I think I've developed MS.....

By FVA528 Monday, June 29, 2009

I haven't posted in a long time, but no one else knows what I'm feeling or what I'm thinking so, I'm here to share/vent/etc.

 

I was first dx with RA last August.I started out with mtx ( got too sick) and switched to Arava. Three months later, I still didn't have any relief in any of my symptoms ( swollen/painful fingers, feet, wrists, ankles), nodules under my toes and fingers and a really odd feeling every night when sitting where I would have to constantly stretch and flex my feet because it felt as if the muscles in my feet were too tight. Another weird thing I noticed was my calves were rock solid- which also hurt. During this time I was also receiving weekly venofir injections because I was anemic ( I had gastric bypass 7 years prior).In December,I started humira injections and for the first time since the summer, I felt NORMAL. It was very shortlived however, because after each bi weekly injection, I would come down with one bug or another- two bouts of bronchitis and by the time I was over those bugs and resumed my injections, I did not get the relief that I had, in fact it was as if I didnt take anything. My doctor started the paperwork for my insurance company because I wanted to start Rituxin because I could not tolerate the pain nor the depression that I was living with due to my limitations. The next bug to get me was pneumonia- even though I had the pneumonia vaccine! By the time I was finally approved by my insurance company, I had another new " thing" - I had really bad spasms in my stomach ( for the ladies- it was as if I was 9 months pregnant and having braxton hicks contractions) that would not stop. I also had a bad burning on my left side, and when I sat down, it felt like an alien was trying to pop out of my left side. The worst pain, though, was a feeling as if someone had a tight belt under my breasts at the top of my ribs and was squeezing it tighter and tighter. My primary doctor had no idea what was wrong, so he sent me for a ct scan and ultrasound. The CT scan came back with a mass on the outside of my liver. Saw a surgeon who viewed some old films from two years ago of tests I had done and concluded that it was a calcified gallstone and that my pains were unrelated. I actually left her office and cried- I was so frustrated that no one knows what is wrong with me ( other than my rheumy) and I had no explanations for the pains I was feeling plus the new things that were creeping up. For example, I had been back in school since last year and I was having the worst problems with expressing myself when I had to write a paper. I could not get my thoughts from my head to the paper and there were many times that I would sit in front of my computer and not be able to do what I needed to do. Thankfully for me, I had professors who knew I was sick and gave me grace periods for extending the deadlines but this is happening with greater frequency and to that extent, my memory is declining rapidly and I often feel as if I am in a fog. I even take Adderall for my lack of focus issues and although I take a considerable dosage ( 20mg 3x a day) it is not helping me. My pains are 10x the amount they were last year, all I want to do is sleep, I'm a mess to be around, I've gained about 20 lbs since March ( heh even with a gastric bypass surgery!) and my skin feels as if it is stretched so tighthly over my growing body. My vision ( which I already wear contacts for) is getting worse and my handwriting stinks because I get the worse cramps in my hands whenever I am using them to do something of dexterity.

6/29/09 2:25pm

I was so sorry to hear your story of pain. I wanted to respond because some of what you are going through is familiar to me. I have had tons of swelling on my hands, feet and knees. Not going down with methotrexate or prednisone. Also at night I have ben getting cramping in my feet and occassional tightness in my calves. I have been in a "flare up" since December. Unfortunately I have had weight gain,  and feel that some days it really drags me down emotionally. My hope for you is that you will get answers, and use that to gain inner strength. Also maybe a local support group wold help.

6/30/09 3:32am

Thank you, Karen and I'm very sorry that you're in a flare up since December too :( I had no idea that these episodes lasted this long and I fear getting worse with summer here ( well it just arrived here in NJ ). Nighttime is the worst for me- it used to be, that I would take a zanax maybe once a week to get to sleep because of the pain- now its been almost nightly for the past two weeks. I cannot take pain medicine during the day because I have two children and I work part time, so I pretty much get through the day until my husband gets home from work- usually around 8pm. My part time job is also part physical too- I work for a specialty retailer and while part of my job is handling the office work, we get trucks in once a week and unhauling the freight is part of the job ( tomorrow morning we have one at 730- well i should say in 4 hours) and it's about 1100 pieces. I will be done for the next two days because while I am not in pain doing the work, its when I finish and sit down that every part of my body turns to cement :) I've looked into local support groups but there isn't one in my area ( odd ) and I don't have the energy to travel too far at night. That's why I came back to this forum- I have no one else to talk to because none of my family/friends knows how I feel. Hugs,

Faith

Anonymous
Karen R
6/30/09 8:45am

Faith,

glad we are able to share our thoughts on this site as well. When you physically look at us, we probably look pretty normal, it's what we are feeling inside that no one else can possibly understand. This site is my vice for getting through. I have a 9 year old son who is big time into baseball, and a full time job. I feel like I havent slept in months. The fatigue is probably one of the worst parts of the whole illness, because it tears you down in ways we can not describe.(not to mention makes us moody) wish you lived here, I was thinking of trying to start a supoort group here. Hang in there hon.

7/ 6/09 10:58am

The same with me I will push my self in pain and do some things and when I sit down it feels like my legs have turned to concrete, wood whatever and I have pain just getting up from a chair.  So I better get it all done at once as I know once I sit I am finished for the day.  I work in accounting so I sit a lot my days at work are the most painful even if I take something.  My OB will only gove me 30 hydroco so I use them only when I have something important but they really don't relieve that much pain?

Lene Andersen, Health Guide
6/29/09 7:27pm

Wow, you really have been through the wringer. Unfortunately, I know next to nothing about MS, however, Lisa Emrich - one of the experts on the site - has both RA and MS.  I've sent her a note asking her to take a look at your post.

6/30/09 3:39am

Thank you so much, Lene. I appreciate it and she did respond and I'm about to respond now. Right now I feel as if I'm battling a million little wars on different fronts and its frustrating as anything for me because of the lack of control that I have. Sometimes I even forget that I feel as horrible as I do because I consistently over-extend myself and then when I cant complete something, I'm angry at myself for failing- I guess I'm not allowing myself to be sick- I can take care of everyone else and help everyone else but when it comes to me and my needs, I am the last to ask for help.

Hugs,

Faith

Lene Andersen, Health Guide
6/30/09 12:11pm

I was nodding as I read your reply - I think we all recognize overextending ourselves and then having to spend days healing. I once took a pain management course that taught me if you work within your limits every day - i.e., do less than you are able - you create a situation in which you're able to do something every day instead of overextending itself and then having to lie on the couch for a week because you did too much.every now and again, I remember to work this way the crazy thing is that when I do less than I'm absolutely able to every day, I end up getting more done because I can do something everyday. It's a hard thing to learn and requires that you pay attention, are really good about setting boundaries around what you can and can't cannot do and become acquainted with telling other people that you can't help them or you can help them next week. It's hard, but worth it.

 

The issue of control is also one that many people with a chronic illness battle. When you have a chronic illness that's in control of how you feel and what you can therefore do, it's real easy to get depressed. When I feel like things are out of control, I often start with controlling the things that I can, like alphabetizing my CD collection or straightening up my desk. It reminds me that I am in control and helps me get over that hump. A little while ago, I wrote a post about this issue you can read that here.

 

Let us know what the neurologist says?

 

7/ 6/09 11:20am

I have tried to do smaller amounts and with me it does not seem to make a diffrence I am in more pain the less I do.  Sitting behind a desk is misserable when I do have to get up.  So I prolong getting up and then I pay, but it hurts either way.  Till I get insurance or can find a way to get to a Rumy that will help that won't cost me a fortune I don't know what the answer is?

Lene Andersen, Health Guide
7/ 6/09 11:38am

RA can sometimes coexist with fibromyalgia and the two live on completely different ends of the spectrum in terms of pain control. With RA, sitting still makes it hurt less, with fibromyalgia, sitting still makes you seize up. Check out the fibromyalgia area of our chronic pain site to see if anything seems familiar. If it does, try twitching. I have both RA and fibromyalgia and try not to do anything for more than 20-30 minutes at a time, then have a stretch, make a cup of tea, do something else for a bit. Added benefit is that it keeps your joints moving, as they can stiffen up when you stay too long in one position, as well.

 

As well, being in the kind of pain you described could indicate that your RA isn't controlled well. I'd recommend you make an appointment to see your rheumatologist to discuss whether you need to change your dose of medication or perhaps try something else.

Lene Andersen, Health Guide
7/ 6/09 11:49am

Crap.  Sorry, I answered without checking the context, thinking you had a rheumatologist (I blame Monday morning).  I take back everything I said about fibromyalgia, because clearly, your RA isn't controlled and that's most likely why you're stiffening up. I live in Canada and am not that familiar with the US system, but I remember someone posting about how to get seen by rheumatologists even though you don't have insurance. I believe it has something to do with calling the health department - perhaps of the city you live in?  Do you have a family doctor? Or does the insurance question prevent you from seeing a GP, as well? If you can't see your family doctor, ask them how to access specialist care without insurance - it has to be possible.

7/ 6/09 12:16pm

Thank you for your email, every suggestion is appreciated.  I will look into it. I asked my OBGYN if he would prescribe Mtx and he said NO.  I get a dieretic and 30 Hydrco from him and he was giving me Celebrex but I chose not to use it because of the warnings.  So I take a Ibuprofen 1 2 times a day.  I honestly get I guess a litlle relief but not enough with the pain to notice a lot.  Sometimes my hands are a little better?  I have Osteo Arthritis and have had one knee replaced the swelling in my knees ankles and calves effect me the most with pain.  I guess I could ask for the Celebrex again but beforre knee surgery and post the Rumy saying HE THINKS I have RA due to symptoms as the blood work was negative, I had been on Celebrex for over two years, prior to surgery taking somes times per the doctor two a day, got the gel injections in my knees and had a awful reaction to it so I could barely walk for a couple of months, could have been the RA and at that time we did not know?

Lene Andersen, Health Guide
7/ 6/09 2:40pm

it's entirely possible it's been RA all the time.  It can be very tricky disease, hard to pin down, especially in the absence of a confirming blood test - when you're seronegative, you need a rheumatologists with lots of experience who is comfortable relying on the other symptoms and signs. If you reacted well to Celebrex, you may want to consider going back on it - ibuprofen is on the lower rungs of the ladder of pain control and it's no wonder you're not getting any relief. More importantly, if you do have RA, it's essential to get it treated as early as possible in order to decrease the amount of damage in your joints. Once your joints are damaged, it will affect your future level of mobility. Can you talk to your OB/GYN about how to get rheumatologist without insurance so you can get started on some treatment?

Anonymous
Audrey
7/ 6/09 2:45pm

I left him a message to see what my alteratives are.  I am also worried as I was not that fond of my Rumy he would not let me talk and just handed out the drugs never really answered my questions.  I found a different one through this site close to me but then we lost our insurance?  Thank you for all your suggestions, gave me some hope that something can be done.  I appreciate it so very much.

Lene Andersen, Health Guide
7/ 6/09 2:48pm

sounds like this could be an excellent opportunity to switch rheumatologists!  Please keep me posted on how things go?

Lisa Emrich, Health Guide
6/29/09 10:12pm

Hi Faith,

 

You certainly are having a rough time of it.  I'm so sorry.  Like Lene mentioned, I have both MS and RA.  Seems these autoimmune diseases come in pairs.  For RA, I use methotrexate and sulfasalazine.  For MS, I use Copaxone plus other symptomatic drugs.  I had a brief conversation once with my rheumatologist about the use of Rituxan to treat both MS and RA if things didn't get under control, but thankfully they did.  Rituxan has not completed trials yet for MS, but it does look promising for relapsing forms.

 

Now worrying about developing MS can be scary.  It's a very good thing that you already have an appointment set up with a neurologist.  Before your appointment, check out this post and write down your symptoms and any thoughts/questions you might have for the doctor.  See Beginner's Guide to MS: Do I have MS? What does it take to get diagnosed with MS? This will give you a good idea of where to start.

 

I've experienced spasticity in my calves/feet and it does feel like the muscles become hard rocks.  Very painful and makes it hard to get around smoothly.  Medication helps that symptom when I need help. 

 

Definitely ask lots of questions.  Write down your thoughts before hand and take someone with you to your appointment as an extra set of ears.  My hope is that you are able to find some answers and relief soon.

 

If you have any questions, I'm here.  Thanks.

 

 

 

6/30/09 4:08am

Thank you so much for responding, Lisa. I tried the methotrexate last year when I was first diagnosed and couldn't handle it. I took it on a Tuesday and from the day after through Friday I had consistent dry heaves so my doctor took me off of it and put me on the Arava, which really has never worked for me. Other than the initial injection of Humira, I haven't had any relief since last August. My pain varies from day to day but it's always there in some form and nighttime is when it gets the worst for me, so regrdless if my day is decent, I will feel something by the evening.

I reviewed the symptoms list and out of the 14 listed, I've been experiencing 11 of them pretty regularly for the past year. I've always had a problem with balance and falling but chalked it up to being clumsy. I never had the last one until I got sick- I feel so awful to even think about it and when I do, I have issues with my weight gain. I've had depression/anxiety on and off for the last 10 years or so, my vision has deteriorated for the past 20 years. I always thought I was so tired because I worked a lot of hours, couldn't fall asleep easily and then got married and had my son. I used to get that creepy/crawly feeling in my legs whenever I was low on potassium ( I assumed that was the reason) because I would eat a bannana or take potassium supplements and they would go away instantaneously. I don't get those types of feelings any more- now its a pain and its gotten to the point where I cannot sit for long periods of time and if I'm in class, I tend to sit in the back so I can easily get up and walk around without disturbing anyone. The mental problems- cognitive,memory, unable to focus, came on gradually and I thought it was ADHD ( it runs in my family big time) so I've been on adderall for the past year but it's gotten progressively worse. If I have a writing assignment for one off my classes, I can sit here at my laptop, with a wealth of information in my head and I'm unable to process it. I cannot get the words from my brain to the paper. This has been such a major blow for me because I've never had this problem- my memory has always been exceptional- I never needed an address book because I had the type of memory that could retain items. Now, someone can tell me something and I have to repeat it several times and still forget it within moments. I'm taking summer classes right now and I'm ridiculously behind in three of them because I can't keep up with the writing. I'm fortunate that I have professors who understand but its embarassing to have to admit to them.

 

I do have a timeline of all of my illnesses/issues going back the last ten years and I am bringing it with me to the doctor visit next week. I don't have anyone to go with me because it's early in the morning and the person whom I'd usually take ( my husband) will have to stay and watch our three year old son ( he is not waiting room friendly ;) ) but I do have my " notebook" that i bring with me to each doctor visit so I can write things down and take notes. I have copies of all of my blood work over the past two years as well- but strangely enough, my rheumy never ordered xrays or any other diagnostic testing on me other than blood tests. I know all doctors are different but I'm not sure if this is normal or not.

 

I will let ya'll know the outcome of my visit next Tuesday. It feels as if it is a month away because between now and then I have deadlines for school, work, the holiday weekend and I have to take my stepdaughter to the airport on Thursday so that she can fly down to Florida to be with her mom ( you have no idea how much I hate doing that......).

 

Oh I know stress is a major influence regarding our symptoms. My stress is never ending ( like most) and I don't even know how to decrease it to be honest. I will say that the onset of my problems, starting with the reoccurance of the EBV/Mono virus occured when the birth mom reappeared on the scene and dragged us through the court system. It's really never gotten better since then. Coincidence?

Hugs,

Faith

7/ 6/09 12:51pm

I get muscle spasms in my toes and calves mostly at night in my legs.  A lot of times the toes tighten up and it is so painful till it works it self out.  It is a little scary when I am baby sitting my grand children and my toes cramp up and I have to force my self to stand?  All of this gets very over whelming and scary.  Not having seen a doctor in over four months and no real RA meds does not help.  The Mtx I thought was not doing much till i was off it a few weeks and realized how much I was doing before that I am unable to do with out really terrible pain now.  I had some Enbrel that was given to me from some one that changed meds it was exactly what I was using but withour the mtx it did not seem to really give me any relief and of course it was only a months supply.  Can't even touch it without insurance?

7/ 1/09 4:22pm

  Have you been teseted for Celiacs disease? It is an intolerance of gluten and causes most or all of the syptoms you are talking about. It can actually cause RA and it can also lead to a lot of other diseases if not taken care of.

  Celiacs disease is an intestinal malady that allows glueten to destroy the sili on your small intestines. Syptoms that arrise are....pain, loose stools, stomach and side pain, severe vitamin defeicency (vit D especially) fatigue, leg aches, weight loss, vision problems and many more. 

  Try going off ALL glueten products for at least 10 days and see if you're feeling better. I was tested and even though I don't have Celiacs, I have gone off gluten and I feel much better.  I don't think I have as many flare-ups as I used to and no more stomach problems.

     Hope you feel better.

7/ 6/09 10:53am

I feel like I just wrote that letter...other then the fact my gall blatter has been removed in my early 20's probably could have been avoided but I did not get a second opinion.  Otherwise, these are all the symptoms I am having.  Weight gain, feeloing of pressure and swelling under my breast on the my left side.  Shortness of breath, pain, legs and feet swelling till my calves are hard as a rock.  Feet pain and dryness, fingers wrist and under my thumbs swell & hurt.  I have Osteo Arthritis and I have had one knee replaced but I have pain and swelling in both.  i can't sleep unless I take half of a 1 mg Xanax and 1 hydroco before bed and then it is ify? 

 

I pretty much have ever feeling you have explained, I don't want to get out of bed, I am depressed daily things are becoming a chore if I worked any where else I probably would not have a job.  Now this company is having financial issues and we have no insurance so I was taking methtrx and Enbrel.  I thinke the enbrel pretty much was not working any longer and since I don't have thy money to see my Rumy I have nothing other than what my OBGYN gives me which is a dieretic for the swelling and Hydroco for pain.  I am at a loss I just don't know what to do and mould rather stay in bed and ignore it all???  i really feel lost and alone!!!

7/ 6/09 11:36am

I'm so sorry to hear of your surmounting problems.  I have RA with secondary problems of optic nerve inflamation, perepheal neuropothy, fibro, degenerative disc disease, migraines, jaw problems, nerve damage, and inflamation of many tendons and ligaments. 

I did want to tell you that my calves have been rock solid for a couple of years.  Probably nerve damage from inflamation of everything else so that symptom could be secondary to your RA.

I hope your visit to the neurologist is helpful.

Best always, debowj

7/27/09 11:05pm

I'm sorry that I haven't been able to respond - this past month has been pure hell and I'm glad to see it go.....

I've been out of work on temporary disability for just about two weeks- the nerves in my left arm, from my shoulder down to my fingers ( on the inside and outside of my arm) are giving me shooting pains and numbess in my fingers. A trip to the ER one day ruled out a vascular emergency. I wasn't very happy with the neurologist that I had/have been seeing because I honestly feel as if he isn't listening to me. I went to my first appointment with a three page typed history/timeline of my symptoms and I felt as if he ignored it. He sent me for an MRI of the brain and thoracic spine and the results were "signifigant white matter signal in the periventricular regions"blahblahblah and a bulging disc in T11/T12. He never gave me the results of an EEG which I don't know whether to determine that to be good or bad. He sent me for neuropsychological testing to see if they could find any other causes for the cognitive impairments I am experiencing. I had the consult today and they will be scheduling me for 10-12 hours of testing. The neuro suggested following up with a lumbar puncture to test my CSF.

Since then, I've developed bad vertigo and the nerve pain is worse than it has ever been. He had me on Neurotonin but it is not helping whatsoever. I called his office last week and to date, I have not had a return call....

I'm going into NYC next week for a visit with a neurologist @ NYU Medical Center. I also saw my primary today and he had a copy of the report from the neurologist... and he was more concerned than the neuro! in fact, he told me that the doctor noted MS in his report with followup testing to be done. In the meantime my primary is sending me for a mri of the cervical spine because of all of the nerve pain I am having....

I guess my issue with the neuro, besides the complete lack of explanations from him, was that he made me feel that he wasn't listening to me. So I decided that I had to take this into my hands and go for another doctor visit. I have my cd of the mri's, my bloodwork, etc et al. I am sick and tired of being sick and tired and I refuse to accept a " wait and see" attitude because my kids and husband deserve better than that.

Just had to get that off my chest- Thanks for listening to me vent :)

Faith

Anonymous
Anonymous
8/22/09 10:19pm

Have you been tested for candida albacans? It mimics RA and MS and is treatable.

Look it up on the internet. 

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By FVA528— Last Modified: 10/26/11, First Published: 06/29/09