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Anon asked...

Constant fatigue and muscle weakness

Hi, I have constant fatigue which increases with any activity. I have muscle weakness in all limbs and sometimes I am shouting in my mind for my limbs to move but they won’t react. I want to move but I can’t. Recently it was as if a fog was cleared from my mind. When it is at its worst I am dizzy and spatially unaware of where I am. I have had a tremor in my left index finger for a couple of months. I sometimes wake up during the night with pins and needles in the same hand alongside with a shooting pain above and sometimes behind my right eye. Sometimes I am unable to dress/undress or walk more than 20 yards. My symptoms tend to flare up. I also have obstructive sleep apnea (Controlled by CPAP machine), high blood pressure and high blood sugar which is also monitored and under control. I do not have any flu like symptoms. These symptoms have been going on for over a year now but during the last 6-8 weeks they have been becoming progressively worse.

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The answer

We thank you for your questions about multiple sclerosis and myalgic encephalopathy (ME).

Both of these conditions can be very difficult to diagnose by clinicians.  In this instance we have to refer you back to your general practitioner.  Your general practitioner will have to refer you to a neurologist for a  positive diagnosis of multiple sclerosis.  Myalgic encephalopathy is also an extremely difficult condition to diagnose.  There are specific consultants within the United Kingdom who can be contacted for a very sympathetic response to your symptoms and  help diagnose  ME. 

Multiple sclerosis is a condition in which the myelin sheath around nerves becomes damaged causing a wide range of symptoms.  It is this damage to the myelin sheath which  typically results in symptoms such as  fatigue, vision disturbances and problems with movement.  There are around 100,000 people in the United Kingdom with multiple sclerosis and there are different  clinical presentations of multiple sclerosis.

Myalgic encephalomyelitis (ME) is a condition which is characterised by the symptoms of extreme fatigue, muscle and joint pain, cognitive impairment and sleep disturbance.   These symptoms are not relieved by sleep. There is no known  cause for ME and the management of the symptoms can be frustrating for clinicians and people managing the disabling effects of this  condition.   The ME association offers much needed support and guidance to individuals who have to manage this condition on a long-term basis.  ME is also commonly referred to as chronic fatigue syndrome by clinicians and in the scientific literature.

Answered by the Health at Hand nurses  

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