Sudden weakness?
Doctor, I have had diarrhea for the past two days and after taking medication, it has improved.
However, I feel extremely weak all over, especially in my limbs.
I used to be able to sit and take off my pants, but now I can't even support my body with one hand, and my legs feel equally weak.
I've only been eating thick rice porridge these past two days, and I'm wondering if the lack of nutrition could be the cause of this weakness.
Additionally, I have spinal muscular atrophy, and I'm worried about the possibility of a sudden deterioration.
Although it seems unlikely that it would coincide with my diarrhea, I still want to know if it's possible for my condition to suddenly worsen so dramatically in just two days?
Lan Yue, 30~39 year old female. Ask Date: 2023/03/11
Dr. Jian Yingxiu reply Rare Disease
Spinal muscular atrophy and many neuromuscular diseases have indeed been observed to experience rapid degeneration following acute illnesses (such as infections).
Some individuals may regain partial function after recovering from the acute condition.
Please continue to monitor your health, or seek immediate evaluation at a hospital to determine if there are other factors contributing to your condition.
Reply Date: 2023/03/11
More Info
Sudden weakness, especially in the context of recent gastrointestinal issues, can be concerning and warrants careful consideration. Your experience of having diarrhea followed by significant weakness in your limbs raises several important points that need to be addressed.
Firstly, it’s essential to recognize that gastrointestinal disturbances, such as diarrhea, can lead to dehydration and electrolyte imbalances. When you experience diarrhea, your body loses not only water but also vital electrolytes like sodium, potassium, and magnesium. These electrolytes are crucial for muscle function and overall energy levels. If your diet has been limited to bland foods like rice porridge, it may lack sufficient nutrients and electrolytes, potentially contributing to your feelings of weakness.
In your case, the sudden onset of weakness in your limbs could be multifactorial. Given your history of spinal muscular atrophy (SMA), it is understandable to be concerned about the possibility of a rapid deterioration in your condition. While SMA is a progressive neuromuscular disorder, acute changes in strength are not typical unless there is an exacerbating factor, such as an illness or significant stress on the body. However, it is important to note that acute illnesses, including infections, can sometimes lead to temporary worsening of symptoms in individuals with underlying neuromuscular conditions.
The concern about whether your condition could have worsened suddenly in just two days is valid. While it is uncommon for SMA to deteriorate so rapidly without an underlying cause, it is not impossible. Factors such as infections, inflammation, or even psychological stress can exacerbate symptoms. Additionally, if you have been less active due to your gastrointestinal issues, muscle deconditioning could also contribute to your weakness.
It is crucial to monitor your symptoms closely. If you continue to experience significant weakness, it would be advisable to seek medical attention. A healthcare professional can perform a thorough evaluation, which may include blood tests to check for electrolyte levels, kidney function, and other potential causes of your symptoms. They may also assess your neurological status to determine if there are any signs of acute changes related to your SMA.
In summary, while your recent gastrointestinal issues and limited diet could contribute to your feelings of weakness, it is essential to consider the broader context of your health, especially with your history of spinal muscular atrophy. Sudden weakness can be a sign of various underlying issues, and it is always best to err on the side of caution. Seeking medical advice will help ensure that any potential complications are addressed promptly and appropriately. Remember, maintaining adequate hydration and nutrition is vital for your overall health, especially during times of illness.
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