[55F] Experiencing balance issues, muscle spasms, and cognitive symptoms

What might be happening

Based on the symptoms you've described, possible diagnoses include:

• Multiple Sclerosis (MS): This is a chronic disease that affects the central nervous system, particularly the brain and spinal cord. It can cause a wide range of symptoms, including balance issues, muscle spasms, numbness, memory problems, and speech difficulties. The presence of lesions found in your scans could also be indicative of MS.

  • Treatment for MS often involves medications to manage symptoms and slow the progression of the disease, physical therapy to help with mobility and strength, and lifestyle modifications.

• Stroke or Transient Ischemic Attack (TIA): These conditions occur when blood flow to a part of the brain is blocked, leading to symptoms like balance issues, numbness, and speech difficulties. However, these symptoms usually occur suddenly, which is not consistent with your experience.

  • Treatment for stroke or TIA typically involves medications to prevent blood clots and lifestyle changes to reduce risk factors.

• Fibromyalgia: This is a chronic condition characterized by widespread pain, fatigue, and cognitive difficulties. However, it typically does not cause symptoms like balance issues, numbness, or speech difficulties.

  • Treatment for fibromyalgia often involves a combination of medications, exercise, relaxation techniques, and counseling.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

1. Schedule an appointment with your primary care provider as soon as possible to discuss your symptoms. They may refer you to a specialist, such as a neurologist, for further evaluation.
2. Keep a symptom diary. Note when each symptom occurs, its severity, and any potential triggers. This can help your healthcare provider identify patterns and make a diagnosis.
3. Continue taking your prescribed medications unless directed otherwise by your healthcare provider.

What you should look out for

Seek immediate medical attention if you experience:

• Sudden worsening of symptoms
• New symptoms, such as severe headache, sudden vision changes, or sudden weakness or numbness on one side of your body
• Difficulty breathing or chest pain

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.