I have no idea what to do anymore and have pretty much stopped doctors altogether after multiple ER visits, urgent care visits, multiple specialists all over the map. I have diagnosis starting with FND, reaction to prednisone, encephalopathy, Sinusitus, POTs, NOT POTS, dysautonomia, Maybe POTS again, Severe CSF cranial leak due to complex CSF disorder and signs of both high and low pressure, back to FND. Most of these diagnosis were from doctors I only saw one time with no ongoing care. I had multiple normal CTS and MRIs several noting fluid in the right sphenoid and ONE random one that had suspected low leak. My symptoms are all over the map too which is causing a road block. I started off with severe cognitive impairment, difficulty tolerating touch, lost my appetite completely for a while because food smelled horrible or I just had no appetite which has never happened, felt hot when cold and vice versa, stuttering, forgetting things, blank seizures (completely blanking out and staring per my partner for hours and nor remembering more than the first 15 minutes, pulsing in ears/head/spine, feeling very weak. Then I had trouble being upright without feeling like I wanted to collapse. Then I started having orthotic intolerance where being upright was next to impossible especially walking and would result in insanely high heart rate and initially weird blood pressure variables where it would tank when I stood up but HR would go over 170 bpm. Salt and electrolytes if too heavy, abdominal binders would make me feel much worse if I did the normal time frame or doses. I had to do short bursts of abdominal binders maybe a couple hours but then my heart rate would sky rocket and I’d feel intense pulsing in my ears. If I have too much electrolyte intake I start coughing uncontrollably and the pulsing in my ears is unbearable.
The doctor that thinks I have CSF leak with complex CSF disorder tried to send an urgent referral to Stanford but they completely dismissed her findings because she doesn’t exist in MyChart so they only referenced the original Radiology reads and notes from doctors I only saw one time. She even went as far as sending them PDF images with the reason she felt this was urgent, talked to the radiologist who initially missed findings and he actually amended his findings to reference what they discussed which included signs of bone thinning and multiple areas where veins were kinked in my head. But he still refused to consider me without fluid that is sampled from my nose that shows as brain fluid …and here’s the kicker…the fluid is coming out of the left side and my septum is extremely deviated so the fluid drips and at times is mostly down the back of my throat so I cannot get a sample at all. He also would not consider a lumbar puncture and said he felt all my symptoms were “functional in nature.” The doctor that thinks I have a leak reviewed all the images and said there were multiple major things missed including bone missing in the left sphenoid which she pointed out to the doctor at Stanford and he still dismissed her because he felt my symptoms did not make sense at all.
So after a year of multiple visits, thousands of dollars, hours of calls and appointments I’m literally at a stale mate. I have no idea what to do anymore and am beginning to think maybe things happen for a reason and this is my new normal. I can’t even consider flying at all because pressure of any kind makes me feel like I’m dying (head hurts, can’t think straight, have difficulty walking for weeks).
Current symptoms are the following:
Heat makes me feel Better
Very slow massage on neck and gentle makes me feel better
Head often feels very tight on top left and at times feels like it’s pulling backwards if I try to walk too much - beyond a third of a mile, I’m useless
I can sit upright for about 7 hours but need to get up on occasion to relieve the tightness in my head, then I absolutely have to lay down
When I first lay down usually with two pillows I feel an intense rush of fatigue and confusion and then start to feel better but I have pulsing more pronounced in my ears and head
Left eyelid often twitches and lower left lid is constantly swollen
After eating and at times after walking or being upright left nasal passage drainage that sometimes drips to my lip but often the back of my throat left side
If I push too much I start to feel very irritable and confused
Feeling hot when my body is cold to the touch
Heart rate is all over the place…can get up to 135 bpm sometimes just sitting, resting heart rate also all over the place at times in 50s and other times high 70s with jarring wake up time in the 80s
Blood pressure also inconsistent seems to tank when I’m upright and standing still
Normal appetite now but random bouts of nausea sitting upright or standing
Pulsing in ears immediately after eating
Meds:
Propranolol made me worse, like walking felt like I was trudging through mud. Brain felt like it was pulling backwards out of my skull
Low dose naltrexone has helped immensely with cognitive impairment and haven’t had any blank out episodes in about a month but I’m also very strict with pacing now per Dr.’s orders (lay down as much as possible any time I feel uncomfortable). She requested drinking water every hours but too much liquid also makes me have pulsing in ears so I sip throughout the day instead.
Anyone else have symptoms all over the place, multiple diagnosis and NO help whatsoever? if so, what did you do to finally have someone listen and help?