Ask a Neurologist and Get an Answer ASAP
Good morning, I am Dr Ruff, thank you for waiting.
You are having difficulty with speaking and having daily headaches?
Thank you, ***** ***** you describe you symptoms in more detail and when they started so I have a better understanding please. thanks
Thank you. And please can I ask your age? and if you take any medications?
Okay thank you. And finally, by ASL, do you mean ALS? a neurological condition
So your symptoms do not make me concerned about an unusual neurological condition and the reason why is there duration of symptoms.
Of course it is very concerning to suddenly find it harder to find the correct words, my first though with this would be a mini stroke such as a TIA, however given your age, and that you have not had any associated symptoms such as one sided facial weakness (please do correct me if this is wrong). You are young and therefore this is unlikely, however the contraceptive pill is the only thing that would put someone at risk, but is only taken by females (sorry I haven't asked your sex).
I think a combination of stress, headache and anxiety is causing your symptoms. Stress will certainly stop us from thinking clearly, commonly affects memory.
A headache would also contribute to this if you are in regular discomfort. It is important to be aware that stress is also a cause of headaches, such as a tension headache, and anxiety can aggravate the stress.
Could you describe you headache for me please...when it started, is it constant or comes and goes, it it aggravated by movement (getting up and walking), does resting in a dark room help, does it feel like a pulsation, and where abouts on your head do you feel the discomfort?
Great thanks. Have you taken anything for it?
So I can reassure you that you do not have ALS - this requires a number of upper and lower motor neuron symptoms affecting more than one area.
If you have had recent blood tests which were normal, it suggests there is nothing underlying of concern. The investigations you have had this year are also reassuring.
I think you should get something stronger for your headaches, in this instance I would consider getting a prescription for Naproxen to be used regularly for a few days to see if this settles down. If the headache settles then I anticipate the word finding issue you had would improve.
If however it does not, then you need a full neurological examination which can be done by your GP, as well as checking your eyes and Blood pressure for possible causes of your headache.
Your GP would be able to prescribe for you over the phone so I would suggest requesting this first as assuming you are only taking paracetamol and/or ibuprofen, I think you need something stronger to take away these symptoms
Please feel free to ask me any further questions if you have any
Good morning, that is my pleasure. This is nothing serious and none of those conditions would be on my list of differential diagnoses.
Best of luck.
Please could you kindly rate my response using the stars, many thanks