Hello doctor, I am a 53-year-old male. My symptoms began about three months ago and include the following: Numbness and burning at the base of the neck. Shooting pains and stingers in the upper back and near shoulder blades. Soreness in shoulders. Muscle twitching that comes and goes particularly in hands, fingers eyelids and ankles almost all at rest. Body temperature regulation issues causing damp collar of my T-shirt after waking from sleep and now some anhydrosis on exertion because I did notice I do not seem to be sweating and I feel like I am overheating after some exertion. Foggy head feeling, especially in the morning. Dry throat upon waking up and sometimes during the day that will not go away. Frequent urination some days that sends me to the bathroom every hour to an hour and a half. Tests my internist has conducted in the last month to investigate my symptoms: MRI of my cervical spine that showed some bulging discs but nothing significant. CAT scan of my neck to look at lymph nodes and all was normal. Chest X-ray which was normal. Blood work which showed all normal except vitamin D which was low. I am now taking a supplement. I am obviously very scared that I am developing MND such as Parkinsons or MSA.
Hello. I understand your concern and would explain that your symptoms could be related to low vitamin D levels. Anyway, I would also recommend performing further tests if you have not already performed yet: 1. Thyroid hormone levels for thyroid gland dysfunction. 2. Vitamin B12 levels for the possible deficiency. Nerve conduction studies would help investigate for neuropathy or motor neuron disease. Regarding Parkinson's, a DAT scan would help investigate for this disorder. Anyway, your symptoms are not typical of this disorder.