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Old 02-19-2014, 05:18 PM #11
nemsmom nemsmom is offline
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Hi Nemsmom, do your triggers always bring on an attack? HKPP is something I'm wondering about as it fits in many ways though not all. I'm keeping a note of food at mo and trying to reduce carbs and sugar to see if it makes any difference - suspect it won't but worth a try :-)
There's more than one form of periodic paralysis linked to potassium and each responds to different triggers and has different symptoms.

I do not always have an attack from eating carbs. One of my biggest trigger is rest after exercise. But I find that I react a lot stronger to a combination of triggers. If I combine a few of my triggers, I will definitely have an attack. Of course there are a lot of medicines that trigger attacks, those attacks are the scariest.

Try keeping a diary without changing your normal routine. It might be helpful. Then change your diet or routine one thing at a time, that will make it possible for you to find your triggers.

If you bring that without bringing in any information about a certain disease to your doctor, you're more likely for them to listen. They tend to hate when their patients come up with the answers before they do. Do you have a good doctor you're working with?

I hope you find your answers soon! I'm always here if you need someone to talk to.
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Old 02-19-2014, 08:35 PM #12
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Thanks nemsmom :-)

I've mentioned the idea of periodic paralysis to my gp - she's referred me back to neuro as these episodes are just becoming more and more frequent (roughly every 3rd day at the moment) and said she would mention PP in the letter. I'm waiting for an appointment.

So far this neurologist has insisted he is correct in his diagnosis of chronic migraine syndrome - I'm hoping he's prepared to at least consider other things as I've tried his drug suggestions and continued to get worse :-(

I've tried, over the last week or two, having much less carbs and sugar, but the attacks have been as frequent. I'll try your suggestion of eating as I normally would and see if there's a pattern or trigger I can pick up.

Thanks for your help :-) I'll keep you posted.
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nemsmom (02-19-2014)
Old 02-19-2014, 11:58 PM #13
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Thanks nemsmom :-)

I've mentioned the idea of periodic paralysis to my gp - she's referred me back to neuro as these episodes are just becoming more and more frequent (roughly every 3rd day at the moment) and said she would mention PP in the letter. I'm waiting for an appointment.

So far this neurologist has insisted he is correct in his diagnosis of chronic migraine syndrome - I'm hoping he's prepared to at least consider other things as I've tried his drug suggestions and continued to get worse :-(

I've tried, over the last week or two, having much less carbs and sugar, but the attacks have been as frequent. I'll try your suggestion of eating as I normally would and see if there's a pattern or trigger I can pick up.


Thanks for your help :-) I'll keep you posted.
Changing my diet was never enough to help stop the attacks. But there are a lot of meds out there and it's a matter of finding the one that works and changing your diet and routine to help.

Cutting out carbs won't help if you have HyperKalemic Periodic Paralysis instead of HypoKalemic Periodic Paralysis. When you change things you could also try increasing or decreasing your potassium intake.

If you aren't getting anywhere with this neurologist you can and should ask for a second opinion.

Thanks for keeping me up to date!
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jusf (02-20-2014)
Old 03-25-2014, 11:26 AM #14
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just thought I'd give an update. Neuro didn't receive the first referral so a 2nd was sent, which they got 4 weeks after 1st was sent. I've now been told it'll be early June before I'm seen :-( and that'll be by the general neuro consultant again - I had hoped they'd be sensible and pass me on to the headache and migraine consultant they have there, as there's clearly more specialised knowledge needed. Meanwhile, having had 9 episodes in each of Jan and Feb, I've had 9 episodes in March with 6 days left to go - they just keep getting more and more frequent slowly but surely. Last year it took me till the middle of September to have this many episodes from January! It's worrying.
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Old 03-26-2014, 12:52 PM #15
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I have intermittent episodes of paralysis of my right leg. It lasts anywhere from a couple weeks to 14 months. When it happens, I can't move my leg or feel anything. It will not hold me up or walk, and I end up using my wheelchair. No doctors can figure it out. I was scanned every way possible when it first happened in 2010, and everything was negative. Since, I've had a pacemaker put in and cannot have follow up MRIs. I have numerous other health issues (some which mimic MS type disorder, think bladder), orthostatic issues, autoimmune issues and recently got diagnosed with intracranial hypertension and had a VP shunt put in three weeks ago. Crazy world we're living in, and I'm one of the test subjects!
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Old 03-26-2014, 04:40 PM #16
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just thought I'd give an update. Neuro didn't receive the first referral so a 2nd was sent, which they got 4 weeks after 1st was sent. I've now been told it'll be early June before I'm seen :-( and that'll be by the general neuro consultant again - I had hoped they'd be sensible and pass me on to the headache and migraine consultant they have there, as there's clearly more specialised knowledge needed. Meanwhile, having had 9 episodes in each of Jan and Feb, I've had 9 episodes in March with 6 days left to go - they just keep getting more and more frequent slowly but surely. Last year it took me till the middle of September to have this many episodes from January! It's worrying.
Thank you for the update. I'm sorry this is taking so long and has been such a run-around.

I know it's not what you want to hear but it can take years to get a diagnosis, especially if you have something rare or are presenting in an unusual way.

Just remember to document everything, keep copies of all tests and doctors visits and go where you need to for support, whether that's here or to a close friend or family member.

Hang in there!
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jusf (03-26-2014)
Old 03-26-2014, 04:47 PM #17
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I have intermittent episodes of paralysis of my right leg. It lasts anywhere from a couple weeks to 14 months. When it happens, I can't move my leg or feel anything. It will not hold me up or walk, and I end up using my wheelchair. No doctors can figure it out. I was scanned every way possible when it first happened in 2010, and everything was negative. Since, I've had a pacemaker put in and cannot have follow up MRIs. I have numerous other health issues (some which mimic MS type disorder, think bladder), orthostatic issues, autoimmune issues and recently got diagnosed with intracranial hypertension and had a VP shunt put in three weeks ago. Crazy world we're living in, and I'm one of the test subjects!
Sorry you're going through the crazy world of unknown medical problems as well.

I don't think attacks of hypokalemic periodic paralysis last that long, but you could always bring it up with your doctors to see if it might be whats wrong.

I hope you find out what's going on soon. I know it can be very frustrating.
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Old 04-19-2014, 07:51 PM #18
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I have an appointment with the same general neuro consultant again on 27th May. I had 11 episodes in March in the end, and after some reading around, decided to start taking Magnesium, Vit B2 and CoQ10 (4th April) - everything I've read said 3-4 months to have any effect but April seems to be much fewer episodes so far - yippee!! - only 4 episodes so far :-) could just be a coincidence but don't care! Will let you know how appointment goes - want to get off these other meds, cos they're clearly not working, and get something else that does work!!
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Old 06-19-2014, 11:35 AM #19
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I have an appointment with the same general neuro consultant again on 27th May. I had 11 episodes in March in the end, and after some reading around, decided to start taking Magnesium, Vit B2 and CoQ10 (4th April) - everything I've read said 3-4 months to have any effect but April seems to be much fewer episodes so far - yippee!! - only 4 episodes so far :-) could just be a coincidence but don't care! Will let you know how appointment goes - want to get off these other meds, cos they're clearly not working, and get something else that does work!!
How did your appointment go? Sorry I didn't ask sooner, lotus of stress here.
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Old 08-19-2014, 09:29 AM #20
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How did your appointment go? Sorry I didn't ask sooner, lotus of stress here.
Hi Nemsmom and Jusf... hope you have found your answers Jusf,. I too have a type of hypokalemic periodic paralysis with my diagnosis being Andersen Tawil Syndrome. Hear issues are also part of the Andersen Tawil syndrome and many eventually require cardiac assist devices. Through working with my Doctor we have discovered that I do well with a serum level of 5.4 to 6. I paralyze when my potassium levels are within the normal range. This means I must battle my bodies attempts to keep me in homeostasis. I take a medication that helps me hold extra potassium and also take loads of prescription potassium.
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