YOU TO TAKE ANY MEDS. SO UNTIL YOU FEEL CONVINCED, ASK MORE AND TRY TO UNDERSTAND MORE. THE MORE YOU KNOW ABOUT YOUR CONDITION AND WHAT TO EXPECT, THE BETTER PREPARED YOU WILL BE."
quijibored replied: "You need to see a rheumatologist if you suspect lupus and a neurologist if you suspect MS. I think you are wise not to neglect the possibility that some of your symptoms might be due to drug side effects. If the 6 meds were all prescribed by an internist and not the correct specialist, I'd be concerned about a misdiagnosis. good luck"
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