My boyfriend has been feeling bad for a long time. He is dizzy, as he puts it "feels high", also has difficulty breathing, has a constant headache and toothache which annoys him very much and sometimes it affects the atmosphere at home. Has problems with getting up, often says "in the morning I feel worse sleepy than when I went to sleep". His mom has MS and I don't know if maybe he will also have the disease. Though on the other hand, she has an uncle who had similar symptoms and found himself suffering from heart disease, he is now taking the correct medication and feeling much better. My boyfriend saw a cardiologist who said his heart was he althy, but his condition may be hormone-related. We have been to different doctors and everyone says he is he althy, we have tried different drugs privately, but none of them worked - Wojtek had all the possible side effects from each drug. It has been going on for several years and I am afraid that because he does not know what is wrong with him, he has contracted some kind of neurosis, because he would like to know what is wrong with him, and everyone tells him that he is he althy and that he can go to psychologist. My boyfriend is 28 years old. What other tests should he do?

Multiple sclerosis is not a typical "genetic disease". Although scientific research indicates that there are genetic factors that may predispose patients to multiple sclerosis, genetic testing in this direction is not routinely performed. Therefore, in the case of suspicion of this disease, diagnostics remains the domain of specialists other than the clinical geneticist, above all - the neurologist. The risk of developing the disease for the closest relatives of a person with multiple sclerosis is higher than average, but still relatively low. Risk assessments should be made on an individual basis taking into account, inter alia, differences resulting from ethnic origin or the number of sick people in the family. For over 80% of MS patients, there are no other people in their family with the disease. Even if one of the identical twins (with identical information encoded in their DNA) becomes ill, the other twins are at only a 1: 4 risk of developing the disease. The described symptoms occurring in your boyfriend are not very characteristic, hence difficulties in diagnosing the cause. Certainly, it would be worth considering Lyme disease in the differential diagnosis, if it has not been done so far. Because somatic ailments can (evenpartly) also result from psychological conditions, consultations in this area should be considered.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Krystyna Spodar

Krystyna Spodar - specialist in the field of clinical genetics at NZOZ Genomed, ul. Ponczowa 12, 02-971 Warsaw, www.nzoz.genomed.pl, e-mail: [email protected]

The expert answers questions about genetic diseases and congenital malformations, inheritance, and prenatal diagnosis.

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