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Thromboangiitis obliterans - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
User :   I have severe random pain in my wrists, legs, fingertips, no cause, results in bruising, drenching night sweats, petechieal spotting on chest, general fatigue and tiredness, "normal" cbc 2 weeks ago
Doctor :   hello
Doctor :   i am Dr XXXX here
User :   hello Dr
Doctor :   may i know your age and gender please ?
User :   39 year old female, 5' 7", 150 lbs
Doctor :   do you have any other medical condition ?
User :   Degenerative Disc Disease, L3-S1
Doctor :   also can you tell me what all medications are you taking ?
User :   do not take nsaids,aspirin, or ibuprofen as they upset my stomach
User :   taking prozac 60mg & lamictal 100mg (for bi-polar)
Doctor :   do you smoke or consume alcohol ?
User :   socially
Doctor :   both ?
User :   yes
Doctor :   does your work involves any typing on the computer
User :   no am stay-at-home mom, 2yr old & 3 yr old
Doctor :   since when you had these symptoms of severe pain in your wrist and fingers
Doctor :   in your blood test was a test for thyroid done ?
User :   pain in wrists finger and legs resulting in bruising has become very noticable in the last 4-5 months, thyroid test normal 3 months ago
User :   months ago
Doctor :   does it get worst during cold season?
User :   yes!
Doctor :   ok now there is a condition that can cause the said symptoms
Doctor :   its called Thromboangiitis obliterans
Doctor :   now you do need to get two tests done
Doctor :   1) Angiography/arteriography of the extremity
Doctor :   2) Doppler ultrasound of the extremity
User :   i am going to see a hematologist soon, can they order these tests? and are they invasive?
Doctor :   that will help us to pinpoint the cause
Doctor :   yes he can
User :   what is Thromboangiitis obliterans? can i take a vitamin or supplement for it?
Doctor :   no you cannot
Doctor :   first we need to be sure if THATS what you have'
Doctor :   so please do get the test done first
User :   ok, can i get back in touch with you after?
Doctor :   sure you can always ask for me and i am not busy with other patients, i will gladly help you
User :   thank you, have a good day~
Doctor :   you too take care
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