Doctor insights on:
Brisk Reflexes And Anxiety
34 y/o female w extreme anxiety. Can twitching and brisk reflexes for nearly 2 yrs but no weakness/atrophy still be ALS? Neuro says anxiety, scared.
Anxiety help: Without any weakness over that time frame, the Neuro is right - ALS is not likely. But you do feel worried and a good Health Psychologist might help you as you investigate. They can evaluate the emotional part and refer you to physicians w/ their impressions of the physical part. That's a bit like having an attorney. If the Dr didn't mention MS. I don't want to worry you, but that's worth a nod. ...Read more
Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more
When the testicles retract during a panic or anxiety attack, is it possible for cremastric reflex to become damaged. Given attack was severe?
Get Rx 4 Anx/Panic: I never heard of such damage occurring because of anxiety and panic. If you are having physical symptoms of course you should get a physical check up. Most important is that you should have treatment for the severe panic or anxiety attacks. There are various psychotherapy treatments with or without medication that should be helpful to you. ...Read more
Coffee causes a gastrolic reflex for me. Bc I have anxiety now I don't do caffeine. It really helped w my bowel before. Can I do decaf instead to help?
Never had nitrous--might help anxiety, tongue sensitivity and gag reflex. Can I get it the day of my apt or do I have to contact them beforehand?
Nitrous: It is best to discuss before the appointment, so as to get full instruction regarding preop and after procedure steps to take. ...Read more
My doctor did the hammer to knee reflex test and said I was over reactive, what does this mean? Can this have anything to do with tachycardia/anxiety?
Some people have naturally brisk reflexes. If brisk reflexes are present at an early age and equal on the two sides, usually nothing wrong. Pathologically brisk reflexes can occur:
a. If nervous system is overstimulated (hyperthyroid, crack, fright etc) or if the reflex centers become disinhibited by brain or spinal cord disease, . ...Read more
My reflexes are hyper very brisk if my peripheral nerves were severely damaged could the spinal cord be compensating?
Test for hypereflex:
Hyperreflexia spinal disorders & back pain could have a connection that may be checked by specialized testing like electromyography and MRI to figure out the intricate nerve connections.
Hyperreflexia could be resultant of other nervous disorders as well. You need to see a specialist like neurologist or physiatrist to check you with imaging and emg, nerve conduction tests to get accurate diagnosis. ...Read more
21 y/o famale, extreme tiredness, chronic headache, tingling and numbness in left arm and leg, and brisk reflexes in all limps. What this could be?
Most Likely: These symptoms are heard in clinical practice everyday. At your age and considering your current environment, you are most likely suffering from anxiety syndrome or possibly chronic fatigue syndrome. However, since you mentioned the brisk reflexes, I have a feeling you are thinking of MS. If you do not get a checkup, your thinking of all of these wild diseases will only make anxiety worse. ...Read more
Please advise what is it meant if I have been told that my upper extremity reflexes are normal and my lower reflexes are brisk?
Spinal cord: If the lower extremity reflexes are increased, but arms are 'normal', it suggests there could be a problem in the spine. Reflexes in the arms come from the cervical spine at C 5-6-7. If these are normal, the problem lies somewhere below this, in the spine. An old injury, inflammation, stroke or tumor could cause. There are some times when exam is 'abnormal', but there is no obvious pathology ...Read more
When I test my patellar reflexes, left leg is not quite as brisk as the right. Not huge difference though. I am right dominant. Scared of brain tumor?
Reflexes: Wow. That is a big leap of a diagnosis. Reflex changes usually come from either pinched nerves or just a variation of normal. If concerned, check with your pcp for exam. ...Read more
Joints feel stiff and weak while walking also muscles hurt burn while walking, but I can fully stretch joints. Difficult painful to get up after sitting for short time, have brisk reflexes. Spasticity?
I have pathologically brisk reflexes, tremors, extreme tiredness and leg pain. I'm under the care of a neurologist but she has no clue. Any ideas?
My neurologist mentioned I had brisk clonus reflexes in my knee and ankles but said nothing to worry about that it is a variant of normal. This true?
A little learning...: ... Is a dangerous thing. People's deep tendon reflexes are widely variable. A brain tumor that makes a DTR brisker will always (no exceptions) do so asymmetrically, and will have some other symptom (headache, personality change, nausea, altered walk). Some folks, including one of my neurology attendings, have no dtr's, and they're normal unless even a lay person can see they aren't. ...Read more
Fasciculations for 30 months. No weakness or atrophy. EMG shows fascias conclusion normal EMG and clinical (brisk knee reflex). I Still worried ALS.
EMG findings would be different for ALS. Worry about something else.
Consider seeking psychological, or spiritual guidance to learn why you feel this excessive concern. ...Read more
Numb lower left leg front of the calf, mild weakness, brisk reflexes. Sent for MRI of brain, tspine, cspine and lspine. Normal. Now EMG. Scared.
MS EVALUATION: The way you classify your symptoms is worrisome. The EMG is the next step to pin down the diagnosis. You may also need a lumbar puncture if symptoms persist. Full lab work including evaluation for Lyme disease it VIT d deficiency b12 folic acid thyroid studies. Sjogrens Syndrome and Sarcoid evaluations well. If no firm diagnosis is made you may need second opinion. ...Read more
Strong family history of Als. Having backache, leg weakness, dr said I have brisk reflexes. Going for more tests & brain MRI. Should I be concerned?
Well....: MRI of the brain will not be able to include or exclude ALS in you. Your doctor may be trying to see if something else could be present causing your signs and symptoms. Hereditary transmission only occurs in 10-15% of all individuals and it is vastly more prevalent in older males (>55/60 years) compared to females. I'd say the odds of your having diagnosable ALS right now is slim to none. ...Read more
L5s1 protusion 12/52.Failed nerve block4pain. Foot drop. Nuero consult said reflexes brisk all over\sending me 4 upper back\brain scan. Why when lumbar back is issue? Could MS be a considetation here?
COMPLEX ISSUES: Would suggest that the foot drop most likely due to discogenic compression of l-5 nerve root, but suspect that your neurologist is checking for potential degenerative changes in neck and upper back in addition. Unlikely that ms is explanation for your brisk reflexes, but maybe the fatigue raises suspicion in the mind of your doctor, so attempt to provide fuller explanation being sought. ...Read more
I had emg which showed fasciculations and told it was normal. Have brisk reflexes whole body muscle soreness and joint tightness. Can emg miss als?
Can be tricky: The diagnosis of ALS can be tricky using EMG criteria only. And yes, in the early stages of the disease the test may not even be that sensitive. However, and thankfully, ALS is a relatively rare and unusual disorder for anybody under the age of 50 or 55 to contract. Best evaluation is by a neurologist with experience in neuromuscular disorders and by using both clinical and electrical information. ...Read more
Brisk lower-leg reflexes. Extreme fatigue. Bouts of vertigo and vision loss/blurriness. Symptoms last 3-14 days and occur every 3-6 months. CSF IgG index elevated. Ketones in urine. Neutrophil/lymphocyte ratio elevated. Could these all be related?
Brisk jaw jerks. Isn't that normal if it was very brisk than abnormal correct. Als specialist say its anxiety nothing else wrong though. Should worry?
Acid reflux: Acid reflux or gerd technically is caused by poor tone of the sphincter that opens and closes between the esophogus (tube from mouth to stomach) and the stomach. This allows food to come back up with the stomach acid. It may also be caused from a lack of stomach acid that allows food to sit in the stomach too long and then can reflux back up. The stomach acid helps break down the food. ...Read more
Why would you want..: ...to stop your gag reflex? When procedures are done such as endoscopies, TEE's, and other procedures that require penetration deeply into the pharynx and beyond local anesthesia can be given. However, just in general, there'd be little cause to do this...unless it is severely interfering in some way with NORMAL daily activities. Please send more questions to: www. Healthtap. Com/dr-saghafi ...Read more
Babinski sign: Babinski's reflex occurs when the big toe moves toward the top surface of the foot and the other toes fan out after the sole of the foot has been firmly stroked. The reflex is found in infants and disappears by the age 2 as the nervous system develops. The presence of a babinski's reflex after age 2 is a sign of damage to the nerve paths connecting the spinal cord and the brain. ...Read more
Born with them: Babies are born with reflexes. They turn their head toward whatever stokes their cheek looking for breastmilk. We can suppress reflexes over time but they are something that we are born with. ...Read more
Come again?: With very few exceptions, everyone DOES have a gag reflex. The afferent limb of the gag reflex is mediated by the glossopharyngeal nerve and the efferent limb by the vagus nerve. The reflex is part of your defense against foreign bodies getting lodged in your throat or airway. Maybe you had a different question in mind, because the one you posted doesn't make much sense. ...Read more
Acid Reflux (GERD): To have occasional acid reflux is ok and modifying your diet and raising the head of your bed up on blocks six-eight inches is a good way to start. You can use otc meds such as Tums or mylanta however you may suffer from rebound reflux. You can also use h2 blockers such as Zantac ancd Pepcid that are now otc as well and finally proton pump inhibitors such as Prilosec and nexium (esomeprazole). See a GI doc! ...Read more
Do this: If overweight, get to your normal weight, eat small frequent meals, avoid eating within three hours of bedtime. Stay away from caffeine products such as soda, coffee or tea unless you choose decaff. Avoid alcohol as well as fried and fatty foods- they irritate the lining of the stomach and cause more acid secretion. ...Read more
Assists with feeding: The rooting reflex is a primitive reflex that is present at birth that helps your baby breastfeed. When your baby's cheek is stroked s/he will turn towards that side and open their mouth, searching for the object. This helps with breastfeeding. This reflex generally goes away around 4 months of age. ...Read more
Irritation: Anything which can irritate the nerves in the back of the throat may aggravate gagging, such as foreign objects (eg, fish bones), tumors, infections, masses in space between spine and back of throat, swollen neck lymph nodes, medications; but also unpleasant thoughts, gastroesophageal reflux (gerd). ...Read more