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Cause of joint pains, stomach ulcers, back pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I have been having trouble for the past 2 years with different types of symptoms. I've been to several doctors and haven't been able to get an answer. I am tired all of the time, chronic headaches, dizziness, vomiting, ulcers in my stomach, cervical dysplasia, polycystic ovarian syndrome, plueresy, severe chest pain, panic attacks, blurry vision, arms going numb, severe joint pain everywhere, shooting pain in legs, middle back pain, pnuemonia 3 times, cysts on my upper thighs, and erythem nodosum all over my legs. I don't know what to do at this point. I just want an answer to try and figure out what is going on. I've done some research and the only things that I can see that many fit would be lupus or MS. My grandmother has MS, I know that it's not genetic but it still could be a possibility. I would just like someone's medical opinion about what it may be.
Doctor :   hi
Doctor :   Dr.xxx here
User :   hi
Doctor :   Please give me a few moments to read what you have typed.
User :   I have been having trouble for the past 2 years with different types of symptoms. I've been to several doctors and haven't been able to get an answer. I am tired all of the time, chronic headaches, dizziness, vomiting, ulcers in my stomach, cervical dysplasia, polycystic ovarian syndrome, plueresy, severe chest pain, panic attacks, blurry vision, arms going numb, severe joint pain everywhere, shooting pain in legs, middle back pain, pnuemonia 3 times, cysts on my upper thighs, and erythem nodosum all over my legs. I don't know what to do at this point. I just want an answer to try and figure out what is going on. I've done some research and the only things that I can see that many fit would be lupus or MS. My grandmother has MS, I know that it's not genetic but it still could be a possibility. I would just like someone's medical opinion about what it may be.
User :   sorry, i'm just really desparate for an answer
Doctor :   are you on any treatment at present?
User :   no
Doctor :   please provide your age, height, weight
User :   22, 5'10 145lbs
Doctor :   ok. few of your symptoms can be interlinked. I wil explain
Doctor :   the polycystic ovaries leading to hormonal imbalance and causing dizziness, back pain, aches and pains
Doctor :   the stomach ulcers causing chest pain, vomiting, dizziness, blurry vision, ect
User :   i'm on birth control pills and have the IUD. the obgyn said that should help it, but it hasnt. i'm sorry i didnt mention that as far as the treatment
User :   and i'm taking prilosec otc for the ulcers. 3 months ago i had 9 ulcers, as of 3 weeks ago i have 4 ulcers and the symptoms are getting worse all the way around not better
Doctor :   if the treatment are not working, then you need to go on higher ones
User :   so it couldnt be anything else?
Doctor :   regarding PCOD, usually the insulin modifiers work well in controlling symptoms
Doctor :   and for gastric symptoms, you will need higher acid suppressors or inhibitors to control formation of the acid
User :   i just have a hard time believing that all of these symptoms are connected to something, when they get worse when i'm supposed to be getting better.
Doctor :   coming to the joint pains, a preliminary check with arthritis screening to make sure there are no underlying problmes
Doctor :   *problems
User :   my arms are numb almost all of the time, i can hardly lift my arms above my head
User :   it feels like my arms fell asleep and someone is standing on top of my sleeping arms.
Doctor :   regarding the status of Lupus and MS, since your grandmother had it, some familial affection is possible, so a check done would be wise
User :   how would i have that checked?
Doctor :   is the range of movement of shoulders affected all the time? or is it worse only during certain time of the day?
User :   almost all of the time.
Doctor :   there are special blood tests that can be done on request from a rheumatologist for ruling out of lupus and MS.
Doctor :   first however a proper gyne and ortho check for your current symptoms
Doctor :   they should get better with adequate treatment
Doctor :   make diet changes to healthy ones to help with gastritis
Doctor :   liek avoiding citrus fruits/juices, avoiding use of potatoes, cabbage, broccoli, cauliflower etc
User :   i have already changed my diet, i quit smoking nearly a year ago, i eat healthy everyday.
Doctor :   do not leave stomach empty for more than 3 hours except wen you are sleeping
User :   i exercise 3 to 4 times a week going on walks with my daughter
User :   i have done everything that the doctors have told me to do
Doctor :   drink lot of water, avoid caffienated beverages
Doctor :   you can go ahead with tests and further investigations as suggested
User :   i dont drink soda anymore, i drink low fat milk and water, sometimes gatorade
Doctor :   and get back to me in 15 days
Doctor :   ok. that is good. include salads in diets without artificial dressing
User :   i already do that
Doctor :   ok
User :   so what am i supposed to do? follow up with my regular doctors and tell them to up my dosages and see if it helps?
Doctor :   you can ask them/request them to refer you for these consultations: gastroenterlogy, endocrinologist, orthopedic surgeon, rheumatologist
User :   i have a gi dr
Doctor :   ok.
User :   i have an appt with my reg dr wednesday to get a referral to a rheumatologist
User :   i was referred to a rheumatologist through the ER dr
Doctor :   ok. that is good, you can go ahead with the appointment and see if lupus or MS is related to your symptoms
User :   do you think it is?
Doctor :   how often do you get panic attacks? since you mentioned in your symptoms
User :   th ER dr thinks connective tissue disorder
User :   panic attacks every few days
Doctor :   are you on treatment for panic attacks?
User :   i'm supposed to be on anxiety medication but it makes me naseous and i spend my entire day throwing up
User :   so i stopped taking it
Doctor :   ok, do not stop it, you can ask your GI doc to increase the dose for acid suppressor or change the medication for controlling symptoms in better way
User :   my breasts are also sore and i've got heartburn all the time, i assumed pregnany and took a test but it came up negative as well as an ultrasound from the obgyn and that was negative as well. i've got the iud so i wasnt ttoo concerned, but i still checked anyways
Doctor :   ok. you can get pregnant with IUD in place. but since the ultrasound scan came back normal, pregnancy may not be there
User :   thanks you
Doctor :   did you check with blood HCG test?
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