Unknown illness may be Lyme

DEAR DR. GOTT: Several years ago I became ill with an unknown virus. I had flu-like symptoms along with a strange twitching almost like I was shivering all the time. This progressed to full-blown myoclonic tremors and went to my brain causing encephalitis. I wound up with damage to the vagus nerve and gastroparesis. It’s been seven years and I continue to suffer from the damage caused by the virus. I had a spinal tap several months after the virus struck but it was clear so no other tests were done. It was assumed to be insect-borne as they tend to cross the blood-brain barrier.

I seem to have relapses and get worse, as if this virus is still in my system (like malaria). Is this possible? After each relapse, I seem to have more difficulty functioning mentally. Neurological tests have confirmed deficits, particularly psychomotor slowing, memory coding, attention and details. [Read more...]

Dealing with dry mouth and increased thirst

DEAR DR. GOTT: What health concerns are indicated by dry mouth and an insatiable thirst?

DEAR READER: Dry mouth is a rather vague symptom and can be an indication of several disorders or side effects of certain medications or habits, such as smoking. Increased thirst can result as the body attempts to restore moisture to the mouth.

Because your letter is so short, I cannot provide a definitive answer, but based on your wording, I will give you some information about the two most likely (in my mind) candidates: Sjogren’s syndrome and diabetes insipidus.

Sjogren’s syndrome is an immune-system disorder caused by the body mistakenly attacking itself. It affects the mucous membranes and moisture-secreting glands, causing decreased production. It most commonly affects the eyes and mouth.
[Read more...]