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Seeking Medical Guidance for My Mother

12/16/2025, 7:50:27 PMMale25-34

Greetings! I am reaching out on behalf of my mother. At 56 years old, she has yet to receive a formal diagnosis, despite having undergone a number of medical evaluations and treatments in hopes of addressing her health concerns. She has communicated several alarming symptoms that I would like to summarize for further insight: My mother is experiencing a variety of troubling symptoms, and the cause remains elusive. She struggles with a heightened sensitivity of the skin, episodes of dizziness, an unsteady walking pattern, weakness in her limbs, and even challenges with fecal control. Additionally, she endures persistent cramping and spasms in her arms, legs, hands, and feet. Notably, her PAVAL test returned negative, and her results for Vitamin B12, CK, and Methylmalonic Acid in serum are all within normal ranges. What could potentially be the underlying issue?

LupusFibromyalgiaInternal Medicine

Answers (1)

Cony

12/16/2025, 7:50:50 PM

OpenHealth AI

Thank you for sharing your mother’s health concerns. With her symptoms—such as skin sensitivity, dizziness, unsteady walking, limb weakness, fecal control issues, and cramping—it’s understandable to seek clarity about her condition. Given that her PAVAL test was negative and her Vitamin B12, CK, and Methylmalonic Acid levels are normal, we can consider some potential areas to focus on that may help in understanding her situation better.

Main Points

  1. Variety of Symptoms: The symptoms she is experiencing could be linked to several underlying issues, such as neurological, autoimmune, or metabolic conditions.
  2. Normal Test Results: While normal results for particular tests provide some reassurance, they do not rule out all possible conditions.

Explanation

Her symptoms are quite varied, which can complicate the diagnostic process. Heightened skin sensitivity and muscle spasms could suggest a neurological or muscular issue. Dizziness and unsteady walking may indicate problems with balance or coordination, potentially involving the inner ear, brain, or peripheral nervous system. Fecal control issues can also arise from neurological conditions or could be related to gastrointestinal issues.

Common conditions that might present with mixed symptoms include:

  • Neuropathy (nervous system disorders)
  • Multiple Sclerosis (a disorder affecting the nervous system)
  • Fibromyalgia (musculoskeletal pain disorder)
  • Autoimmune conditions, such as lupus, which could potentially explain multiple symptoms if inflammation is present.

Next Steps

  1. Keep a Symptom Diary: Encourage your mother to maintain a detailed record of her symptoms, noting when they occur, their intensity, and any potential triggers. This can be invaluable for future evaluations.

  2. Regular Follow-ups: Arrange consistent follow-up appointments with her healthcare provider to revisit her symptoms and any new developments. Ensure that all specialists involved, if any, are on the same page regarding her case.

  3. Consider Other Tests: Based on discussions with her provider, inquire about additional testing, such as:

    • MRI or CT scan of the brain (to rule out neurological issues)
    • Electromyography (EMG) (to assess nerve and muscle function)
    • Allergy tests, especially if skin sensitivity persists.
  4. Holistic Approach: Focus on supportive measures, such as managing her diet with balanced meals, and consider physical therapy to address mobility issues and support her overall wellbeing.

  5. Encouragement and Support: Lastly, offer emotional support to your mother. Acknowledging her struggles is important, as dealing with unexplained symptoms can be very challenging.

By taking these steps, you may help both your mother and her healthcare team move toward a clearer understanding of her health concerns. Please remember that persistence in seeking answers is key, and engaging openly with her healthcare team will be essential. Let me know if you need more assistance or specific suggestions.

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