OpenHealth Q&A

It seems you’re navigating a concerning mix of symptoms, including muscle twitching and spasms alongside gastrointestinal issues and blood in your semen, while dealing with a complex medical history involving possible Myasthenia Gravis and Lambert-Eaton Myasthenic Syndrome. It's understandable to feel anxious about these developments, especially given your negative tests for infections and early PSA results.

Explanation

1. Muscle Symptoms: The muscle twitching and spasms can stem from various causes, and it's noteworthy that you're not experiencing the typical muscle weakness associated with Myasthenia Gravis. Given your clear imaging results and exclusion of multiple sclerosis and Parkinson's, it may be beneficial to explore benign causes such as stress, fatigue, or electrolyte imbalances.

2. Gastrointestinal Issues: The diarrhea lasting for about eight weeks, even with negative tests for infections, underscores the need for evaluation of other potential causes like dietary intolerances, inflammatory bowel disease, or functional gastrointestinal disorders.

3. Blood in Semen: The presence of blood in your semen (hematospermia) can understandably be alarming, and while it can sometimes arise from benign conditions (like prostatitis), it may also warrant further evaluation to rule out more serious issues, including structural problems or malignancy.

Next Steps

1. Track Your Symptoms: Start a symptom diary noting the frequency and characteristics of your muscle symptoms, gastrointestinal changes, and any other new signs. This can be beneficial for your next medical consultations.

2. Stay Hydrated and Balanced: Focus on maintaining hydration, especially due to your diarrhea. Ensure you are replenishing electrolytes, which can help alleviate muscle twitching. Consider consuming a balanced diet rich in whole foods while being mindful of any foods that may trigger gastrointestinal symptoms.

3. Request Further Evaluation: Given the ongoing issues, especially blood in your semen, consider discussing with your doctor the possibility of:

   • A referral to a urologist for further evaluation of the hematospermia, which may include imaging or a prostate examination.
   • Additional gastrointestinal evaluations or dietary assessments to understand potential triggers for your diarrhea.

4. Manage Stress: Practice stress management techniques such as mindfulness, yoga, or regular exercise, as stress can sometimes exacerbate muscle symptoms and gastrointestinal issues.

If symptoms worsen or you experience additional alarming signs, such as significant weight loss or persistent severe abdominal pain, it is important to communicate this to your healthcare provider promptly. Your concerns are valid, and taking these steps can help you better manage your health moving forward.