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Suffer joint pain. Diagnosed Polymyalgia Reumatica. Blood test showed bacterial infection. What should I do?

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My 50 yr old healthy fit hubby came down with crippling joint pain in early April,after many trips to the chiropractor thinking things were out,they came up with it is a soft tissue issue. Went for blood tests and his inflammation was out of control and WBC high, $3700 in blood tests and 4 Drs later we are still guessing ? The rheumatologist looked at him for 10 minutes said Polymyalgia Reumatica, our 2nd opinion says if he looked at blood tests he would know it was a bacterial infection that is attacking the joints...he was on Cipro for 10 days it did nothing,he has been on Doxycycline for 28 days now and WBC has went from 11.4 to 8. He is making some improvement with the joint pain so I think we are on the right track? Then Friday night he was trying to fix our garbage disposal and was having trouble getting up as his shoulders are so weak still that he was flailing around to get up,the next morning he noticed a lump pretty good sized ,flat and semi soft on his upper right abdomen under his ribs. I panicked as I thought liver problem as his liver enzymes are a little elevated...but the acupuncturist looked said she did not know what it was but it is in a place where nothing is important...our Naturopath looked at it felt it and said it appears to be fluid under the skin and saw no reason to worry about it or get an ultra sound...thinks maybe he did something trying to get up and I want to believe that as it popped up over night. It is only a bit noticeable he said if he pushes up against something....any ideas??
Posted Thu, 18 Jul 2013 in Medicines and Side Effects
Answered by Dr. Ram Choudhary 7 hours later
Welcome to Healthcare Magic.
I am also convinced it is some kind of inflammation.
The way white cells have shown reduction also supports the same.
I would like to know what joints are affected and whether one by one or affected simultaneously.
You should continue the current treatment. You should get ultrasound scanning of the swelling at liver area.
Let me know if he had other associated problems like fever etc.
Also get CRP and Procalcitonin levels done to detect the level of infection.
I think he should be fine with the current treatment.
I hope the advise will be helpful for you.
Above answer was peer-reviewed by
Follow-up: Suffer joint pain. Diagnosed Polymyalgia Reumatica. Blood test showed bacterial infection. What should I do? 2 hours later
It started with major stiffness in both his hands,then went to his shoulders both of them, then his hips both of them all at the same lasts all day not just in the morning.His tendons were super tight but that is getting better. The lump is not in the liver area at the bottom of the ribs and over a bit to the right from the center...not a typical hernia area either. I was freaking out that it was his liver but 2 others said no. He has had no sickness,fever 15 years at least. He has zero stomach issues,eats well,no digestive problems,no bleeding,no nausea nothing that would indicate a tumor plus it literally came up over night? I have just been so worried about him not getting an actual diagnosis and then the lump it made me very nervous.I could not find anything that it could be,the Dr said it feels like fluid trapped from him possibly struggling to get up from the floor? I am dropping off his stool sample on my way to work today,his iron level went from 67 a month ago to 26 on his blood test thought on this is we are doing conventional and alternative medicine combined and he has been getting accupuncture along with cupping and the cupping leaves you a brusied up mess so I am pretty confident that is where the blood loss is,his poop is very healthy looking,I did his samples so I got a close look :o) Also the lump/bulge is not discolored in anyway so no blood in there. Any suggestions or thoughts are appreciated, I think 5 brains are better than one.Thank you very much.I have all 5 blood tests in front of me if you need any of that info.
Answered by Dr. Ram Choudhary 1 hour later
Welcome back.
It seems the joint pain has been due to infection viral more likely then bacterial.
Pain will subside slowly.
Please provide the details of investigations and a fotograph of the swelling if possible.
Take care.
Above answer was peer-reviewed by
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