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Have benign intracranial hypertension, plantar fascitis, TMJ. Have swollen extremities, dry eyes and mouth, mood swings. Stress related?

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Hi. I am 35, female, have three children and have a high stress life. I work third shift half the week and intern during days the other days. Recently, like over the past couple years, I have had some strange health problems come up and I want to know if they are all connected. Some of the "bigger" problems are Benign Intracranial Hypertension (I now have a VP shunt), plantar fasciitis and what my dr has called transient arthritic symptoms, problems with TMJ and severe teeth grinding/clenching, headaches, IBS, colon polyps since I was 27, Raynaud's phemonenon, low resting body temperature, sensitivity to heat (air temp), chronic dry eyes and mouth and recently muscular pain, tenderness and feeling like my extremities are swollen and puffy. I also have long term problems with mood swings, anxiety, panic attacks and depression, but have been in therapy and using meds consistently for a long time. Nothing is relieving my muscular pain, and I don't know why I hurt as I haven't been injured recently and haven't been over-using them. Also, I am never feeling rested anymore... I know that you may think this is from working third shift but I have been on this schedule for two years now and didn't have a problem feeling so tired until recently. Is how I feel now just stress related?
Other info I just thought of-- I also have fibrocystic breasts, pelvic pain and very painful periods, I bruise easily and scar easily. I have been evaluated for autoimmune diseases like lupus and RA, both ruled out, but have had lab results like high sed rates without infection. Also an hypothyroid, but that's because I had a noncancerous thyroid tumor and had half of it removed.
Posted Sat, 10 Aug 2013 in Medicines and Side Effects
 
 
Answered by Dr. Pankaj Malhan 1 hour later
Hi

Thanks for asking.

You seems to be suffering for a lot of problems and I can understand how difficult it would be live with so many diseases.

In view of your generalised muscular pain along with the high sedimentation rate, the diagnosis of polymyalgia rheumatica comes to the mind,it is a condition usually more common in people with multiple problems and it needs specific management in the form of steroids .

Another possibility can be the stress with mood disorder which can definitely lead to aches and pain with no proper explanation, please see your psychologist/psychiatrist if the above mentioned diagnosis is not established.

Thanks.

Please let me know if you need further information.

Above answer was peer-reviewed by
 
Follow-up: Have benign intracranial hypertension, plantar fascitis, TMJ. Have swollen extremities, dry eyes and mouth, mood swings. Stress related? 1 hour later
Thanks for answering my question. Does that condition you mentioned resolve with steroid treatment or is it a chronic problem?
I just read info about polymyalgia rheumatica from mayo clinic. I wanted to point out that I'm 35, and the info said that problem usually occurs in people around age 65-70. Also, my family is Lebanese, and it said that problem is uncommon in people of middle eastern descent. Is there anything else this could be, or do I just have a lot of unrelated issues? And I do see my psychiatrist regularly and am treated for my mood/anxiety issues with medications.
 
 
Answered by Dr. Pankaj Malhan 29 minutes later
It is still a possibility considering all other factors,it is certainly known in younger age group as well, although more common in the older people.it varies from person to person and usually resolves in a period of time,

I think it will be good idea to speak to your psychiatrist/ psychologist for the potential adjustment of the dose if needed.

Above answer was peer-reviewed by
 
Follow-up: Have benign intracranial hypertension, plantar fascitis, TMJ. Have swollen extremities, dry eyes and mouth, mood swings. Stress related? 18 minutes later
I see where you're going thinking that this could be a somatic response to my psychiatric issues, but I just don't think that's it. I've dealt with high levels of stress before, and it has never resulted in this kind of problem. And I take more than one psych med, and am very aware of when I need to have them changed and/or adjusted. I've worked in mental health for most of my life and I am currently completing the internship towards my Masters in Mental Health Counseling, so I am well informed about psychiatric illness and how it can affect you physiologically. And besides, I can agree that there could be psychiatric causes for my muscle pain and body aches, but it can't be linked to my other problems. Is there anything else it could be?
 
 
Answered by Dr. Pankaj Malhan 36 minutes later
Generalised muscle pains is a very broad diagnosis with many differentials.

Polymyalgia rheumatica is one of them, another possibility can be myositis or the inflammation of the muscles, which needs cpk levels to diagnose it.

I think you need some investigations before a diagnosis is reached.
Above answer was peer-reviewed by
 
Follow-up: Have benign intracranial hypertension, plantar fascitis, TMJ. Have swollen extremities, dry eyes and mouth, mood swings. Stress related? 5 minutes later
I understand that.... My main question was about if there is a condition or syndrome that could explain why I have all these weird things and muscle pain. Could it be something like Lyme disease, chronic fatigue syndrome, serum negative lupus, some other autoimmune issue, fibromyalgia.... I just want to know if all of these problems in a pretty healthy young woman could be connected somehow. Or if I just have bad luck.
I have talked to my pcp about it but she just kind of brushes it off.
 
 
Answered by Dr. Pankaj Malhan 9 minutes later
I do not think any one condition can explain all of your symptoms, it is probably a combination of the different conditions.
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Follow-up: Have benign intracranial hypertension, plantar fascitis, TMJ. Have swollen extremities, dry eyes and mouth, mood swings. Stress related? 10 minutes later
Ok. Thank you.
 
 
Answered by Dr. Pankaj Malhan 3 minutes later
Thanks, and Wish you best of health in future .
Above answer was peer-reviewed by
 
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