Multiple Sclerosis: Managing Anxiety and Health Concerns

About Multiple Sclerosis?

Hello, Doctor.
A couple of months ago, I was worried about having Sjögren's syndrome due to dry mouth and dry throat, and after a few days of finger and toe pain, I became even more anxious and consulted a rheumatologist.
The result was that everything was fine.
However, I later found out about a condition called multiple sclerosis and started to worry about that.
I have seen four different psychiatrists and neurologists, and they all told me to relax and that there was nothing wrong.
However, only one of them conducted tests on the nerve conduction velocity and electromyography (I forgot if that’s the correct term; they inserted a needle), and one of them mentioned that I might have some health anxiety, which made me a bit sad.

Then I thought that perhaps the previous immunological tests were not comprehensive enough (like rheumatoid factor, antibodies related to Sjögren's syndrome, and other tests; I think they drew five vials of blood), so I went to Chi Mei Medical Center for further immunological testing.
The doctor was very thorough and asked me many questions.
Before the tests were conducted, he mentioned that it probably wasn’t a significant issue, and even if some values were slightly elevated, it wouldn’t be serious.
When the results came back, everything was normal, which gave me peace of mind for a day or two, and my fingers and toes stopped hurting after that.
However, after several visits to the hospital for kidney and diabetes checks, I returned to school last week and found that my hands and feet started to hurt again.
The pain in my fingertips comes in short bursts (a few seconds), and occasionally my skin feels tight and painful (for a few seconds).
I also noticed that my limbs occasionally hurt for a few seconds, and the pain in my fingers can be quite intense.
Additionally, I experience some pain in my foot when doing certain stretching exercises, but it’s not the entire leg; it feels like it’s coming from deeper inside (I’m not sure if this is related to my condition).
Also, when I invert my right foot and apply pressure downwards, I feel a tingling sensation in a nerve or something similar (I’ve been walking six to seven kilometers every night to alleviate my anxiety).

I’m starting to worry again and feel very frustrated, as I find myself back in this vicious cycle.
On one hand, I want to clarify whether I have multiple sclerosis and whether my symptoms indicate a more severe form that could lead to disability.
On the other hand, I want to let go of my fears and worries, which creates a conflict within me.
I’m unsure whether to see a doctor again; I’ve already seen over thirty this year, and I know that consulting a doctor will only intensify my concerns.
I would like to hear your opinion.
Thank you.

Dàxuéshēng, 20~29 year old female. Ask Date: 2020/09/16

Dr. Lai Zhaokang reply Neurosurgery

I recommend that you consult a neurologist and arrange for relevant examinations to confirm whether it is the condition you are concerned about.
If it is not, focus on living your life without attributing symptoms to yourself.
Your future is long, so concentrate on your studies and life.
Wishing you all the best!

Reply Date: 2020/09/16

More Info

Multiple sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system, leading to a variety of symptoms that can vary widely among individuals. Understanding MS, its symptoms, and how to manage anxiety related to health concerns is crucial for those who may be experiencing similar fears.

Symptoms of Multiple Sclerosis
The symptoms of MS can be quite diverse and may include:
1. Fatigue: Many individuals with MS report extreme fatigue that can interfere with daily activities.

2. Numbness or Tingling: This often occurs in the limbs and can be a common early symptom.

3. Muscle Weakness: Some may experience weakness in their arms or legs, which can affect mobility.

4. Vision Problems: Blurred or double vision and even temporary loss of vision can occur.

5. Coordination and Balance Issues: Difficulty walking or maintaining balance is common.

6. Cognitive Changes: Some individuals may experience memory issues or difficulty concentrating.

7. Emotional Changes: Anxiety and depression are also prevalent among those with MS.

Managing Symptoms and Treatment
While there is currently no cure for MS, various treatments can help manage symptoms and slow disease progression. These include:
- Disease-Modifying Therapies (DMTs): These medications can reduce the frequency and severity of relapses.

- Symptomatic Treatments: Medications may be prescribed to manage specific symptoms such as pain, fatigue, or muscle spasms.

- Physical Therapy: Engaging in physical therapy can help maintain mobility and manage symptoms.

- Lifestyle Modifications: Regular exercise, a balanced diet, and stress management techniques can significantly improve quality of life.

Addressing Anxiety and Health Concerns
Your concerns about MS and the symptoms you are experiencing are understandable, especially given the complexity of the disease and the anxiety that often accompanies health worries. Here are some strategies to help manage anxiety related to health concerns:
1. Educate Yourself: Understanding MS and its symptoms can help demystify the condition and reduce fear. However, it’s essential to rely on reputable sources and avoid excessive online searching, which can lead to increased anxiety.

2. Seek Professional Guidance: Continue consulting with healthcare professionals. If you feel that your anxiety is overwhelming, consider speaking with a mental health professional who can provide coping strategies and possibly cognitive-behavioral therapy (CBT).

3. Mindfulness and Relaxation Techniques: Practices such as meditation, yoga, or deep-breathing exercises can help reduce anxiety and improve overall well-being.

4. Physical Activity: Regular exercise, such as walking or jogging, can help alleviate anxiety and improve mood. It seems you are already engaging in physical activity, which is excellent.

5. Limit Health-Related Discussions: While it’s important to stay informed, constantly discussing health concerns with friends or family can sometimes exacerbate anxiety. Try to set boundaries around these conversations.

6. Focus on What You Can Control: Concentrate on maintaining a healthy lifestyle, including a balanced diet, regular exercise, and adequate sleep. These factors can significantly impact your overall health and well-being.

Conclusion
It’s important to remember that while your symptoms may be concerning, they do not necessarily indicate MS or any other serious condition. Anxiety can manifest physically, leading to symptoms that mimic those of various diseases. If your healthcare providers have reassured you that there is no significant concern, it may be beneficial to focus on managing your anxiety rather than fixating on potential diagnoses.

If your symptoms persist or worsen, don’t hesitate to seek further medical advice. Your health is paramount, and addressing both physical and mental health concerns is essential for overall well-being.

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