Nerve
Hello, Dr.
Yeh.
My condition involves erratic electrical discharges from my lumbar spine, and I feel a lot of movement in my abdominal cavity as well as in my right side.
The sensations are highly variable; sometimes they come and go, which has made it difficult for me to sleep at night.
This situation has persisted for six years, but it hasn't significantly impacted my daily life until recently.
Over the past two months, my symptoms have worsened to the point where I can’t read, think, or work.
A psychiatrist has suggested that I have autonomic nervous system dysregulation, while other doctors believe it’s something I’ve imagined.
How could I have imagined a condition for six years? None of the medications I’ve tried have been effective, and I’m currently relying on antidepressants to get by.
I also struggle to gain my family’s understanding.
Would you be willing to consider my case? I am truly at a loss for help.
grace, 30~39 year old female. Ask Date: 2003/03/15
Dr. Ye Poxiu reply Rare Disease
Hello Grace: Regarding your question, I am unable to provide an answer here.
I recommend that you visit a neurology or psychiatry outpatient clinic at a relevant medical institution for further evaluation and treatment.
Reply Date: 2003/03/15
More Info
Understanding rare neurological disorders can be a complex and challenging journey, especially when symptoms are vague and difficult to diagnose. Your description of experiencing sensations of "things jumping" in your abdomen and right side, along with the inability to sleep and cognitive difficulties, raises several important considerations.
Firstly, it is essential to recognize that neurological disorders can manifest in various ways, often leading to a wide range of symptoms that can be difficult to correlate with a specific diagnosis. The sensations you describe may be related to a condition known as "paresthesia," which refers to abnormal sensations in the body, such as tingling, prickling, or a feeling of "crawling." This can occur due to nerve irritation or damage, which may stem from various underlying causes, including spinal issues, nerve compression, or even psychological factors.
The fact that you have been experiencing these symptoms for six years without a clear diagnosis can be frustrating and disheartening. It is not uncommon for patients with rare neurological disorders to feel dismissed or misunderstood, especially when their symptoms do not fit neatly into established medical categories. Your mention of being told by some doctors that your symptoms are "in your head" is a common experience for many patients with chronic, unexplained symptoms. This can lead to feelings of isolation and a lack of support from both medical professionals and family members.
Given that your symptoms have intensified over the past two months, it is crucial to seek further evaluation from a neurologist who specializes in rare neurological disorders. A comprehensive neurological examination, along with advanced imaging studies such as MRI or CT scans, may help identify any underlying structural issues in your spine or brain that could be contributing to your symptoms. Additionally, nerve conduction studies or electromyography (EMG) may provide insights into the functioning of your nerves and muscles.
It is also worth considering the role of the autonomic nervous system in your symptoms. Dysautonomia, or autonomic dysfunction, can lead to a variety of symptoms, including gastrointestinal issues, heart rate irregularities, and temperature regulation problems. If your psychiatrist has suggested that your condition may be related to autonomic dysregulation, it may be beneficial to explore this avenue further with a specialist in autonomic disorders.
In terms of treatment, it is essential to approach your symptoms holistically. While medications such as antidepressants (like the one you mentioned, "百憂解," which is likely a reference to a common antidepressant) can help manage mood and anxiety, they may not address the underlying neurological issues. A multidisciplinary approach that includes physical therapy, cognitive behavioral therapy, and possibly alternative therapies such as acupuncture or mindfulness practices may provide additional relief and improve your overall quality of life.
Lastly, it is vital to communicate openly with your family about your condition. Educating them about your symptoms and the challenges you face can foster understanding and support. Joining support groups for individuals with similar experiences can also provide a sense of community and validation.
In conclusion, navigating the complexities of rare neurological disorders requires persistence and a proactive approach to seeking appropriate care. By working closely with specialists and exploring various treatment options, you can take steps toward managing your symptoms and improving your quality of life. Remember, you are not alone in this journey, and there are resources and support available to help you along the way.
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