19M UK experienced generalised symptoms several months after renovation incl. sanding of historic paint in bedroom and cleanup was not conducted as thoroughly as should have been done if lead dust was suspected. First exposure occured perhaps in January with removal of wallpaper and destruction of small sections of ruined plaster but more intense disturbance of paint occured later in the year with power sanding and symptoms were first noticed in May. Googled my symptoms and found out that they matched the profile of lead poisoning exactly, bought an OTC lead swab kit and dust in my bedroom flagged positive for lead. Went to GP and was given lead blood test sent to the Trace Element Laboratory in Guildford for analysis. Test came back as showing no evidence of exposure < 0.03 umol/L, symptoms persisted and another was conducted 2 months later at my request with similar result. Investigation has been slow and limited and I feel neglected. ADL and QOL severely affected and no prescription medication except for the suspected diagnosis of anxiety disorder (sertraline 50mg, propanalol 40mg both started over month ago) has been received despite multiple visits to ER and GP surgery. This week GP has written letter asking for advice to Neurology but does not feel referral would be appropriate. I am extremely worried about worsening symptoms despite efforts to clean house. Appropriate vacuums are extremely difficult to get hold of in UK. I am worried about oxidative stress, demyelination and encephalopathy being the cause of all of my symptoms, is there any reassuring markers in my unspecialised bloods? How should I take my treatment forward?

I have been taking 400mg Ibuprofen 3 times a day to deal with symptoms

My symptoms are, which have increased in severity since first reported in JUNE:

• Abdominal pain (mild, acute)
• Constipation
• Nausea
• Stabbing headaches, alternating sides, worsening on exertion
• Migraine
• Dizziness
• Fatigue
• Neuropathic pain in face (cheeks, jaw and above eyebrows on both sides), hands, arms, feet and legs. Mostly burning (feels like I fell on road) but sharp pains especially in toes and fingers is reported also. Keeping me awake and disturbing me a lot.
• Acute shooting pain all over body - waking me up from sleep on occasion
• Muscle cramping in arms, shaking of arms, involuntary movements when waking up
• Balance, Coordination issues
• Massive cognitive issues, brain fog, aphasia. Feel like my thinking is slowed extremely and unable for much cognitive exertion. Especially in last 2 days.
• No visual disturbances noticeable other than slight strain and eyes unfocusing at times (unsure if this is notable)
• Chronic cold symptoms

Bloods taken within last month:

• B12/Folate normal
• Calcium 2.43 mmol/L
• Adjusted Calcium 2.38 mmol/L
• Phosphate 1.13 mmol/L
• Total Protein 70 g/L
• Albumin 49 g/L
• Alkaline Phosphataste 68 iu/L

Complete Blood count

• Hb 150 g/L
• Wbc 6.2 x 109/L
• Platelets 200 x 109/L
• MCV 87.1 fL
• RBC 5.02 x 1012/L
• Hct 0.44/L
• MCH 29.9 pg
• MCHC 343 g/L
• Nucleated RBC's 0.00 x 109/L
• RDW 11.6%

Differential

• Neuts 3.6 x 109/L
• Lymphs 2.9 X 109/L
• Monos 0.5 x 109/L
• Eosins 0.1 x 109/L
• Basos 0.0 x 109/L

CK

• CK 97 iu/L

Coagulation Screen

• INR 1.1
• PTT 37.3 Sec
• PTT ratio 1.2
• Derived Fibrinogen 181 mg/dL

CRP

• C Reactive Protein >1 mg/L

Estimated GFR

• Creatinne 71 umol/L
• eGFR / 1.73m2 >90 mL/min

LFT

• Bilirubin 4 umol/L
• ALT 13 iu/L

TSH

• TSH 4.1 mu/ L Was normal in bloods conducted 1 month before

UE CREATININE

• Sodium 141 mmol/L
• Potassium 4.1 mmol/L
• Urea 4.9

Examination findings on ER visit on September 4th

No jaundice, pallor, cyanosis, clubbing, oedema, lymphadenopathy

Chest: Equal air entry, no added sounds

CVS: CRT<2, S1S2 normal, calves snt

Abd: SNT, no HSM, normal BS

CNS: GCS 15/15 CN2-12 intact, no focal peripheral neurology

Any advice would be greatly appreciated. It feels as if I have been left to rot. Thank you.