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Should I Consider Getting Tested?

6/17/2025, 1:00:44 AMMale25-34

Hello everyone, I’m a 21-year-old woman, measuring around 5'4" and weighing about 145 pounds. I have a habit of vaping heavily, while my cigarette smoking is quite infrequent; however, I do consume a substantial amount of marijuana, particularly in the form of concentrates and dabs. My health history is mostly unremarkable aside from a battle with an eating disorder that lasted from age 15, but I’ve been on the road to recovery for about a year without any complications. For context, I don’t take any medications at this time, although I’ve been advised to consider anti-anxiety medication due to my severe anxiety. Additionally, I grapple with depression and may be facing other mental health challenges. Lately, I’ve been increasingly worried about the possibility of having multiple sclerosis, especially since my mother suffered from it. I’ve experienced slight twitching episodes for a couple of years, but these have become more frequent, along with occasional muscle spasms in my leg. I’ve also noticed a peculiar way of walking—described as having a “bounce”—which has caused me to feel unsteady, a symptom that was significant in my mother’s own diagnosis. Back pain has always been a part of my life, but recently it has intensified, particularly today with a tingling sensation between my spine and shoulder blade on the left side. Throughout my life, I’ve experienced recurrent migraines; I was told during my childhood that these resulted from allergies, but I’m not entirely convinced. My nerve endings often feel overwhelmed, and I deal with muscle weakness along with dizzy spells, even when I’m well-fed, hydrated, and rested. Adding to this pile of concerns, I regularly feel a sharp, intermittent discomfort in the area of my lung, close to my heart—it’s a peculiar sensation that I can only describe as if a tiny needle is rapidly pushing in and out, accompanied by electric shocks. I’ve also been experiencing a stutter and occasional memory lapses, which predated my introduction to smoking. Given all these symptoms, I’m left wondering: Is it worthwhile financially to pursue testing for MS, or is it possible that these symptoms have simpler explanations and I’m merely overreacting?

Multiple SclerosisLupusInternal Medicine

Answers (1)

Cony

6/17/2025, 1:01:19 AM

OpenHealth AI

It's understandable to be concerned about your health, especially with a family history of multiple sclerosis (MS) and the array of symptoms you're experiencing. Testing for MS or other conditions may be worthwhile given your symptoms, but let's clarify some aspects first.

Key Points:

  1. Symptoms: You've described a variety of symptoms, including twitching, muscle spasms, changes in your walking, back pain, tingling sensations, migraines, and cognitive concerns like memory lapses.
  2. Family History: Your mother's MS diagnosis adds a layer of concern, as genetic factors can play a role in susceptibility to this condition.
  3. Vaping and Mental Health: Your heavy vaping and struggles with anxiety and depression could also contribute to some of your physical symptoms.

Explanation:

MS can be characterized by a range of neurological symptoms due to damage to the central nervous system, but many of your described issues may have alternative explanations, including anxiety, panic attacks, or even side effects related to your vaping habits. Symptoms like twitching, muscle spasms, and cognitive changes are not exclusively linked to MS and could arise from stress or other neurological conditions.

Next Steps:

  1. Monitor Symptoms: Keep a detailed diary of your symptoms, noting their frequency, duration, and any potential triggers. This will provide valuable information for any healthcare provider you consult.
  2. Consider Professional Evaluation: Schedule an appointment with a healthcare professional who can perform a thorough assessment. They may refer you for neurological tests, including an MRI or nerve conduction studies, depending on your symptoms.
  3. Address Mental Health: Given your anxiety and previous eating disorder, it could be beneficial to explore mental health support. Addressing these areas may help alleviate some physical symptoms.
  4. Evaluate Substance Use: Discuss your vaping and cannabis use with a healthcare provider. Understanding how these substances may affect you is important for comprehensive care.

By taking these steps, you can better understand your health and look toward addressing any underlying conditions. Remember, it's okay to seek help, and you're taking a proactive approach by considering your options. Let me know if you have further questions or need more specific information.

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