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Osteoarthritis, diagnosed with Diverticulitis, inter related? - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Arthritis
Answered by

General & Family Physician
Practicing since : 2009
Answered : 355 Questions
Doctor :   HI
User :   Hello docotr
User :   i have a quesation for you
Doctor :   yes
User :   i ad a ct scan that shows osteophte formation in the anterior aspect of the sacroiliac joits as well as hip osteoarthritis. I am stiff every day with hip pain and lower back stiffness sometimes i cant walk comfortably for a few minutes.
User :   joints
User :   could this be making me feel generally ill such as nausea or diahrea when if flares-up?
Doctor :   It can cause nausea
User :   can it be sever enough to cause a sick feeling genrally?
Doctor :   Diarrhoea can aggravate the pain and not vice versa
User :   hmm becuase the pain is severe on and off
Doctor :   yes it can cause sick feeling
User :   since it is close to the abdominal region ca it be affecting that area?
Doctor :   Can you come again with your last questin, I mean elaborate?
User :   the area affected is my lower back and hips -- feeing like its relaed in any way
User :   related
Doctor :   As told to you, diarrhea especially bacterial cause can worsen the symptoms of hip pain
User :   ah perhaps my contunal diahrea maybe is causing iscomfort this has been going on for months
Doctor :   yes
Doctor :   If you take continous antibiotic, then you got to check with the doctor
User :   so is the treatment the diahrea the arthritis or both?
User :   no antibiotic given
Doctor :   Was your doctor able to find a cause for diarrhoea
Doctor :   Most common type of arthritis in US is Osteoarthritis, do you have the same?
User :   no my appointment is tomorrow i wa gonig to ask for relfux med as we discussed last week but i am wondering about the artgritis too
User :   arthritis
User :   yes osteo
Doctor :   Ok, if you have too much pain, you supposedly used lot of pain killers which would have caused gastritis and reflux
Doctor :   Keep these points in mind when you see your doctor tomorrow
User :   no idint take painkillers yet
Doctor :   Ok that is better
Doctor :   1) Doc, please prescribe me a safe pain killer and non pharmacological methods to help my pain
Doctor :   2) I feel that my diarrhoea is weakening me, please help me in quicker resolution
Doctor :   3) I also need a medication for reflux though I shall follow all the lifestyle modifications
Doctor :   Did you follow?
User :   ok my main symptoms are the nausea -- and lower back/hip pain (and diahrea) so i need treatment exactly for those
Doctor :   yes
User :   and it flares up in the morning -- i wake up eeling stiif, thern i start to get nausea
User :   felling
User :   feeling
Doctor :   yes these are charecteristic
User :   stabbing pain in hips, knee and lower back ... nausea upon awakening then diharea it calms down in two hours
Doctor :   if you keep visiting the loo for diarrhoea, the pain at all these regions worsen
User :   yes i sense this it seems to mae the netire region inflamed what to do about that??
User :   make the entire region
Doctor :   For now you can take a safe pain killer
Doctor :   MOTRIN 400mg
Doctor :   along with PRILOSEC 20
User :   ok
User :   the ct scan also found diverticulosis is this possibly related?
Doctor :   Do not use Motrin too ofent
User :   ok
Doctor :   Divericulosis cause diarrhoea, fever and joint pains
Doctor :   if inflammed
Doctor :   called diverticulitis
User :   so possibly connected?
Doctor :   You need to get tests done
Doctor :   yes
User :   which?
Doctor :   stool microscopy, urinalysis, ESR, blood counts
Doctor :   RA factor is also good
Doctor :   Xray of the Sacroiliac joints
User :   last blood test slightly elevated emoglobin 17.9 mpv 11.4 basophils 1.1 i have it here
User :   means
Doctor :   No not specific
User :   ok
User :   do you feel its all connected?
User :   do i need antibiotic fo this?
Doctor :   They may be connected
User :   i hve a general feeling of illness in my abdomen lower back and anal area --
Doctor :   Do you have fever?
User :   No -- but i do get a lot of mucus sometimes blowing nose constnatly is this possibly irritatin gother parts of my body?
Doctor :   No
User :   ok
Doctor :   mucus in the stool?
Doctor :   or blood in the stool?
User :   no neither
User :   mucus only in thorat and nose
Doctor :   Ok fine, keep the steam inhalations with Vicks / Eucalyptus Oil
Doctor :   if mucus bothers you much
User :   i do feel a lot of discomfort in the anal region like its infected ??
User :   from diahrea
Doctor :   Yes
Doctor :   it can result
Doctor :   Do not scratch it
Doctor :   it infects more
Doctor :   apply a moisturizer or calamine lotion
Doctor :   over the outer surface
User :   skn in perineal area is affected to -- its bad
User :   maks me feel sick
Doctor :   I need more time
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