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Tallwoman

Experienced User , Rather EHEALTHy
Joined: 17 Apr 2004
Posts: 59
Location: US
Waiting For a Diagnosis
Posted: 04-17-04 13:46pm

For the past two years, i've been sick on and off with strange symptoms. It started out with waking up one day as if I had taken some strong decongestant or antihistamine. I felt kind of foggy headed or slightly drunk. My mind just wouldn't clear. Soon I felt weak all over. Days later I could hardly walk. I could only stand for about five minutes; then i'd have to sit down and rest. I got very light sensitive. And would actually feel weaker in a bright, sunny place. This all hit me in the summer, and the time of day I would feel best was at night or if during the day, in our basement. I had trouble emptying my bladder, weak voice, trouble swallowing, and numbness in my arms, fingertips, and some of my toes.

A neurologist diagnosed me as having transverse myelitis. He put me on strong steroids. An mri showed some "spots" on my brain. Spinal taps were all normal. Ana taken from spinal fluid also normal. Well, I was sure I was headed down the path to multiple sclerosis. But the neurologist said the spots weren't in the place they should be for ms. A year passed and I slowly healed. I could walk long periods and even run again (i never thought I would).

I've had repeat mris of the brain. Each time, the spots are there and the mri techs say they look like "vasculitis" and the neurologist says, "ms would be the last thing he'd think it is." a few times per year, i'll have one of these flares where my symptoms return (but never as bad as that first time). Still enough so that i'm pretty tired. A few times they've been bad enough where I get a fever and body aches, also headaches. But that usually passes after a couple of days.

Sometimes my eyes bother me a great deal. They just hurt and I see lightning flashes every day. I've seen an opthalmologist who says he can't see anything wrong.

I also have strange irregular heartbeats. My cardiologist said, "pvcs" and nothing to worry about. Unknown cause.

Now, my earlier history: preeclampsia with two out of three pregnancies. Sensitivity to the sun (i break out in a rash that usually clears up after I get out of the sun.) though, if that body part is repeatedly exposed (like my arm that's on the driver's window side) the rash stays and kind of itches and is bumpy.

The neurologist is trying to get at the bottom of the brain spots. He did some tests including one that detects inflammation and a rheumatoid factor. Both came back positive. Wouldn't all this be enough to point at sle? And yet I still don't have a diagnosis.

What do you think?

Tallwoman
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LadyBrannon

Active User, Really EHEALTHy
Joined: 17 Jul 2003
Posts: 506
Location: TX

Posted: 04-19-04 01:02am

Welcome tallwoman! I am ladybrannon!

I read your post! Wow! You've been dealing with a lot. And, I hope that you can find a bit of peace here...There are some great people here.

You do have some of the lupus symptoms...But remember a lot of autoimmune diseases mimic each other. Have you ever specifically asked to be tested for lupus...Granted there is not *one* test for it, but there are some tests they can run to help with a diagnosis.

I can give you a list if you are interested...

Hugs and welcome!
Ladybrannon
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Tallwoman

Experienced User , Rather EHEALTHy
Joined: 17 Apr 2004
Posts: 59
Location: US
Thanks For Your Warm Welcome, Lady
Posted: 04-19-04 05:14am

I have asked about lupus to every neurologist i've seen. There have been four. One transferred out of my town, the other saw patients in consultation only, and the third left the practice. My latest one seems to be listening. He's the one who did the inflammation test and the rheumatoid factor test. He requested so many tests that the lab tech who had to draw the six vials of blood teased me with, "what'd you do? Hit your doctor? I don't think your doctor likes you."

after the first test came back (the one that tests inflammation) the office nurse called me and told me that the high normal was 20, and my number was 29. She then said the doctor wanted me to have an angiogram of the brain. She also told me my rheumatoid factor was positive. I had the angiogram of the brain, and the office nurse left me a message saying that was normal and I could see the doctor in three to four months. I called back and had to leave a message as well which asked what about the blood tests and what did they point to?

Sometimes my head is so groggy that I can hardly function. Other times I deal with the weakness in my legs and arms. And most of the time I am just so tired. I can get up in the morning and want to go back to sleep an hour later. If I had nothing to do, I could probably just sleep all day.

Well, thanks for listening. It's so frustrating. I just want to be as functional as I used to be. It seems because doctors can't fit you into a firm diagnosis, they won't try to do anything for the symptoms you have. And mine are so fleeting. A couple of times i've had blood in my urine, but when they retest, it's back to normal again. One day my lower back will ache. Another day it's my neck. Still another time it's my hips. But the pain is not constant, for which i'm grateful. But to be this tired is pretty debilitating too.

Again, thanks for your support.

Tallwoman
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Tallwoman

Experienced User , Rather EHEALTHy
Joined: 17 Apr 2004
Posts: 59
Location: US
the Tests...
Posted: 04-19-04 22:40pm

Ladybrannon, I forgot to ask you to list those tests for me. And would you know what the normal values for each are? Thanks!
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LadyBrannon

Active User, Really EHEALTHy
Joined: 17 Jul 2003
Posts: 506
Location: TX

Posted: 04-20-04 02:48am

I would be glad to help you! Smile

i think this might be easier to make a list...Please don't think I am being unfriendly...Just easier for you and me to keep tabs! Smile

1) keep a diary! This will be a huge help for you and your doctors. Write down everything. At first, I will warn you, you will fill like a hypochondriac...Don't let it get to you! Smile take your temperature twice a day...Lots of lupus patients run long term-low grade fevers. Add muscle or joint aches...Be very specific. Add headaches...Be specific with location and type of pain...Was it pounding or achy? You get the idea. Smile

2) find out what tests they have already run...This is very important. Call your doctor and request a copy of your tests. If you live in the us...This is your right. Smile

3) once you have a list of those tests, you can cross them off and go see what you still need.

4) a very basic list of tests:
ana
anti-dna
anti-ro
anti-sm
a complete urinalysis
a hepatic panel
a complete rbc work up
c3 and c4 (complement levels)
bun levels
creatine levels

the typical results can be found at www.Lupus.Org. The have a wonderful write up on these tests! Smile

5) have you seen a rheumatologist? I know you have mentioned a neurologist...But a rheumatologist is very important to someone with lupus or even ra!

This is a good starting point! I'll let you digest this first! Smile

hugs,
ladybrannon
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Tallwoman

Experienced User , Rather EHEALTHy
Joined: 17 Apr 2004
Posts: 59
Location: US
Thanks For the Info, Lady Brannon
Posted: 04-20-04 08:29am

I talked with the nurse at the neuro's office. She said that she is waiting to get the results and will show them to the doctor. She said that they might refer me to a rheumatologist.

I read that for you to have a diagnosis of sle, you absolutely have to have a positive ana. Is this true? If it is, I think i've had at least two and they were not positive.

Oh well, I don't know what I have, I just know I want to get to the bottom of it so I can get some treatment for it.

Take care,
tallwoman
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Tallwoman

Experienced User , Rather EHEALTHy
Joined: 17 Apr 2004
Posts: 59
Location: US
the Search Continues...
Posted: 04-21-04 21:41pm

Well my latest test, a urinalysis, showed blood in my urine. (this the the third one done in about five weeks.) the first one my gp did because I was sick with fever and body aches (right after just getting over another "viral illness"). She said to come back in a couple of weeks and we'd try it again. I came back, but guess what? Had my period. So, even though I tried to do the clean catch thing, blood still showed. But because I had my period, the gp said, the blood was probably due to that. She never said, "come back and let's do it again." I told my neuro about this when I saw him last, and he said go back and have it done again.

So, I went back again yesterday and said, "can we try it again?" showed blood again. Now they're sending me to a urologist. I just wish all my doctors would communicate and share their findings, you know? I'm still waiting for a call from the neuros office about what to do about the positive blood test findings. Maybe if they all shared their information, I wouldn't have to undergo anymore tests and we could get to the bottom of what's wrong with me. I'm so frustrated.
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LadyBrannon

Active User, Really EHEALTHy
Joined: 17 Jul 2003
Posts: 506
Location: TX

Posted: 04-22-04 06:19am

I know people with a negative ana that have lupus. While most people with lupus have a positive ana, not all do.

Just blood? Or was there a sign of protein? And what kind of blood? Did they do a cast? Does your urine look reddish orange? Or like say...Tea?

Did they check your bun and creatnine levels?

Hugs,
ladybrannon
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Tallwoman

Experienced User , Rather EHEALTHy
Joined: 17 Apr 2004
Posts: 59
Location: US
They Weren't Specific
Posted: 04-22-04 10:11am

They just said blood. My urine looks normal except it is a little foamy. Well, I see the urologist tomorrow and finally got a call back from the neuro's office saying that they want to dicuss their findings with me in the office. I'd told them earlier that they could just leave a detailed voice message thinking maybe they'd say, "we've put a consult in for...". So, that's next week. They've also already faxed the urologist the results of the lab work the neuro requested. Looks like we're finally getting somewhere. Where? I'm not sure. I might think it's lupus, but it might turn out to be something else. I've been wrong about things before.
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LadyBrannon

Active User, Really EHEALTHy
Joined: 17 Jul 2003
Posts: 506
Location: TX

Posted: 04-22-04 23:08pm

Hang in there...It sounds like they are really working on it!

Either way, we are here for you! Smile

hugs!
Ladybrannon
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nancyintx

New User, Becoming EHEALTHy
Joined: 19 Mar 2004
Posts: 8
Location: Dallas, TX
Wow, Tallwoman!!
Posted: 04-27-04 09:55am

Except for the neuro thing, you could be describing my life for the past four weeks. Now, my ana was positive in the past, and came back negative this time. Inflammation was 22, no ra. Doc wants me to go to an infectious disease doctor...How is this going to help????

How long do I have to do this?? I've had a fever for almost 3 weeks now, and my foot is huge.

Aaauuuuuggggghhhhhh!!!!

I feel your pain.
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Tallwoman

Experienced User , Rather EHEALTHy
Joined: 17 Apr 2004
Posts: 59
Location: US
Hi Both Ladybrannon And Nancyintx
Posted: 04-27-04 13:04pm

For some reason I didn't get the email notifications that you had replied to my post. Glad I checked in to see what if anything was new. I saw the urologist who scoped me. (ever had that done? Ow! It's painful.) this is the second time in two years time for me. The urologist said, "good news! Your bladder looks fine." so now he's ordered a ct scan of my kidneys for stones. Come on! I don't have stones. Don't you think i'd feel that? I mean I heard those hurt worse than labor! But I suppose they have to rule it out. Will a ct scan show changes due to lupus nephritis? What exactly is the physical mechanism causing lupus nephritis? Is it vasculitis in the kidneys?

Well, now I have an appointment to see the neuro to talk about all the test results this thursday. We'll see where they send me next.

Nancyintx, you're lucky you don't have the neuro stuff. I'd be fine if not for those symptoms.

Thanks for your support, ladies!
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Tallwoman

Experienced User , Rather EHEALTHy
Joined: 17 Apr 2004
Posts: 59
Location: US
Pain?
Posted: 04-28-04 13:03pm

I noticed that a lot of people who post on this forum complain of having pain. You know, I hardly ever have any pain. The time right before I was struck with the transverse myelitis, I was having right knee pain. That lasted for over a month. The doctor I saw said it had to do with my being a teacher and standing. I told him that I stand on the other leg too, and it doesn't bother me. Laughing oh well.

Anyway, I hardly have any pain. When I do have a fever, i'll get body aches and pain in my lower spine and hips. Sometimes I get pain in my hip joints without fever. I always thought it was age. But I can go for months without it bothering me.

I was having bad stomach pains years ago. Felt like an ulcer, but when the doctor scoped me, he didn't find anything.

Oh the mystery of it all...
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LadyBrannon

Active User, Really EHEALTHy
Joined: 17 Jul 2003
Posts: 506
Location: TX

Posted: 04-28-04 13:09pm

I'd say you have plenty of the others...Not everyone has all of it. That's the beauty/curse of lupus...None of us have the same symptoms.

Smile

i hope you both feel better (tallwoman and nancyintx). If you either want to talk off the forum, pm me! Smile

hugs,
ladybrannon
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Tallwoman

Experienced User , Rather EHEALTHy
Joined: 17 Apr 2004
Posts: 59
Location: US
Finally An Appointment
Posted: 05-12-04 13:16pm

My referral finally came through and I have an appointment with a rheumatologist on friday. I'm to come in 45 minutes early to fill out an 8 page questionnaire, and i'm to bring shorts and wear a short sleeved shirt to my exam.

Any advice for me? I have a field day on thursday the day before, will be outside with my class all day. Do you think I should purposely not wear sunscreen to expose myself to the sun? I'm a little worried about doing that thinking I might not be able to make it through the day. Still, if this is lupus, I want it to show itself, make itself known, come out of hiding so we can zap it! I know, it's not that easy...
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clarebear

Experienced User , Rather EHEALTHy
Joined: 29 Sep 2003
Posts: 120
Location: Can't keep up! Florida now!
Blood In Urine
Posted: 05-13-04 10:48am

Tallwoman -

i've had 24 hour pee collections and some regular urinalyses (sp) and even with my period it didn't matter to the doctors. Blood in the urine is blood in the urine and period blood isn't taken into account when they run the tests.

A lot of my doctors have told me this and yes, protein did show up in the blood. Perhaps you should get a second opinion on the blood in the urine thing?

Clarebear
ps hope you are doing better. You too nanc. You too ladyb.
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