I would love to find someone, anyone, who has experienced the kind of symptoms that I have been suffering from. A lot of my symptoms are pretty textbook MS, but a lot of symptoms are not generally associated with MS. Because of this, and because of the random nature of my symptoms (one thing today and something different tomorrow, then back) to date, after 4 1/2 years I am still in limbo, and can feel myself getting sicker all the time.
Because no one has put a label, or labels on it, to date, any treatment that I am currently receiving is for individual symptoms only. This started four and a half years ago, and new symptoms continue to appear. The severity varies, which symptoms are active varies, and the number of concurrent symptoms change. I would be happy to talk about any of the individual symptoms to either provide info, or to try to find someone with any similar problems.
I am also looking for advice. Best guess right now is that it is not only one condition, but at least 2 or possibly 3 conditions, thus the confusing list of symptoms. Easy for them to say, but I must get to the bottom of it and then proceed with treatment as soon as possible. Given I have been in limbo for over 4 years and the fact that symptoms continue to appear, I need help to know what I can do to get this sorted out quickly. I keep saying I need a real life Dr House but no such thing exists to my knowledge.
Symptoms - as breifly as possible, include:
- Atonic temporal lobe seizures with loss of consciousness (started when I was 45 which is very odd)
- Debilitating headaches
- Short term memory problems, at times with no recall even when reminded.
- Anxiety and panic attacks
- Depression
- Skin rashes
- Various injuries that resulted from falls during seizures, including concussions, broken bones, and 3 herniated discs (C4/5, C5/6, C6/7 inoperable)
- Pain, bad pain - muscle, joints
- Tremors and ticks in my face, arms, and constantly have the hiccups
- Tingling and loss of feeling in fingers, and reduced feeling in extremities and face
- I drop everything, trip over nothing, and have very little grip strength.
- Severe sleep apnea - very severe (biPap 22/12)
- Residual latency daytime sleepiness (exactly like narcolepsy except I have an overpowering feeling that I have to sleep and I have to sleep now!)
- Extreme dry mouth
- Vision problems, it is like a child with a lazy eye except it is both eyes and both interior and exterior muscles making them cross one way in the distance, and the opposite up close. At times my vision goes 'digital' I require several pair of glasses because they cannot put opposite prism in the same lens. Constantly changing glasses throughout the day causes headaches and makes me feel nauseated
- Extreme dry eyes
- Eye hemorrhages - bilateral
- Very little sensation of when I have to urinate. A few episodes of loss of control
- Difficulty swallowing, I have to think about it
- Feelings of "a slimy fuzzy tennis ball" in my throat that actually makes me gag and vomit at times (nothing is there though)


Wow!! Hi and Welcome,
First off I'm no medical expert but let me share some thoughts with you I had as I was reading your post. You certainly are experiencing a great many symptoms which seem to have no rhyme or reason. I'm sorry that you are in such pain.
Please know that your experience is not unique. There have been others who have spent years looking for answers and still remain in world of the undiagnosed. Just a week or so ago, I shared a post "Multiple Sclerosis: Psychosomatic, Neurologic, Mood Disorder, or Personality?" in which my friend Clare shared part of her Limboland story. Many years before MS became official in my life, I lived with depression which is now known to have an inflammatory component.
I see that you've been diagnosed with depression and anxiety. You also report taking at least two anti-depressants, Lexapro and Prozac, which are both SSRIs. It is not uncommon to take more than one anti-depressant, but I'm not sure about taking two of the same class.
1. Lexapro/Cipralex (escitalopram) is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Escitalopram is used to treat anxiety and major depressive disorder.
2. Prozac (fluoxetine) is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Fluoxetine affects chemicals in the brain that may become unbalanced and cause depression, panic, anxiety, or obsessive-compulsive symptoms.
Being hypothroid can also contribution to depression. How is the Synthroid working to bring down your TSH (thyroid stimulating hormone) level? (btw, i also take Synthroid)
3. Synthroid (levothyroxine) is a replacement for a hormone that is normally produced by your thyroid gland to regulate the body’s energy and metabolism. Levothyroxine is given when the thyroid does not produce enough of this hormone on its own.
You mention osteoporosis which can explain the stress fractures, low bone density, pain. Osteoporosis can also contribute to herniated discs. Are you taking anything specifically for osteoporosis? Have you had your Vitamin D levels checked?
Deficient vitamin D levels can contribute to lower bone density and bone pain. I know because I've experienced it and am currently under an aggressive program to get my vitamin D levels up and I feel much better for it. Also, low vitamin D can also contribute to depression.
You mention fibromyalgia, which can cause wide-spread pain in the joints and muscles. In theory, an anti-inflammatory should not help with this but for some patients it does. So far (in the US at least), Lyrica is the only drug approved for fibromyalgia.
4. Celebrex (celecoxib) is in a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Celecoxib works by reducing hormones that cause inflammation and pain in the body. Celecoxib is used to treat pain or inflammation caused by many conditions such as arthritis, ankylosing spondylitis, and menstrual pain.
5. Lyrica (pregabalin) is an anti-epileptic drug, also called an anticonvulsant. It works by slowing down impulses in the brain that cause seizures. Pregabalin also affects chemicals in the brain that send pain signals across the nervous system. Pregabalin is also approved to treat fibromyalgia.
In addition to being used for fibromyalgia, Lyrica is prescribed for nerve pain and some types of epilepsy. So is Lamictal which is used in some people with bipolar disorder.
6. Lamictal (lamotrigine) is an anti-epileptic medication, also called an anticonvulsant. Lamotrigine is used alone or in combination with other medications to treat seizures. Lamotrigine is also used to delay mood episodes in adults with bipolar disorder.
As for pain, dilaudid is considered a pretty high-powered pain reliever. Does it help?
7. Dilaudid (hydromorphone) is in a group of drugs called narcotic pain relievers, also called opioids. It is similar to morphine. Hydromorphone is used to treat moderate to severe pain.
So you've got quite a medical cabinet going there. Are you truly taking all of these medications at the same time? I would be concerned with possible drug interactions. Please check with your doctor on that one.
The tingling, numbness, weakness in your fingers and hands could very well be a result of the herniated discs in your C-spine. My MS lesions are primarily in my C-spine and I have the same symptoms. So we both have something which impedes the nerve flow in that area.
The tremors, tics, and spasms could be MS related or maybe not. MS spasms usually respond well to baclofen (anti-spasmodic) or Neurontin (anti-epileptic) which is very similar to Lyrica.
I don't know enough about seizures and epilepsy to comment other than, if you have lesions in that portion of the brain, then it could be related. Again, the neurologist would be the expert here.
I'm curious about the extreme dry eyes, extreme dry mouth, difficulty swallowing, and skin rashes. In your blood workup, did they test for ANA (antinuclear antibodies)? I wonder if with all this dryness, the doctor's didn't consider Sjogren's Syndrome which is an autoimmune disease that is difficult to diagnosis. It is associated with rheumatic disorders and a rheumatologist would be the specialist to consult, the same specialist who you would consult with for fibromyalgia.
I hope that you are able to find some answers and I'm sorry that the road to diagnosis can be so very long and complicated at times. Even if you do end up with MS, symptomatic management is a huge part of dealing with the disease.
Alright, that's a lot of information. Take time to divest these thoughts, come up with some more of your own, and now that we're here to help and support you.
Lisa
Lisa by reading her post I found information that will be helpful to me!
Thx,
Sherry/Smomdukes
Thank you so much for taking the time to provide me with all the information! It has taken a while for me to go through it all, but I wanted to answer some of your questions and maybe give you a little more detail. I know this post is very long, and I apologize for that but there is no short way to explain what I have gone through and what I am still going through.
In terms of being diagnosed with depression and anxiety, there is a bit more to it that further complicated things. The very first symptoms I had were the seizures. They started in August of 2005. At the same time, I was going through a very traumatic situation at work. I tried to deal with the issue properly, but after several months of the problem not being resolved, I got the advice of a lawyer. Within a very short time frame, I just could not deal with it anymore and kind of had a major meltdown. At that point I went to the doctor, who ordered me off work, and referred me to a psychiatrist. It was at that point that they diagnosed depression and anxiety (go figure!). The situation ended in a law suit, which I won.
Simultaneous to this I started having seizures and began the long process of drug trial and error.
Also, during the same time frame, my father had major surgery that did not go well, and we spent the next 8 months at the hospital. He was 4 months in critical care. Although we did get him home for about 2 months (which being the only girl, the majority of care rested on my shoulders), he passed away. That left my mom, who has health issues of her own, on her own after 65 years of marriage, and I lived an hour away and because of the seizures did not have a driver’s license.
So was the initial diagnosis of depression and anxiety really an underlying symptom of a disease or was it spawned from the overwhelming situation I was in. I was very depressed, but given the circumstances, depression would have overtaken almost anyone.
I had a psychiatry appointment this morning and questioned the drugs, but she assured me that those are the meds she wants me on.
I have been on thyroid replacement for over 35 years. I was a child when I was diagnosed. The first 30 years I never suffered from depression so I can’t see a link there. The meds work well to keep it in check.
I am not taking anything specific for the osteoporosis, other than Vitamin D and Calcium and Magnesium. It was only after a heated discussion with my doctor that the bone density test was even done. I specifically asked for the test because of the stress fractures and because of my broken wrist. Otherwise, I would not even know about that right now. Why not? Because it just got written on the chart and forgotten about!
I will ask to have my Vitamin D levels checked.
The fibromyalgia diagnosis came out of the blue. It seemed like a single symptom made the doc jump to that idea and just give me drugs. He added the Lyrica and the Celebrex. Neither of these drugs have made any difference whatsoever so I think his fibromyalgia brainwave has now been forgotten about.
The lamotrigine for my seizures is the only drug that has helped. I have tried many, and many combinations to no avail but the lamotrigine stopped the seizures.
For pain, the hydormorphine helps, but certainly does not eliminate the pain. On a good day, it works quite well. On a bad day, it does nothing. I have been on this since last April and the dose has been increased many times. Another issue is now, I am addicted to it and when I can go off it, it is not going to be easy.
I do take all of these medications every day. I have checked with my GP, my neuro, my psychiatrist and my pharmacist and they all say that none of these will interact. My point is that I don’t know how they can definitively say that because I highly doubt there has ever been anyone with my exact body chemistry, and taking the exact same medications in the exact doses who has been studied. I am very worried about the chemical cocktail, and would give anything to stop taking the meds, but . . . . .
There is a growing number of lesions on my brain, but they say they cannot define them and isolate them to characteristic of any one thing.
There are only a very few possible diagnosis that have remained consistent and remain being considered. There have been lots of detours. The only consistent ideas are Epilepsy and MS, Epilepsy and Vasculitis, or Epilepsy and MS and Vasculitis. Thus the reason I joined this forum.
As you have noted, a lot of my symptoms could be this or that or related to this or that. But what I need to know is exactly what is the this and that and or what is the combination of this and that. And, most importantly, how do I find out? AND, there have been so many possible “labels” thrown out there, that I don’t even know what they do or don’t think.
You mentioned you were curious about the extreme dry eyes, extreme dry mouth, difficulty swallowing, and skin rashes. I am not sure what information you would like to know, but I am certainly happy to tell you anything you want to know. Briefly (okay – that word just doesn’t work well with me) I will tell you a little more, but please ask if there is more info you would like.
Extreme dry eyes – there was a Sunday that I just didn’t feel well. Nothing I could put my finger on, but felt worse than normal. I took that day and rested. Throughout the day, if I was looking at something (like the TV or my husband) for more than a few seconds without moving my eyes, everything would go digital. You know the little scrambled boxes that are on a TV screen when a movie is starting, or when you switch to a digital channel, that was what my vision was doing. I went to the optometrist the next day. The result of the tests were that it was like my eyes had both turned in to lazy eyes for some reason and up close my eyes crossed one way and in the distance, they crossed the other way. In between range things were fine. Because they could not put opposite prisms in a single pair of glasses, I have 1 pair with prism for distance, one pair with the opposite prism for close, one pair of progressives that has no prism (for mid range). All day long I change glasses depending on what I am doing at that moment. The constant changing of scripts causes headaches and nausea. This is how it started.
Then about a week later I woke up and my eyes both looked like Santa suits. Bright red, itchy, burning. I went to show the optometrist and she really didn’t know what to think. She sent all of her findings to both my GP and my neuro.
Since then I have very regular bouts of the bleeding in my eyes (I will post a picture so you can see what I mean). I just wake up – and there they are. No pattern, no rhyme or reason. No answers. Along with this my eyes have become very dry. There is very little tear production. We have tried every eye drop known to man, and I have reacted to every single one. Even the ones sold in individual vials with no preservatives. An ophthalmologist has measured the dryness of my eyes and they are drier than normal. Why? I have no idea. The neuro felt that is was a symptom of vasculitis, thus the visit to the ophthalmologist, but, although they are drier than normal, they are not as dry as he would expect from vasculitis so they decided that was inconclusive.
As for the hemorrhages – no explanation.
Extreme dry mouth – this has gotten worse over time. I use special toothpaste and rinse but it really doesn’t help all that much. I am thirsty all the time and constantly have a glass of water in my hand. My mouth is so dry that I get painful cracks in my tongue that take forever to heal. I have been checked for diabetes because of the thirst, but that was negative.
Difficulty swallowing – this one is very troublesome and quite frightening. It happens when I am drinking liquid, or eating solids, and even on my own saliva. Swallowing is pretty automatic but I start to gag, and then I have to talk myself through the process of swallowing. It is like my body forgets how. It is not all day every day, but it is every day at least a few times.
Also, I have had a few episodes now where it feels like there is a big, fuzzy, slimy tennis ball in the back of my throat. It is a feeling like you have the worst sore throat ever and swollen tonsils. Sometimes after a day or so this feeling will pass, but on a few occasions, I have continued to gag, then to vomit, on whatever it is that is in my throat. Problem is that although the doctor can see me gagging and vomiting, there is nothing in my throat at all. They have done scopes during a couple of these episodes and there is nothing there. It lasts for a few days. After the tennis ball goes away, I have absolutely no voice for 3 or 4 days.
Skin rashes –they come and they go. They are most common on my chest, under my breasts, my neck and stomach. It looks kind of spotted and blotchy, and is pinkish in colour. It itches something fierce! When the rash comes, it takes a long time to calm down. Several creams and oral medications have been tried, but nothing works. I don’t know if the tests you mention have been done or not.
Bottom line is I need answers, and I can’t wait another 4 years. I have seen so many doctors and had so many tests that I have completely lost faith in doctors. I don’t have the energy anymore to keep chasing my tail. Enough is enough. I know that if you don’t advocate for yourself, you will go nowhere fast, but I have advocated for myself, been very persistent, done everything they tell me, had every test they have wanted, and all I have gained is getting more and more symptoms and getting sicker and sicker. Now, I am just too sick to stay on the medical merry go round. I need a hero – someone who can tell me what is going on and what to do. I need a Doctor House. Please tell me where and how I can find the hero I desperately need!
You certainly have been through a great deal in recent years. Understandably there would be some serious depression and anxiety involved. I'm so glad to hear that you are under the care of a psychiatrist and that you asked about the variety of meds. It's great to be under the care of a professional you trust.
And you're obviously on top of the hypothyroidism. Good for you!! And great that you're taking a combination of Vitamin D, Calcium, and Magnesium because they are needed in combination to help with bone density.
So the Lyrica and Celebrex were both for fibromyalgia. Certainly if they didn't do anything for you and you question that diagnosis, then I'd suggest talking to your doctors again. (yes, I realize that is probably very frustrating.)
Thankfully you've found something which definitely does help with the seizures. Hang on to that postive result.
When your next round of test results come back, maybe you will have more concrete answers. I do know that the waiting can be excruciating and frustrating. Certainly coming off of an addictive pain-killing like dilaudid will not be an easy task.
The reason I was asking more questions about the dry eyes/mouth, etc is that they are classic symptoms of Sjögren’s syndrome. Check out the Sjögren’s Syndrome Foundation and download their patient brochure. Here is an excerpt from that brochure.
What are the symptoms of Sjögren’s syndrome?
Symptoms vary from person to person but may include a dry, gritty, or burning sensation in the eyes; dry mouth; difficulty talking, chewing, or swallowing; a sore or cracked tongue; dry or burning throat; dry, peeling lips; a change in taste or smell; increased dental decay; joint pain; vaginal and skin dryness; digestive problems; dry nose; and fatigue.
There are also other autoimmune diseases which can appear with Sjogren's and have rashes as a common symptom. Also, there can be central nervous system involve. It's really just a hunch I have from reading your post.
I can't help with any advise on the vision issues. My problems were straight optic neuritis where I lost color vision and went completely blind in my right eye for months. Other times I just lost some clarity and the color red.
Please stick around, and now I'm really curious to see what your latest test results say. Anything else we haven't covered yet?