Autoimmune? Undiagnosed and don’t know where to go next
I am posting here in hopes that someone out there has experienced something similar or can at least tell me where to turn next when it comes to figuring out my illness. A friend of mine who has lupus said it sounded like it could be autoimmune but I really don’t know anymore!
The following chunk is going to be a long medical history and I apologize, I just want to give as much information as possible in hopes of getting help.
I was born premature but had amazing algae scores and was sent home that day. My mother tells me I was always sick as a baby with chronic throat infections of some kind or other. She made the doctors remove my tonsils before I was 2 in hopes that it would help but it didn’t seem to. Growing up I remember always being sick. I seemed to get every bug going around but was always especially susceptible to strep throat infections and sinus infections. I was sick so much that by highschool I am pretty sure I only was actually able to attend around 2/3 of the total days in the school year. Maybe even less than that and this wasn’t me staying home with colds, this was constant stomach flu, upset respritory infections, and of course strep throat. I also had constant hives and dermatographia since I was young and still have it to this day! The doctors always wrote it off, saying it was probably a food allergy, but never really looked into it. I also never ran fevers as a kid and instead run at a constant 97.6.
In 2016 my constant bad health seemed to take a turn for the worst. Right after graduating highschool I got so sick I was bedridden for the whole summer. I was throwing up, having joint pain, and sleeping all the time. No fever but I NEVER run fevers. After a month of it my mother took me in to my family doctor. She ran a mono test and Lyme test which both came back negative but she was sure it was mono so she told me to come back in a few weeks. I did but the test was negative again, and then again when I came in another month later. My white counts were high but they couldn’t figure out what was wrong other than that. Finally after 4 months I got better and stopped going back to the doctor, just in time for me to go to my freshmen year of college.
I made it through my first semester, despite the fact I got stomach flu and strep a few times but then part way through my second semester I got sick again. I was throwing up to the point I had to be hospitalized for fluids. All of my lymph nodes were so swollen I didn’t even look like I had a neck and was having a hard time swallowing. This time it turned out I actually did have mono. I had to leave my college and go home to recover. It took a total of about 4 months to get better but I never felt 100% again after that. My doctor told me it could take up to a year to feel fully better so I decided to take time off of college and get a job.
The job lasted about three months. I was so tired in that time that I would get up to go to work, struggle through my shift, go home, and immediately go to sleep. I was only awake about 10 hours a day but I figured it was just because I wasn’t used to working and would adjust. Then I started developing severe joint pain and stiffness, to the point that it was hard to get up off the couch simply because I couldn’t unbend. Both of my parents have rheumatoid arthritis so I assumed it was that and went in to my doctor for testing. I was only 20 and knew I shouldn’t be feeling as old as I suddenly felt. She ran an ANA that came back normal. A week later I passed out in the shower. My parents and I assumed maybe the water had been to hit and left it at that. Another week later I passed out at work. The fainting episodes became a normal part of my life which led to me quitting my job.
I went to see my primary physician again but she was clueless. She ran a complete blood count, metobolic panel, and tested me for Addison’s disease. It all came back fine aside from a slightly elevated white blood count. She then referred me to doctor number 2, an internist.
Doctor number 2 was probably the best I had ever seen. Listened to my story then tested me for dermatographia before I had even mentioned the hives or dermatographia. He sent me to an allergist.
Doctor number 3, the allergist. I explained the dermatographia and the fact that I had it, along with hives, since I was a kid. We had never been able to link the hives to any food and explained that sometimes I would break out in hives because of the heat or because of crying or getting stressed. He told me he couldn’t test me with the scratch test because I had dermatographia but that he could test my blood for allergies. He told me he didn’t think this would be helpful however because the would only be able to test for a few things and he said my hives sounded idiopathic. I went home without the test.
I followed up with my internist, doctor number 2, but while the nurse was taking my vitals she found I had a heart murmur. I was sent for an ultrasound of my heart and they found I had a mitral valve prolapse but told me it was nothing to be concerned about. I went back in later for the follow up and the nurse took my vitals and found I had a heart arythmia. They gave me a 24 hour heart monitor. I only actually ended up wearing the monitor for 20 hours because the sticky pad things they used caused my skin to blister up and peel off.
The cardiologist I saw, doctor number 4, told me my heart murmur was benign and then went on to suggest that maybe I was on too many medications due to the fact that I take an anti anxiety, and antidepressant.
Back to doctor number 2, my internist. He gave me two different anti-histamines and sent me home in hopes it would improve my symptoms.
All of my symptoms kept getting worse. I developed brain fog, trouble concentrating, headaches, and none of my previous symptoms improved. I turned to the internet in hopes of figuring out why I was fainting and read about postural orthostatic tachycardia syndrome or POTS for short. I went to my doctor that week and asked if he had ever heard of it. He told me he didn’t think that was what I had, as it was rare, and sent me home. My mother convinced me to go back and demand to be tested, and it turns out I do have POTS. On an average day, my heart rate laying is 55 and it jumps to 130 when I am standing.
Thankfully now that I know what is going on I was able to start managing symptoms and hoped it would help with everything from the fainting to fatigue, joint pain to brain fog.
I started developing new symptoms. My brain seems to scramble words when I read now or it messes up grammar. I have a persistent pain in my left side that doctors can’t explain. My rib cage in the front on my left side also goes through flair ups where it hurts when I breath and I have been developing migraines.
The fatigue got worse until I was only awake about 2-4 hours a day total and all of my lymph glands swelled up again. It felt like when I had mono so I went in to try and figure out what was going on. My internist sent me to doctor number 5, an infectious disease specialist, who told me I had a mono reactivation. At this point it had been exactly a year since I left college with my first bout of mono. He said it was really rare and he wanted to test my immune system. He ran a complete blood count, C-reactive protein test, t-cell test, and a few others. Everything came back normal.
My doctor said he had no idea why I got mono again and seems to have no idea what to do with my other symptoms! I want to ask for more tests but I don’t even know what tests to ask for anymore or what doctors to ask to see and I am afraid they are going to diagnose me as a hypochondriac!
Currently my symptoms are
– dermatographia
– hives (particularly when upset but often without obvious cause)
– migraines
– joint pain
– joint stiffness
– Nausea
– loss of appitite
– brain fog
– trouble concentrating
– extreme fatigue
– vomiting, sometimes without even feeling ill beforehand
– dizziness
– pain in my left side, about where my spleen is, but doctors say my spleen is not enlarged
– pain in my ribs sometimes when I breath that lasts a few hours
– no fevers ever.
-numbness and tingling in my hands and feet at times
– mouth ulcers. (I have had these since I was a kid. The come and go. I sort of get break outs of them)
Anyone have any ideas? Anything helps. I just want to go finish college and move on to my career but can’t do that while I am this sick! I am a 21 year old white female if that helps anything.
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Dear Shellyleon thank you. Your suggestions are correct as far as I am concerned as I have some of your medical problems and a few more of mine; and yes, I have tried and done as you have and you are right including the kidneys.
Hi Shelly, sorry to bother you, quick question. Did your heart rate ever jump around between the 40s and 150s when you would try to get up or move? I get very dizzy and my HR goes nuts whenever I try to change a position. Just wondering, with that and the chest burning and right arm numbness I can never decide whether to go to ER since it seems to happen daily for the last week.
I did not have that happen. My blood pressure was all over the place but I think that was a combination of my kidneys not functioning correctly for awhile and all the meds I was on. You definitely want to get that checked out-that seems like a big fluctuation. Keep us posted.
My local hospital allows us to call in and Ask a Nurse questions about symptoms we have. I know what you mean about not knowing when to go to hospital. I know it’s hard with money challenges but I always made the decision based on wanting to be around for my children. Better safe than sorry. Sending prayers.
HEATHER, My thoughts and Blessings go out to YOU! What you have is how I found Mayo Connect! It was in June of 2018 it hit me with a Monster Headache! I won't go inot all the details but they very much go along with what you went through! I've gone through Stage IV Colon cancer, severe Brain Injury, but nothing was worse than what this is!!
I went through every test and examination in our entire Hospital structure! They could find nothing! Finally watched a program on Professional Golfer Jimmy Walker. He and his wife finally after 20 + visits to doctors around the country. Finally came up with Lyme Disease! Started doing research like you and learned what you have learned.
There are several Good Web sites that explain alot about the Disease. BASICLY THERE IS NO CURE, ONLY CONTROLLING THE MISSORY!
In my case I had all the same symptoms you have, lack of energy, balance, Lyme Brain Fog and many other symptoms! My Worst Symptom was the Headaches. They were 24/7 in most cases.
Finally out of accident my PCP and I stumbled on to something to help. I took Oxcyconone periodocly for Burcitus in my right hip. I found the headaches went away!
I found by taking one when I wake up and then one about 2:30 PM I was functioning Great. So that's what I do!
I take a couple of herbal supliments to help certain symptoms.
(I don't even tell anyone what I take, so I won't be considered a Opiod Addict!)
My PCP is a very old school dr. and understands what I have been through! If I go to another dr. I get the lecture about Opid Abisie.
In my research I have found important info.
Lyme Disease mirrors other dieases. Fibromyalgia, lupus a,d West Nile! All of which there is really no cure for.
Since I still run my own company not working is not a option!
But I have found if I schedule an hour of down time in the early PM it really helps me function thoughout the day.
Stress is also a Big Factor! I just got through 3 weeks of Stress and fatigue and felt like Crap!
I spent this last weekend doing nothing and catching up on rest. Feeling really good now! You can reverse the over doing it by rest.
Please let me know if you have any other questions!
I would be Glad to Help!
My Blessings to You!
PS, I forgot one other thing, my last visit with a dr. recomended either Yoga or TaiChi! My YMCA has a Silver Sneakers Yoga Class that has really helped! The last thing is about every 45 days I have a Full Body Massaage using CBD Oil. Really is an energy Booster!
Sundance(RB)
Thank you for the reply. I have a lyme test on the way. I've been thinking that is it even though western blot says negative. My worst symptoms are difficulty breathing with pain in my abdomen and now this heart rate and dizziness since last week won't let me get up and out of bed. I literally fall down. I was in process of starting my own business as well, but I can't even hold a pad of paper without pain under my sternum anymore, so I can't do much. I'm a single parent so not working isn't an option for me either, but I can't physically do it at the moment. It seems my symptoms are degenerative and progressively degenerating. Thank you for reaching out. I am at the point of trying anything. And I'm glad you have had some relief. Maybe there is a little hope for me.
Listen to your Body and not doctors! I know that sounds Crude, but many on Mayo Connect will agree.
My Best wishes for YOU!
Sundance(RB)
I have been actively fighting something for over 4 months now, since June 22nd. I apologize for the lengthy symptoms list, but I am praying somebody out there has had something similar (in the past) and may know what direction to send me. I don't feel like I have much longer to figure it out as my condition worsens and I am unable to get out of bed for long periods of time. It started on June 22nd when I was driving home from Destin Florida. I started to feel nauseous and had pain in my left lower ribs/upper abdomen area. I pulled over a couple of times, but it kept coming back worse, I couldn't drive for more than a few minutes without breathing difficulty, got dizzy, broke out in sweat, seeing spots. I pulled over and my daughter came and got me and drove me 8 hours home. We thought it may be some kind of flu, symptoms continued, dizziness, nausea, breathing difficulty when trying to sit up, I slept for 16 hours a day for the first few days. The 3rd and 4th day, I started getting a right arm pain, tingling/numbness, could only eat a little bit of food at a time, pain moved around to upper stomach, lower lung area, very difficult to get a full breath in. I did not have chest pain except a on fire/burning pain that first day, but I was breaking out in cold sweats, so it could have been related. After a few more days with no change, my daughter decided to take me to the ER. They did a CT of abdomen and said everything was fine except a legion on left lobe of liver, but it was unrelated.They said I had GERD and sent me home with Prilosec for 10 days and follow up with primary care. Took Prilosec, no change, I had to get Meklizine because the dizziness was so bad I couldn't stand up. Got an appointment with primary care doctor who thought it was a hiatal hernia and sent me to a GI specialist. GI specialist thought hiatal hernia and scheduled an endoscopy. He also told me to take Sucralfate 1 GM tab 4x a day and Dexilant for 10 days. Endoscopy just showed gastritis and benign polyps, no hiatal hernia, so they said there was nothing more they could do. I am still having all of these symptoms, riding in a car is excruciating, like all of my organs are rolling around in my body loosely. Dizziness did subside some, nausea not as bad in the beginning and I could walk ok. Walking was actually making me feel la little better. GI specialist also thought it was muscle skeletal and would let my PCP know. He said I could take Tylenol or zantac if I wanted, but left it up to me. Weird..Back to PCP then thought it was superior messianic artery syndrome / SMAS), referred me to general surgeon to confirm and ordered a chest MRI to see if my diaphragm is torn. Sugeon said no to SMAS and MRI came back fine. PCP didn't know what else to do. I asked for a referral to a Pulmonologist since everything with this affects my ability to breathe, he said sure and come back in 6 months! Fastest Pulmonologist appt. was in 6 weeks. I took it. Since I was getting nowhere fast, I moved to a new PCP that specializes in Internal medicine. Met with the nurse of internal medicine and she ran autoimmune bloodwork as for another chest xray to see if I had cracked any ribs back in June. All came back fine. Got to Pulmonolgist last week and he thinks it Tietze syndrom so had me start prednisone for a week with an inhaler twice a day. I can no longer bend up and down or I get a lump in my mid stomach/abdomen causing severe pain and I have to lay in bed for days for it to get better. Just last week I am having episodes where my rt arm goes tingly then numb and heavy and I started crying uncontrollably and my body starts shaking uncontrollably. VERY embarrassing. I was at Sam's when this happened first and have been home the other two times. My daughter took me to the ER the third time it happened in a week because we thought it might be a stroke. ER did head CT said no stroke/heart attack. They gave me Potassium pills, a Valium, anti-nausea medicine, and pain medicine there. One of those or all of those meds blocked most of the pain that day and made the car ride home bearable, but they can't send it home with me.Currently since ER, I have heavy head and limbs, can't be out of bed for more than an hour at a time, my upper right chest burns into my rt shoulder and breathing is still difficult. I called the pulmonologist to let him know in case it was the prednisone. Just now he said to stop prednisone and take nexium for 6 weeks. I think I am back to square one. Hstorical information: The reason I think it could be LYME disease is this:
June 2016 bit by a tick above tailbone, right side. Did not think much of it, other than it was smaller than other ticks I have pulled off of me. Tick was gotten in Bell Florida, 30 miles west of Gainesville. No noticeable symptoms, got a sinus infection or bronchitis in the fall, around October, went to CareHere and was given an antibiotic, didn’t get rid of it so they gave me another antibiotic, near the end of the second antibiotic I started getting back pain, it kept getting worse and worse until I could barely get out of bed or stand up straight. I tried getting a visit with my Primary Asha Shaw, but she had no appointments available until the next day. They advised me to go to ER, I went to Sebastian River ER and the doctor said that I was probably constipated and he really couldn’t help unless I came back with a gunshot wound. I left the hospital in excruciating pain, barely got myself home and got into my doctor the next day. After examination, she diagnosed me with degenerative disc disease, put me on pain relievers (tramadol), muscle relaxers, and nerve pain blockers (gabapentin) and referred me to an Orthopedic Back Specialist. The first available was Dr. Kalman and I got in the following week. Turns out I had L4,L5, S1 Herniated discs and radiating out to my sciatic nerve. Medication help relieve some of the pain and started Physical Therapy 2 to 3 days a week. After being in therapy for weeks, I got a sharp pain in my hip that would not allow me to lift it up to get into my truck. Could barely drive, couldn’t sit down to the toilet with out assistance, bending was near impossible. PT told me to make an appointment with Dr. Hickman, hip specialist in the office. Went to see him, had an MRI done and it turns out that I have a degenerative tear in posterior hip, etc…. (also beginning arthritis); he says he can replace it or I can wait and see, I said I will wait and see and try to make it better.
Over time the hip got better.
During this time, pain escalated all over my entire body. It just kind of hurt to exist. It got better when I was on all the pain blockers, but was still subtly there. I also have been running a low-grade fever since all of this started 3 years ago. I take Tylenol every day so fever doesn’t register unless I take it before I take meds, but I have and still periodically check to see if it still there. My normal temp is 97.3, I typically run 99*, but it sometimes has been up to 101*, but I am not sick. I have literally been running a fever for over three years.
Also, the pain I have in my body since all of this started years ago has not gone away, just seems to hurt worse on certain days. Most of my doctors when trying to figure this out thought it was Lyme disease, then Lupus, the RA, they have tested for everything, negative.
However, after reading up on it, the Lyme test was given to me MONTHS after the bite. According to the internet, it doesn’t show up anymore after a few weeks. So, I have to wonder if I do have lyme disease and this is just another attack on a body system. There is more, but I cannot type any more right now. IF any of this sounds familiar please let me know. Thank you for your time.
Will do. Thanks again so much!
Hi @heatherdoney74 I'm glad you are finding the posts from other Connect members to be helpful! You may have noticed that I moved your post to this existing discussion on undiagnosed autoimmune diseases so that you can connect with others who have similar experience. Simply click VIEW & REPLY in your email notification to find your post.
@heatherdoney74 you mentioned your daughter picking you up in your first post. How has your family been through this? Have they been supportive?