OpenHealth Q&A

Get answered by medical professionals

Panicking Over Possible MS or Brain Tumor Following My Doctor's Appointment

8/18/2025, 9:01:39 PMMale25-34

Age: 28. Weight: 130 lbs. Height: 5’7”. Currently taking lamotrigine 200mg for bipolar disorder type 2. Recently, I've become aware that I'm occasionally missing objects when I attempt to grab them (like reaching for a cup but not quite connecting). After bringing this to my doctor’s attention, she conducted a neurological examination and noted several abnormalities: 1. Heightened reflexes (hyperreflexia) 2. Tremors when trying to point (intention tremor) 3. Rapid eye movement (nystagmus) 4. Difficulty with quick alternating movements She has requested an MRI and has sent a referral to a neurologist, but I have to wait for both appointments, which is stressful. I found her notes in EPIC, where it mentioned potential multiple sclerosis (MS) or a brain tumor as concerns. This has left me feeling extremely anxious about my health. I'm now desperate to know if there might be other explanations for these symptoms. I'm doing my best to remain composed, but the worry is overwhelming.

Multiple SclerosisLupusCOPD

Answers (1)

Cony

8/18/2025, 9:03:20 PM

OpenHealth AI

It's completely understandable to feel anxious about your symptoms and the potential diagnoses mentioned by your doctor. While multiple sclerosis (MS) and brain tumors are serious conditions, there are other explanations for your symptoms that may not be as concerning.

Explanation:

The symptoms you've described—heightened reflexes, tremors, rapid eye movement, and difficulty with alternating movements—can be caused by various conditions, some of which are less serious. For example:

  • Bipolar Disorder Medications: Some medications, including lamotrigine, can occasionally cause side effects that affect motor coordination or lead to neurological symptoms.
  • Anxiety or Stress: Your current emotional state could also play a role in worsening symptoms, as stress can amplify the perception of physical feelings.
  • Other Neurological Conditions: There are benign conditions that can cause similar neurological symptoms, like essential tremors or benign positional vertigo.

Until your MRI and neurologist appointment, it’s important to stay grounded and manage your anxiety.

Next Steps:

  1. Practice Mindfulness: Engage in stress-reduction techniques such as deep breathing exercises, meditation, or gentle yoga to help manage anxiety while you wait.

  2. Monitor Symptoms: Keep a daily journal of your symptoms, noting their frequency and any changes. This may help identify triggers or patterns.

  3. Stay Informed, but Limit Research: It’s good to be informed, but try to avoid excessive online searching about symptoms or diagnoses, as this can increase anxiety.

  4. Discuss Concerns with a Trusted Person: Talk to a friend or family member about your feelings and what you're experiencing. Sometimes sharing your worries can reduce their weight.

  5. Prioritize Health Maintenance: Ensure you're eating healthy foods, getting enough sleep, and engaging in light exercise as these can positively affect your overall mental and physical health.

While waiting can be challenging, keep in mind that many neurological symptoms have a wide range of potential causes, and you are taking the right steps by consulting your doctor. Focus on staying proactive with self-care and your upcoming appointments. If you have any added concerns or if your symptoms change significantly, reach out for support. You're not alone in this; there’s help available to guide you through these uncertainties.

Related Questions

Understanding the Increased Pain in My Foot While Reclining

At 30 years old, I am nearing the five-week mark since undergoing surgery on my metatarsals. I've encountered a troubling issue: I can’t seem to find comfort when lying down, whether it’s with my foot raised or lying flat. My pain level escalates to a severe 10 out of 10, unless my foot is making contact with the floor or I dangle my leg off the side of the bed so that my toes touch the ground. Is this situation typical for someone in my circumstances? Are there any suggestions that might assist me in getting a better night's sleep?

ArthritisMultiple SclerosisInternal Medicine
Male25-34
28 minutes ago

Understanding Possible Seizure Triggers and Recurrence Risks

Health Background: I am a 21-year-old female, standing at 169 cm and weighing 65 kg. Over the past three years, I have been using oral contraceptives. As of this morning, I started taking 25 mcg of levothyroxine along with a weekly vitamin D supplement of 0.266 mg. Recently, I was diagnosed with hypothyroidism and found to have a vitamin D deficiency that I suspect has existed for the last three years. I do not consume alcohol or smoke, and I can confirm I am not pregnant. Two years ago, I experienced a mild concussion. I currently reside in Spain. A couple of months back, in mid-December, I blacked out twice. The second occurrence took place while I was at the doctor’s office after seeking urgent medical care for the initial incident. Following the second episode, I underwent a CT scan and an EKG, both of which returned normal results. Further tests, as directed by my physician, revealed a critical vitamin D deficiency and hypothyroidism; however, he expressed doubt that either of these conditions led to my loss of consciousness. I was then referred to a neurologist, and I am presently awaiting an appointment. Although the waiting period is lengthy, my doctor indicated that I should receive priority for scheduling, although the exact timeframe remains uncertain. The referral document summarized my events, labeling the second episode (which the physician witnessed) as a potential seizure devoid of tonic-clonic movements—a revelation that took me by surprise. After regaining consciousness, I felt extremely disoriented and terrified, struggling to process what was happening. I have no prior history of seizures, epilepsy, or any related conditions, and there is no known family history of these issues. If this indeed was a seizure, what might have triggered it? Additionally, what is the likelihood of experiencing another one? Since that time, I have not had any further incidents, but I have experienced moments where I felt a sense of impending doom, which I managed to overcome. I intend to wait for the neurologist's evaluation, but the uncertainty surrounding a possible neurological condition is quite distressing. Thank you for any insight you can provide!

LupusThyroid DisordersEndocrinology
Male25-34
1 hour ago

Understanding EEG Results for My 22-Month-Old Son: Insights Needed

Could someone help clarify this for me? My son, who is just 22 months old, hasn’t started walking yet, becomes tired easily, and has been experiencing behavioral outbursts. He had a febrile seizure in February 2025, followed by another unexplained seizure in April 2025, which led us to consult a neurologist. Since he was 3 months old, he has been receiving therapy from a physical therapist for torticollis. At birth, he spent five days in the NICU due to issues with meconium aspiration. A recent MRI showed normal results, and he also had a follow-up EEG after one conducted in July 2025. The results from this recent EEG were abnormal for a pediatric patient in awake, drowsy, and sleeping states. Notably, there were brief episodes of left frontotemporal delta slowing, which occurred mainly when he was awake and drowsy. There were no signs of epileptiform activity detected. In contrast, the EEG performed back on July 3, 2025, was deemed normal for both awake and drowsy states, again with no evidence of epileptiform irregularities, although it did not capture any sleep data. This examination was prompted by the child's existing history of febrile seizures. Importantly, he is not currently on any anti-seizure medications. The EEG procedure used standard electrode placements per the 10-20 system, conducted a single-lead EKG, and included continuous video monitoring. During the analysis, the background activity was symmetric, indicating some anterior-posterior (AP) organization, with a dominant rhythm of 50-80 microvolts at 7 Hz. His drowsy state was marked by a reduced amount of eye blink activity, less breathing motion interference, and a generalized slowing in theta/delta frequencies. Stage II sleep exhibited spindles and vertex waves patterns. Additionally, there were intermittent bursts of 250-300 microvolts in the left frontotemporal region with semi-rhythmic activity of 2-4 Hz, mostly observed during wakefulness and drowsiness. No definitive epileptiform discharge was noted. Photic stimulation during the test did not elicit a strong response, and hyperventilation was not conducted during this session.

Multiple SclerosisCrohn's DiseaseEndocrinology
Male25-34
2 hours ago

INTENSE Spine Discomfort, Breathing Difficulties, Muscle Twitches, and Sweating

To elaborate on the situation mentioned in the title, I’ve been experiencing unusual muscle twitches and spasms for the past few days, along with some discomfort in my back. However, today, I felt an unexpected sharp pain shoot through my spine, which has left my legs feeling numb and made it impossible for me to sit up straight. Additionally, I’ve been dealing with cold sweats for the last hour and struggling to breathe properly. Perhaps I’m just overanalyzing things and it’s a common occurrence, but the intensity of the pain is overwhelming—it's truly unbearable. I’m shaking quite a bit, and unfortunately, my parents aren’t responding to my attempts to reach them for help. I have a history of a chronic heart condition and arthritis, yet I’ve never experienced pain this severe, especially in my spine. For context, I am nearly 15 years old and female. My current medications include pain relievers, anxiety medication, beta blockers, and some vitamins, though those specifics may not be particularly relevant. I don’t smoke; however, I have tried vaping a few times, which might not matter much, but I thought it was worth mentioning as it was requested.

ArthritisCOPDRheumatology
Male25-34
2 hours ago

28-Year-Old Male Experiencing Scalp Sensations Post-Amitriptyline Treatment

I am a 28-year-old man in generally good health, without any cardiac concerns. Approximately a month ago, I encountered intense pain localized to one side of my head, which was unresponsive to paracetamol. However, a single dose of a migraine treatment provided substantial relief. Following that, I began a regimen of amitriptyline, starting at a nightly dose of 10 to 25 mg. While my head pain has diminished significantly—by about 90 to 95%—I now experience occasional uncomfortable sensations on my scalp. These feelings include pins and needles, a cooling sensation, and some crawling feelings near my hairline and ears. There are fleeting moments where I feel brief throbs lasting a second, but I do not have any persistent headaches. To clarify, I do not experience any of the following: - Nausea - Weakness in my limbs - Numbness - Changes in my vision - Coordination difficulties - Seizures The symptoms I have are transient, shifting around and often intensifying when I become conscious of them or as the day progresses. I would like to know: Is it common to experience these sensations during the recovery stage following episodes of neuralgia or migraine-like discomfort? Additionally, could the amitriptyline potentially be causing these temporary paresthetic sensations? I am seeking some reassurance or advice on what is typically observed during this healing process. Thank you.

Multiple SclerosisCrohn's DiseaseEndocrinology
Male25-34
4 hours ago