Joint pain and quick exhaustion after a normal activity. What could be causing this?
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Female 34, feeling weak in joints and bones ( knee, spine and neck), sleepy and quick exhaustion after a normal activity. On multivitamin for the past 2 weeks but no relieve. Sore and tired eyes throughout the day ( pressure in eye balls). Joint pain worsening after exercise.
Posted Mon, 25 Nov 2013 in Thyroid Problem and Hormonal Problems
Answered by Dr. Manoranjan Chowhan 2 hours later
Brief Answer: Reply Detailed Answer: As you have mentioned regarding two sets of problems 1. multiple joint pains 2.Feeling of weakness and tiredness besides exhaustion with normal activity As regards the feeling of weakness and tiredness besides exhaustion with normal activity may arise due to hormonal imbalance specially thyroid disease (commonest cause) Besides the same can also exacerbate the pain (multiple joint pains)as mentioned with coexisting multiple joint pains (which in your case may be due to Rheumatoid arthritis and/or early degenerative arthropathy. For establishing the diagnosis some radiological and laboratory tests are essential eg: 1. Assessment of Thyroid function tests (including Sr T3/T4 and TSH) besides ESR and anti peroxidase antibody (Anti TPO antibody). Of course if you have never done the blood sugar test please also rule out Diabetes Mellitus (FBS and PP blood sugar to be done) As regard joint pain please get examined by your family physician who depending on the examination finding can order set of tests eg. 1.Complete blood count 2.Test for RF(rheumatoid factor) 3.CRP 3.ANA and CCP. 4.ESR and Urin analysis etc Besides these also you need to undergo some tests as follows: 1.XRY of Knee, and Neck 2.MRI of SPINE/ and Neck. All these test results besides examination by your family physician will give hints as to what is the cause of these symptoms and further remedial measures can be suggested once the diagnosis is known. In the mean while the lab test results are awaited you may take mild analgesics eg Tab Paracetamol or Brufen (400 mg) to be taken thrice daily after food (please check regarding possibility of hyperacidity by your physician. If you have hyper acidity, I would add antacid such as Tab Ranitidin (150 mg bd) or Tab Omeprazole. Once the test results are available further specific treatment can be advised. With best wishes from Dr Chowhan