Ongoing Symptoms - Looking for Thoughts From Others.

Hi everyone!

I am a 23 year old female who began experiencing some challenging symptoms in August of 2017, and after looking through many of the posts on this site in an attempt to put some of the pieces together, I figured it could not hurt to go ahead and write my own post to see of any of you all have any thoughts about what might be going on. 

In the summer of 2017, I remember thinking that for the past year or so I had had an increasing number of "episodes" during which I felt a little out of it, and while it was unusual enough that I can recall stopping to think about it, it was not anything that had a significant impact. 

In August of 2017, I began experiencing what I thought were probably symptoms of a urinary tract infection. On and off for a few weeks I would feel a very strong urge to go, but would get to the restroom and realize I really didn't have to go at all. I also had slightly cloudy urine, urine with an usual odor, and an increase in vaginal discharge, Additionally, I was experiencing the out of it feeling more frequently during this time, but thought "Oh maybe I have a UTI and it is making me feel a little funky." I went to urgent care and both the dip stick test and the follow up culture came back negative, so I figured it was something that would just pass, and sure enough about a week later the symptoms stopped for good and I have not noticed them since.

During the last week of the urinary symptoms, I was at dinner with friends when I began to feel really strange. Almost like I had been drinking, like I was on another planet, almost like my vision was not quite right but I couldn't even pin point why. I figured I must have been really tired from my first job out of college and driving a few hours to see my friends, so I went to bed thinking it was temporary. I felt better the next day, but continued to feel out of it at times to the point where I was beginning to wonder if there was something more significant than fatigue at play, but I still didn't take any action.

Things took a turn a couple of weeks later in mid-September. I had an unsettling onset of symptoms - long-lasting headaches, blurry vision that felt almost tunnelish, visually felt like there was a thick layer between me and my surroundings, felt uncoordinated like I was moving through jello, heart palpitations, noticed strange sensations in right foot, leg, and arm, lack of appetite, mild nausea, and fatigue - just completely like I was in a fun house. Other than the headaches which I probably got every few days, these symptoms were not on and off, but constant. 

My primary care physician, who I see maybe once a year, could tell that something was really off and ordered a round of basic labs - CBC, thyroid, metabolic panel, etc. that all came back normal. When the symptoms were getting worse instead of better heading into October, and there was still no "answer," she decided to go ahead and order an MRI of my brain since I have never had a similar issue or any sort of issue. The MRI came back perfectly normal except for some minor white matter changes, which took us down a road of "Could it be MS?" for some time due to the neurological nature of some of what I was experiencing. Had a local neurology consult, a lumbar puncture,  a second MRI in December, and even a visit to the Mayo Clinic in January that all confirmed absolutely no MS. 

EVERYTHING was tested for back in October - lyme disease, other tick-born illness, Myasthenia Gravis, more detailed thyroid testing, heavy metal toxicity, Vitamin D, B12,c-reactive protein - and even MORE was tested for when I had a lumbar puncture when MS was on the table - they did it all and I am incredibly thankful. The only abnormal results that have come back throughout the entire course have been B12 in 300s (neurologist originally wondered if this could be a contributing factor and prescribed a course of injections), dropping white blood count (down from 8 to 4 from September to November and now back up to 6), low carnatine and acetyl carnatine, and slightly elevated copper.

Since the height of the symptoms in October, things seem to be gradually improving, or at least changing in nature. For a while, I was not functional - took three weeks off work, stayed in bed all the time, could not even watch movies due to discomfort with symptoms. Only thing that seemed to slightly help was if I took Sumatriptan for a bad headache, the headache would go away, then half a day or so later some of the head/eye issues would feel a bit less severe, but still definitely there. By the end of November, I was not having headaches, my vision returned to normal, I just felt like there was physically a layer between me and the world all the time due to this "feeling" in my head/eyes/behind eyes and had the sensations on my right side. Now, I still don't have headaches or blurry vision, the "layer" has decreased, the sensations are mainly in my lower calf and foot, I have an appetite, I don't have nausea, and I am definitely less tired, BUT I have this feeling in my head (almost like there is "something" between my brain and my scalp) and also in my eyes (like there is a coating of wax (especially in the back) around them even though I can see perfectly.) It is not painful at all, it is not pressure, it is absolutely nothing like a headache - just like an unsettling sensation with slight movement but not dizziness or vertigo or anything like that, and it is not episodic, but constant - there 24/7. Between the beginning and the present, there have definitely been "phases" - had pain behind right eye for a few weeks in November, had stronger sensations in right leg on days after B12 injections, felt like the "nerve strings from my eyes into my head had been scorched" even though that makes NO medical sense, just some random things like that that were difficult to put into the "big picture" of whatever we might be looking at. 

The only "action" that has been taken between the onset and now has been the B12 injections in October and November, prednisone taper for six weeks from beginning of November through December (neurologist thought inflammation could be a factor and DEFINITELY noticed an improvement on steroids, though steroids improve so many things it's hard to say what was going on there), and multivitamin now. 

I am of a healthy weight, I ran five days a week before this came on and still run when I feel up to it, and I have an insignificant medical history other than a typical case of mono in the spring of 2016. I take birth control and a probiotic both daily (and have taken both for almost five years), but do not take/have not taken any other medication other than what is listed above.

I apologize that this has been so lengthy and so all over the place. Just wanted to include as much as I could since there have been a lot of little pieces. My mind has been everywhere from MS to vitamin deficiencies to vasculitis. My parents are physicians, and have been incredibly helpful, but there is just no "answer" which makes the process a challenging one. To take a common line from these boards, I am just feeling like I want my life back. Hope right now from all involved is that it is something viral, or at least something that will fade completely, but just wanted to see if you all might have any insight!

Thanks so much in advance!

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