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Pain only on right side of body and excess sleep in Fibromyalgia

Resolved Question:

Having follwong symptoms since 2 months :
1. Having pain at few particualr locations on RIGHT side of body (from brain to foot) . These locations include brain, neck back, spine, back of hip joint , Knee joint, Elbow
2. Sometimes feel numbness in right leg, hand palm etc. Sometimes when driving bike for long time, feel numbness in private organ also.
3. Sleeping disorder
4. Feel like forgetting things, not able to concentrate
5. Feel depression sometime
6. Feeling sleepy and dizziness

HISTORY:
1. Last year in Aug / Sept was diagnosed with very low vitamin B12 (49 ) and D3 (18). And I was having very less sleep . So doctor gave B12 injections and tablets which reduced the problem. And I also improved upon diet.

I again went to the same doctor. however he said may be its again because of B12. However this time pain was simialr but I was getting too much sleep.
I took second opinion and now this neuro physicist has diagnosed it as Fibromyalgia. I went through websites to understand this disease and most of symptoms match however still i don't understand two points : Why is it only on one side of body and Why I am getting too much of sleep .
Please provide your valuable feedback


Category: Neurologist, Medical

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Category: Pediatric Neurologist
Dr. Sudhir Kumar is online now

Expert:  Dr. Sudhir Kumar replied 4 Days.

Hi,

Thank you for your query at DoctorSpring. Also, thank you for providing detailed clinical information, that helps.

I agree with you that fibromyalgia commonly affects both sides of body, however, in a small percentage of cases, it affects mainly one side. After a few years (without treatment), it can affect the other side too. So, it could be fibromyalgia in your case.

However, since the symptoms are mainly on one side, I would like to make sure there is no structural lesion in brain (thalamus, parietal lobe, etc). So, an MRI of brain should be done (if not already done).

Vitamin deficiencies aggravate neurological problems, so, they should be corrected.

Regarding sleepiness, it is part of fibromyalgia. Most people have lack of sleep, however, some have excessive sleep. Also, certain medications used for treating fibromyalgia such as pregabalin, duloxetine, etc may also cause more sleep.

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist


Patient replied :

Dear Sir,
Thanks for your reply. Will request if you can recommend some pathology center in Pune where I should get MRI scan for brain. And also is there any side effect of getting MRI of brain ?
Regards
Aniruddha Mishra


Expert:  Dr. Sudhir Kumar replied 3 Days.

Hi,

Thank you for getting back.

MRI can be done in any good hospital or Diagnostic centre. The MRI machine should be 1.5 Tesla or 3.0 Tesla. Good hospitals in Pune are Ruby Hall, Jehangir Hospital, Sahyadri Hospital, etc.

MRI has no side effects.

Regards.


Dr. Sudhir Kumar
Category: Pediatric Neurologist
Experience: 
Senior Residency, Fellowship: DM, Neurology, CMC, Vellore, 2001
Junior Residency: MD, Internal Medicine, CMC, Vellore, 1998
Medical School: MBBS, Christian Medical College, Vellore, 1995
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