Discussions By Condition: I cannot get a diagnosis.

Brain fog and UTI

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: Anonymous
  • December 7, 2008
  • 06:12 AM

I'm a 22 year old male and I've had short term memory and concentration difficulties for 4 months now (since last summer). Although it was much worse when it started, things are still not quite back to normal. I've had a complete blood count (but no urine tests), including STD and Lyme infection tests, and MRIs, all of which came back with no noteworthy results except (high eosinophil count), which the internist dismissed as possible allergy. I have absolutely no allergies as far as I know. I've had normal WBC count, and everything else was either normal or "familially normal".

I never drink or use any drugs, prescribed or otherwise, before what the MD prescribed for this. First, he prescribed Lexapro for anxiety and depression, but I've had those for a long time and the drug didn't really help with my new particular problem anyway. He later prescribed Adderall too to help with the memory and concentration problems, because I looked like I had ADD to him. I do not deny this diagnosis, and actually I agree with him after I've seen the difference with the medicine, but it's not whatever that started in the summer. Adderall now helps me speak more intelligently (I paused in mid-sentence and used wrong words a lot without it -- I was not like this, especially not the latter.)

Going back to the offset, I remember having very cloudy and smelly urine, plus strong false-negative urges to urinate as well as strange feelings around the pelvis area, ranging from tickling to inside "crawling" to, finally, hypersensitivity and twitches. Most of these subsided or decreased significantly by themselves, but the "upward push" feeling remained until I took the Lexapro, and now it's very minimal (upward pressure feeling easily comes back with a small dose of Adderall). Penile twitches (somewhat similar to ejaculatory twitches) still happen with acts as simple as lying on my stomach, but not always, which is very confusing to me. I've also had twitches in the arm around the time of the offset, but this has decreased significantly.

So finally the MD asked me to see either a neurologist or a psychiatrist. I know for a fact that this is not psychological, and I agreed with the internist that a neurologist would most likely be a waste of time because he already ruled out MS...etc, so I'm about to give up and try to convince myself I'm a hypochondriac (as well as everyone else who comments on my unusually bad memory/concentration/spelling...etc).

My only remaining question is whether my urinary symptoms - though mostly subsided, cognitive symptoms (unusual ST memory and concentration impairment), and unexplained high eosinophil count indicate a UT infection, and is it worth seeing a urologist even though the urinary symptoms are now minimal?

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2 Replies:

  • I am not a doctor but I have observed that with both my mother and mother-in-law, UTIs were accompanied by a definite decrease in cognitive function that improved quickly after they got treatment for the UTI.
    Anonymous 42789 Replies
    • December 8, 2008
    • 03:08 PM
    • 0
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  • Hi,It sounds like you may have a mast cell disorder. You could possibly have Systemic Mastocytosis, but it's much more likely that you have Mast Cell Activation Disorder (an emerging disease category) that is about 20 x more common than Systemic Mastocytosis. You might want to check out the TMS website. Brain fog (Google "mixed organic brain") and bladder problems are very common (almost universal) for anyone with a mast cell disorder. If you could get on cromalyn, and if it makes you feel much better, that would be an indicator. It's possible that you have a disorder of some other granulocyte (I wouldn't know). Of course you may have something quite different going on. But it wouldn't hurt to check out "The Mastocytosis Society". You could post your concerns to the listserv - there are many very knowlegable people who could help you.JanI'm a 22 year old male and I've had short term memory and concentration difficulties for 4 months now (since last summer). Although it was much worse when it started, things are still not quite back to normal. I've had a complete blood count (but no urine tests), including STD and Lyme infection tests, and MRIs, all of which came back with no noteworthy results except (high eosinophil count), which the internist dismissed as possible allergy. I have absolutely no allergies as far as I know. I've had normal WBC count, and everything else was either normal or "familially normal".I never drink or use any drugs, prescribed or otherwise, before what the MD prescribed for this. First, he prescribed Lexapro for anxiety and depression, but I've had those for a long time and the drug didn't really help with my new particular problem anyway. He later prescribed Adderall too to help with the memory and concentration problems, because I looked like I had ADD to him. I do not deny this diagnosis, and actually I agree with him after I've seen the difference with the medicine, but it's not whatever that started in the summer. Adderall now helps me speak more intelligently (I paused in mid-sentence and used wrong words a lot without it -- I was not like this, especially not the latter.)Going back to the offset, I remember having very cloudy and smelly urine, plus strong false-negative urges to urinate as well as strange feelings around the pelvis area, ranging from tickling to inside "crawling" to, finally, hypersensitivity and twitches. Most of these subsided or decreased significantly by themselves, but the "upward push" feeling remained until I took the Lexapro, and now it's very minimal (upward pressure feeling easily comes back with a small dose of Adderall). Penile twitches (somewhat similar to ejaculatory twitches) still happen with acts as simple as lying on my stomach, but not always, which is very confusing to me. I've also had twitches in the arm around the time of the offset, but this has decreased significantly.So finally the MD asked me to see either a neurologist or a psychiatrist. I know for a fact that this is not psychological, and I agreed with the internist that a neurologist would most likely be a waste of time because he already ruled out MS...etc, so I'm about to give up and try to convince myself I'm a hypochondriac (as well as everyone else who comments on my unusually bad memory/concentration/spelling...etc).My only remaining question is whether my urinary symptoms - though mostly subsided, cognitive symptoms (unusual ST memory and concentration impairment), and unexplained high eosinophil count indicate a UT infection, and is it worth seeing a urologist even though the urinary symptoms are now minimal?
    Anonymous 42789 Replies
    • September 5, 2009
    • 09:18 PM
    • 0
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