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Dr Basu
Dr Basu, Experienced Specialist
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I HAVE HAD CFS/ME for a number of years and although 90% better

Resolved Question:

I HAVE HAD CFS/ME for a number of years and although 90% better I am left with the following symptoms, my GP does not want to see the whole picture so I gave up trying. I have private health cover and wanted to ask an expert if anything can be done from a neuro perspective. I did not have these symptoms before a severe attack of me 10 years ago.
The symptoms are as follows;
-2 levels of noise constantly in my head which increase when I get tired or stressed
- My body constantly feels it is buzzing, this is aggravated by stress, sport, brainwork but I work through it
- If I ignore the warning sounds eg increased volume of noise, increase buzz therefore increased heart rate this reults in diahorrea which most people term as IBS.

I would really like ro work full time again but can't while these symptoms persist

Could you give me any clues as to what I could or investigate as I am convinced it is my nervous system that is the cause.

Yours sincerely
fran Renni
Submitted: 3 years ago.
Category: Medical
Expert:  Dr Basu replied 3 years ago.

Dr Basu :

Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.

Dr Basu :

besides buzzing sensation, do you have any weakness of your legs and arms?

Customer:

Hi Dr Basu,

Dr Basu :

Hi Renni,

Customer:

Hi DR BASU

Dr Basu :

Hi Renni,

Dr Basu :

Do you have any weakness of your legs and arms?

Customer:

No I don't, thanks

Dr Basu :

do you have any problem with urination?

Customer:

No

Dr Basu :

any vision problem like blurry vision?

Customer:

Only when I get fatigued, my periphery vision goes as I have had it tested and sometimes crispness of sight not blurry exactly

Dr Basu :

any hearing problem?

Customer:

Not sure as I sometimes don' t pick things up but I think thats related to the 2 levels of noise in my head, one is a high pitch and one is like the old televisions used to sound like when switched off, showing my age,,,,

Dr Basu :

Ok do you have any dizziness?

Customer:

Not as vertigo but when I fravel I get fuzzy so I have to lie down as brain is fog like and I am slightly nauseous, I have to wait about an hour to clear

Dr Basu :

ok thanks a lot for being patient.

Dr Basu :

See, your symptoms do suggest few possibilities.

Customer:

No problem if it was easy I would have solved it by now just looking for some next steps and possibilities really

Dr Basu :

1. there can be inner ear problem.

Dr Basu :

Like a acoustic tumor or swannoma.

Dr Basu :

THis can be in the brain pressing on the nerve supplying your ear.

Dr Basu :

that will cause dizziness, hearing problem and noise in the head.

Dr Basu :

2. Multiple sclerosis.

Customer:

Would this contribute to the noise.?

Dr Basu :

THis is a autoimmune condition causing white plaques in the certain areas of the brain

Dr Basu :

yes it will.

Customer:

It has not got worse in 10 years so not progressive at this stage

Dr Basu :

Yes it can remain the same for long time.

Dr Basu :

They are not dangerous but can gradually affect your day to day life.

Dr Basu :

Multiple sclerosis can cause this type of symptoms as well.

Dr Basu :

Other possibilities include diabetes, thyroid disorder, vitamin B12 deficiency.

Customer:

What would be your recommendation? ! I am pretty sure I was tested for3 MS at the CFs hospital I was attending in London, is it diagnosed throgh the blood?

Dr Basu :

No

Dr Basu :

YOu will need a MRI scan of the brain with contrast.

Dr Basu :

We call it MS protocol.

Dr Basu :

There is no specific blood test for MS or the brain tumor I described above.

Dr Basu :

Please also make sure they checked you for thyroid, B12 deficiency, diabetes as well.

Dr Basu :

I think you need to see a neurologist for the clinical evaluation.

Customer:

Would a neurologist test for all these things?

Dr Basu :

Yes he would.

Customer:

Are you familiar with CFS/ME conditions and how these can manifest?

Dr Basu :

Yes I do.

Dr Basu :

In fact CFS diagnosis should only be made once other conditions are ruled out.

Dr Basu :

In your case, you did not have a brain scan ( MRI with contrast).

Dr Basu :

So, that should be done at least.

Customer:

OK I just wanted tomcheck as I have friends with MS and Me and don't want to get a referral from my GP unless I can justify it, any advice?

Dr Basu :

See, MS can present in myriads of ways.

Dr Basu :

YOu have some symptoms which are concerning --like buzzing sensation in your body ( sensory symptom), visual symptoms, dizziness, and also hearing issues.

Dr Basu :

MS is one such condition which can explain all these symptoms.

Customer:

Ok thnk you I will go to my doctor and ask more determinedly for a referral to a neurologist, anyone you know in London that would be good to do this?

Dr Basu :

Any one with experience in MS diagnosis --you can choose your friend's specialist as well.

Customer:

Ok thanks Dr Basu, good night or morning from me

Dr Basu :

This is a link to MS society in London:

Customer:

Ok Thanks

Dr Basu :

It was my pleasure to help you today.
I am Dr Basu experienced in Neurological Diseases.
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