Discussions By Condition: I cannot get a diagnosis.

Symptoms that wont go away...

Posted In: I cannot get a diagnosis. 4 Replies
  • Posted By: j0sh883
  • September 27, 2008
  • 03:43 AM

Hey guys,Almost 5 weeks ago, I caught what seemed like an upper respiratory infection or some kind of bug, it went all through my workplace and almost everyone had it. While everyone else recovered, about a week later I was feeling worse, so I went for some antibiotics from a walk in clinic that thought I may have walking pneumonia. I was feeling much better so I didnt take the z pack, about a week later I went back because I was feeling dizzy with body aches and headaches, and a tightness in my throat, they said to start the z-pack, i ended up going to the emergency room after work because i felt fatigued with chills and numbness and tingling in my arms and legs, the doctor ran a ct scan and did basic bloodwork, and diagnosed me with chronic sinusitis, and told me to finish my z-pack, which I did, I felt better that week, until the end of that 4th week, I had a shooting pain from the top of my ear through my lower neck, i did not return to the emergency room until that tuesday, I thought maybe lyme disease but they did not run any more advanced bloodwork, ive felt off and on better, but am a little irritable, and still have some dizziness from time to time, and that tight feeling in my lower neck, i also have difficulty focusing or finding words at times and stammering, I am never usually sick, and am now on doxycycline for 10 days, but after 2 courses of antibiotics, and im not feeling better in 5 weeks, im a little concerned, does this sound familiar to anyone, please help.

Josh

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4 Replies:

  • Yes, Lyme Disease carries these symptoms, as well as numerous other infections and diseases. Mononucleosis is also one of many illnesses that carries these symptoms. Lyme Disease is funny in the way it presents itself. Most often times, you'll see symptoms in 7-10 days, presenting like a cold or mild flu. Sometimes it takes longer to show itself. It's at this point it's kind of in an incubation period, so to speak. The illness spreading around your workplace can kick the Lyme out of incubation and make it active, when the illness attacks your immune system. There have been cases of Lyme that have gone undiagnosed and untreated for months on end, and those have been people who've seen multiple drs. looking for a diagnosis and being told "it's all in your head" when in fact the person IS very sick. If you live in an area where ticks carry Lyme, definitely get tested for it. Even so, if you don't live in a high Lyme area, have you been out of town to an area that was? Either way, get tested and start treatment immediately. The tight feeling in your neck, combined with difficulty focusing and stammering is a sign of possible Meningitis. It affects the lining of the brain, and makes simple daily tasks a challenge at times. When you mention a tightness in the neck along with presenting with flu-like symptoms, any dr. in their right mind would test for Meningitis. Of course, it also comes with an extremely high fever, usually 104+. Once started, this fever will continue to rise until the proper amount of acetamenophene is administered and has a chance to work. Go to the dr. You as the patient have the right to any test YOU feel is necessary in diagnosing your illness, and your doc should respect your decisions. If not, find another doctor. I hope all is well with you. God bless.
    LadyLeprechan 24 Replies
    • September 27, 2008
    • 04:27 AM
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  • I forgot to mention in my previous reply the most important symptom of Lyme. Sorry, I had a brainfart!! Look for a bullseye shaped rash, anywhere! This includes behind the ears, in the hair, underarms, even the soles of your feet. When looking through the hair, it can prove to be difficult, especially if you have dark/thick hair. This is a sure sign that it IS Lyme.
    LadyLeprechan 24 Replies
    • September 27, 2008
    • 05:08 AM
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  • Okay, this is not lyme disease. URI or upper respiratory infections can sometimes be difficult and it's important to realize that the latency you've described in taking the appropriate antibiotics permits an undulating pattern with the illness. It is likely that your sinusitis is still present, possibly even otitis media as well. While Zithromax and some of the newer flouroquinilones work very well as broad-spectrum antibiotics, they sometimes have significant side-effects that patients can confuse as symptoms of the illness. Doxycycline would not be an appropriate choice in my opinion and at this point, Augmentin 500mg b.i.d. for 7-10 days would be more effective against persistent sinusitis. Realize that treatment with any antibiotics must be strictly adhered to and the medication must be taken even if you begin feeling better. Finish all the medication. I would promptly speak to your treating physician concerning your status and be re-evaluated if you're not getting better. I would also urge you to take care and use caution when reviewing responses to the postings on the forum. While there are a good number of dedicated people who provide support and mean well, there is a great tendency by some persons to do nothing short of attempt to practice medicine in the absence of requisite training or licensure. The fact that these folks have experienced an illness or disease, in no way confers the ability for them to medically evaluate, diagnose, direct treatment or provide medical instruction to others. As for the suggestion by someone that you have the right to demand tests from your doctor, you have the right to be examined by a licensed medical doctor and to obtain appropriate treatment. Contrary to a statement posted by someone, you do not have the right to demand all sorts of tests and physicians are under no obligation whatsoever to provide them if they are not medically necessary. Again, check directly with your doctor and make certain not to stop taking antibiotic treatment under any circumstances unless directed to do so by the treating physician. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • September 27, 2008
    • 00:24 PM
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  • Where I'm from, I have the right to any test I deem necessary, as long as it coincides with the possible diagnosis. For instance, I have the right to a CTScan for excessive headaches, but wouldn't demand it for knee pain.
    LadyLeprechan 24 Replies
    • September 27, 2008
    • 08:54 PM
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