Ask:
Weakness in Both Legs
I am a 20 year old healthy female. Since Monday I have been losing strength in both of my legs which is most noticible when I ride my bycycle. I used to be able to peddle hard and fast but now I have to use almost all my strength to ride it at a slower pace. I have been riding my bike for 30 minutes a day 3 times a week for a few months and suddenly this is happening. I also constantly ache in my legs, I have headaches in the top and back of my head and lapses in my memory which I noticed when I was at Subway last night as I was naming the list of toppings for my sandwich that I keep in my head and memorize regularly when I order a sandwhich but this times my memory got spotty as I was trying to remember what I wanted on my sandwich. I also have not been able to experience any emotions and have had constant apathy for the past two weeks and feel like a zombie all the time. I have also had major taste changes. I now can't stand to eat hamburger meat and get sick at the smell and the taste of old cow dung I find in meat and I am now craving beans, rice, salads, vegetables and fruits. Before the apathy I had a two week long episode of near constant nervousness and tremors in my ride side for no reason which was caused by the 20mg dose of Lexapro that I was on and the nervousness and tremors went away when the Psychiatrist cut the dose in half but I am apathetic and so non emotional now. I go back to the Psychiatrist in two weeks. I think I may have a neurological or muscular problem with all the symptoms I've had
Answer:
Weakness in Both Legs
With all these neurological symptoms, it would be advisable to see a neurologist. Various possible causes exist for such a multitude of symptoms, including neurological and psychiatric illness. Usually in such a case (speaking in general terms here), a neurologist would evaluate the patient and a head CT or MRI would be done, also some lab tests may be needed, or whatever the neurologist deems necessary. My recommendation is to see a neurologist if possible. Other than that, I can't say much more, because a thorough history and a physical examination is, as always, necessary.