Somatoform Disorder ( Help! Whats Happening To Him! )

ilynreal

Ano kaya nangyayari sa bf ko nahihilo siya palagi,palagi natigas ang ulo niya na parang may pressure na minsan daw umaabot sa leeg niya.hindi daw painful pero scary daw.para daw may tight band sa ulo niya na nagstart sa back of his head.yung hilo daw niya hindi vertigo type na umiikot ang paligid.tapos nahihirapan siya mag lakad kasi kapag umaakyat siya at bumababa ng hagdanan nanginginig paa niya.minsan may hotflushes siya minsan cold flushes sa katawan niya.tapos para daw nagvivibrate buong katawan niya na make him weak.may tingling sensation din siya from arms,foot.minsan pati daw face niya. Na e.r na nga siya e nang ilan beses dahil dito. pero wala makita sa kanya after blood work and ecg nagrerequest siya ng m.r.i pero ayaw ibigay sa kanya ng emrgency doctor.para lang mga ewan tong mga doctor na to.he then pumunta siya sa psychiatrist and give him medication pero after niya itake yung gamot boom grabe ang hilo niya at nanginig ang katawan niya na nagcause ng pagbagsak niya at pagbalik niya sa er.ang masama pa dito sa mga er pinagkamalan pa baka daw nagdrugs bf ko.minura ko talaga yung emergensy doktor.na nahihirapan na yung bf ko yun pa iisipin nila.can really anxiety cause this symptoms 24/7?can this really anxiety?kasi hindi naman siya anxious person e.siyempre pag bumagsak ka ma aanxious ka.its really frustrating i love him so much and i don't want him to suffer like that.marami na siya napuntahan doctor at ibatiba sinasabi.baka daw lupus,ms,anxiety at kung anuano pa.wala na siya enough budget para sa doctor at mga test.

specific symptom niya

dizzy 24/7
lighheaded
heavy head
tightband in the head and neck
dazed eyes
tingling sensation
twitching muscles
weakness
headache
internal tremors
shaking legs when walking
feeling faint or out of balance he fainted once and bumagsak na siya ng three times
hot flushes and called flushes through out his body
looking pale
fatigue
sana may competent na doctor na maaling na proper na madiagnose siya

K_r_a_m

^^ It is hard to diagnose when we don't see the patient. It would be best for you to go to a trusted neurologist since most are neurologic in nature.

ilynreal

K_r_a_m wrote: »

^^ It is hard to diagnose when we don't see the patient. It would be best for you to go to a trusted neurologist since most are neurologic in nature.

gagaling lang namin ng hospital pero internal medicine lang muna. mag m.r.i siya ng head without contrast and m.r.i ng leeg with out contrast.pero she thinks walang problema sa ulo niya. Her initial diagnosis daw niya ay vertigo or any ear problems. Tinanong namin siya bakit ibang doktor baka daw lupus sabi niya malabo daw wala naman siya butterfly rushes. Tinanong din namin yung MS isyu para naman daw malabo. eto bang symptoms na ito malabong maging MS?

K_r_a_m

Some symptoms are present in MS, but some are non-specific as well. Vertigo and ear problems can present with headache, dizziness, etc and even cardiovascular problems can present as such. A cranial MRI will definitely help in telling us if this is a demyelinating disease (possible MS) or not. The muscle twitches and tremors are usually due to peripheral nervous system disease, but it can be non-specific as well. I suggest if you have a normal MRI and all the other tests like ECG, blood exams, etc are normal as well, then it would be best to go to a neurologist for further assessment.

ilynreal

What if doc walang makita sa m.r.i sa ulo niya?spinal tap ba siya?at kung wala ano kaya probable cause ng mga ganon niya?auto immune disorder na ba?hormone imbalance?thanks doc

ilynreal

matulis wrote: »

At this point, every possible diagnosis will be discovered by exclusion. There are a whole gamut of diagnostics that can be use. But it has to be ordered in a stepwise rational order as some, if not most, of them are invasive and expensive. In the absence of any evidence that he has any organic problem, then a non organic cause (psychiatric/behavioral) cause may be considered.

I know that things are already frustrating on your end. Do not expect your doctor to find the solution at once. Shifting from doctor to doctor might not help. Eventually the last doctor you will find will end up to be the best for you only because all other tests and exclusion has been done by your previous physicians.

thanks.dati kasi pumunta na siya ng psychiatrist di man lang siya tinignan or ni rule out muna kung may underlying disease siya bigla nalang siya niresetahan ng gamot.ganon ba talaga mga pscychiatrist dito sa pinas?kasi sa US niruruleout muna nila bago sila pumunta sa conclusion ng anxiety disorder or panic disorder. at talaga ba puwede yung anxiety or panic attack symptoms last all day everyday?.pagkagising na pagkagising niya yun na kaagad nararamdaman niya.wala naman daw siya iniisip di naman daw siya anxious at nakita ko naman di naman siya naghahyperventilate e.kasi yun pagkaalam ko sa anxiety and panic attack episodic lang.sa kanya more on sa ulo talaga.eto bang nararamdaman niya puwedeng MS.gaano ba yung progress ng MS at flare up ba talagang tumatagal?thanks again

K_r_a_m

^^ Psychiatrists here also do that. On their behalf, maybe, they are giving the medicines for symptomatic relief. MS can present in various ways and can progress in 4 different ways. The laboratory results will definitely help in ruling out other possible diseases.

ilynreal

K_r_a_m wrote: »

^^ Psychiatrists here also do that. On their behalf, maybe, they are giving the medicines for symptomatic relief. MS can present in various ways and can progress in 4 different ways. The laboratory results will definitely help in ruling out other possible diseases.

@kram thanks doc.Ano yung 4 different ways na tinutukoy mo?ano ba mga laboratory exams para sa MS? puwede kaba magka MS kahit ok yung blood exams mo?naghihintay pa kasi siya ng appointtment para sa m.r.i niya e.what if kung ok m.r.i niya ano tingin niyo sakit niya?auto immune?or psychiatrict?thanks doc again.

K_r_a_m

^^ There are 4 types of progression in MS and only the pattern of progression is described in each pattern. You can have MS even with normal examinations but in MS, there has to have 2 or more attacks. It is hard to say what he has because it is necessary to examine the patient personally. I can only assume what he has since I haven't seen him.

ilynreal

K_r_a_m wrote: »

^^ There are 4 types of progression in MS and only the pattern of progression is described in each pattern. You can have MS even with normal examinations but in MS, there has to have 2 or more attacks. It is hard to say what he has because it is necessary to examine the patient personally. I can only assume what he has since I haven't seen him.

doc walang nakita sa m.r.i niya mri with and without contrast na ginawa sa kanya so ano kaya ang sakit niya?lupus naba,MS, or anxiety?

K_r_a_m

Good news! It is not MS if it showed a normal MRI. Lupus can be checked via a blood examination and anxiety is always a possibility. It is important for your bf to talk with your physician regarding the result and the other possible causes of his symptoms. It is essential to have an open mind and to trust your physician. I know it is frustrating but I'm sure your physician is frustrated too. Since your bf has a wide variety of symptoms, it is necessary to rule out each one, especially the more serious ones. Whatever the diagnosis is, hopefully he will recover from it.

Tilamsik442

Too much worry will create those many symptoms.

Everytime we worry. We are programming our subconscius mind that we are really sick. But physically its not. So, the more you worry. The more you feeling sick.

Para ma-solve ang problem na ito ay stop worrying at paniwalaan mo yun diagnose ng doctor at mga lab results.

Try nyo Dr. Randy Dellosa.

ilynreal

K_r_a_m wrote: »

Good news! It is not MS if it showed a normal MRI. Lupus can be checked via a blood examination and anxiety is always a possibility. It is important for your bf to talk with your physician regarding the result and the other possible causes of his symptoms. It is essential to have an open mind and to trust your physician. I know it is frustrating but I'm sure your physician is frustrated too. Since your bf has a wide variety of symptoms, it is necessary to rule out each one, especially the more serious ones. Whatever the diagnosis is, hopefully he will recover from it.

Thanks doc. Good news nga para sa akin yun. Tinanong ko siya kung masaya siya sa naging resulta na walang nakita sa kanya and he said 50/50. Masaya na walang nakita on the other hand daw hanggang ngayon di pa rin niya alam ng cause kung bakit siya nagkakaganon. Nakakafrustrate na raw at depressive na raw nararamdaman niya. Sabi niya kanina pag medyo daw kulang tulog niya grabe daw sumasama pakiramdam niya dati naman daw hindi siya ganon. kahhit 2 days siya walang tulog kaya niya ngayon daw kahit nakatulog na siya ng 5 hours iba daw pakiramdam niya yung feeling daw niya out of control na siya sa katawan niya na nagiging restless siya kahit humiga at matulog ulit siya.weird daw yung feeling niya sa dumadaloy sa katawan niya at lightheaded siya.kelangan daw sa kanya 10 to 12 hours of sleep palagi para medyo guminhawa pakiramdam niya. naawa na ako sa kanya kasi physically nakikita ko na namumutla talaga siya at talagang pumapayat na siya ang doctors said wala daw problema. walang problema blood pressure niya di siya anemic.so what is the root cause?

ilynreal

Thanks pero sabi niya di naman daw siya nagwoworry bigla bigla na lang daw talaga umaatake pagkagising na pagkagising niya even in his sleep umaatake raw.kasi minsan habang natutlog kami at binantayan ko yung pagtulog niya all of a sudden bigla na lang nagjerk katawan niya.pagtapos non nagising na siya and then umatake na at sobra daw ang hirap lalo na yung hilo talaga.

K_r_a_m

^^ Only your physician can say what he has, he/she is in a better position than I am. We can only assume the diagnosis. If all else fails, do try to seek a psychiatrist. I'm not saying that he is psychotic, but the psyche is still part of medicine. Try to be open minded in the fact that a psychiatrist will help in the management of his case.

ilynreal

so he is suffering for anxiety disorder? pero sabi niya hindi naman daw siya nagaanxiety na tipong nahihirapan huminga at kung anxiety daw bakit siya nahimatay na?ang hirap daw na hindi alam yung sakit niya.ang worst pag kahit nakatulog siya ng 5 hours nanghihina parin siya kelangan daw mga 10 hours or more ang tulog niya na hindi naman daw pwede.saka galing na daw siya noon sa psychiatrist and said he daw cause ng anxiety ang mahimatay so di niya alam.ok naman mga stress test niya and mri.so hindi na niya talaga alam.his been frustrated na.at malamang tatamaan na siya ng depression or tinamaan na siya i don't know

K_r_a_m

^^ It can be another psychiatric disorder with the same presentation. The loss of consciousness can also be due to other conditions such as heart or brain problems. It would be best if he follows up with his physician and tell the physician that he is not feeling any better. A good and trustful relationship with the physician is one way to help diagnosing the case.

ilynreal

Yun nga mahirap doc e sabi ng doctor sa kanya wala siyang magagawa. hindi nga niya masabi yung initial diagnosis e. puwede ba siya magkaroon ng brain problem kahit ok naman mri niya puwede ba siya magkaroon condition kahit na stress test na siya?

K_r_a_m

ilynreal: Then go to a more trusted physician. It should not stop you from knowing the diagnosis. One can have a brain problem with a normal MRI and stress test is for the heart, not the brain. There are many physicians capable of handling your boyfriend. Most of them trained locally and abroad for these kind of cases. It's just a matter of going to a more trusted and respected institution/physician.

ilynreal

baldo! wrote: »

*post removed

Oo mahirap talaga ang laki na nga nagagastos namin e. tapos mga gamot na binibigay sa kanya ang lakas ng side effect. Wala na suya work ngayon kasi sa condition niya, konti lakad lang niya nahihilo na kaagad siya at para daw siya babagsal. actually hindi doktor may kasalanan yung pharmaceutical companies.

ilynreal

K_r_a_m wrote: »

ilynreal: Then go to a more trusted physician. It should not stop you from knowing the diagnosis. One can have a brain problem with a normal MRI and stress test is for the heart, not the brain. There are many physicians capable of handling your boyfriend. Most of them trained locally and abroad for these kind of cases. It's just a matter of going to a more trusted and respected institution/physician.

e doc san ba makakahanap ng trusted physician?. galing na nga kami sa makatimed with no avail. san ba kami dapat pumunta sa neurologist ba cardio or saan?.