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Joint and body pain - 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 : 2408 Questions
Doctor :   Hi
Doctor :  
User :   Hello doc
Doctor :   How may I help you?
User :   if you recall
User :   i spoke to you yesterday
User :   and then my connect was cut off
User :   sorry for that
Doctor :   Can you remind me, I do not remeber.
User :   its ok
Doctor :   *remember
Doctor :   Ok
User :   i have a new question now
User :   it relates to my cousin
User :   i will paste here what he feels
User :   ok?
Doctor :   OK
User :   Pain in most of body bones and joints (wrist, ankle, top side of foot) esp lots of pain in legs Urine comes more often like 5 mins after drinking liquid Feeling pain in testicles and when I stand still and stretch my body upwards, i feel better from pain some times I feel heat in the body and then sometimes no issues at all.
Doctor :   Ok
Doctor :   Can I ask you what is the more worrisome symptom that will guide me...
Doctor :   Of course I will look at all
User :   my feeling is all are linked together with the single fact "he fells pain in all body joints"
Doctor :   1.Body/joint pain 2. increased urination.3 testicular pain
User :   he is 38 yrs old
Doctor :   O
Doctor :   *OK
User :   and is otherwise looks healthy strong man
User :   yes
User :   he works in a hayat hotel in the technical fiels
User :   field
Doctor :   Is he beside you?
User :   yes
User :   he is with me
User :   you can ask what u like sir
Doctor :   Can you ask what is very bothersome problem?
User :   top prioroty is bones
Doctor :   ok
User :   ofcourse his work involves using hands and legs
Doctor :   OK
User :   he is a smoker
Doctor :   OK
Doctor :May I know his height and weight
User :   5'8, weight 90kg
User :   he looks muscular otherwise
Doctor :   Over wight is one problem
User :   yes
User :   but he has pain in writst
User :   too
Doctor :   Smoking is another problem
Doctor :   These are Inaddition to the bone pains
User :   yes i agree
User :   he just wanna know what is wrong
Doctor :   OK
Doctor :   Plz be patient
User :   he went for some tests
User :   like arthritis
User :   which came out negative
Doctor :   Can u tell me what tets he had so that I get an idea
User :   doesnt know the medical names. 6 months before test for sugar, arhtritis, cholestrol
User :   all were ok
Doctor :   Ok
Doctor :   There are many reasons for body/joint pains
Doctor :   1 osteoarthritis 2 Rheumatoid arthritis 1 SLE
Doctor :   etc
Doctor :   and Fibromylagia
Doctor :   Vit D deficiency
Doctor :   So the tests will direct what is the reason
Doctor :   Are there any tender points on the body like on the back shoulder
User :   he says he did Rheumatoid arthritis test
Doctor :   Ok
User :   not on back
Doctor :   I recommend CBC , BUN.Cr, Vit D levels, DS DNA antibodies, ANA, RF
User :   i mean he feels back pain, but the main point of pain areas are
User :   ankle joints and the area above the foot from toe to back
User :   like if he presses with hands he feels pain like a wound
Doctor :   I also suggest X rays of bones
User :   cbc also done
User :   one year back he went to a doc who did x tra of hands , wrists
Doctor :   OK
Doctor :   Get Diffuse skeletal xray survey
Doctor :   not just wrists and hands
Doctor :   Ut mat find excess or low vit D and floride
User :   and then told him that he has sligh issues of muscular (bec when he wakes up some times he feels his writs etc are jammed and with time, motion is normal) so he prescribed some medicin (cant rem name) to take for 6 weeks. Issue is lately snce 6 months all of the 3 mentioned issues are coming more often
Doctor :   Get PARATHYROID HARMONES levels and
User :   ok
Doctor :   *Ut ma=u might
Doctor :   Thyroud harmones
Doctor :   like TSH, t3 T4
User :   ok
User :   ok can you suggest for all the above issues which specialized docs he should see one by one?
Doctor :   neurologist, genearl physician will be the best to deal
Doctor :   He can also go for Bone densitometry
Doctor :   whch measures whether he has weak bones , but usually the diffise skeletal survey is the best
Doctor :   Only after the all the test we can tell what is causing the problem
Doctor :   Do you follow me?
User :   yes
Doctor :   Mean while I can suggest few things to improve the aches
User :   before u suggest he just wants to tell u one more thing
Doctor :   OK
Doctor :   Does he has any other medical issues?
User :   he said since couple of years, he has some tooths which are getting disolved
User :   he is saying could that be cause of all his body pain?
Doctor :   Lack of phosphorous vit D can weaken the tooth
Doctor :   So vit D and phosphrous abnomalities can cause body aches
User :   ok
User :   thanks
User :   can you pls now advise me some precautionary meaures
Doctor :   You mean remedies to relieve pain.
User :   yes
User :   as you were saying some suggestions and i interrupted you back
Doctor :   Ok
Doctor :   Apply extra virgin Olive oil and massage
User :   ok
Doctor :   2 Regular exercise
Doctor :   He will get benefit from weight loss.
Doctor :   Excess weight put more gravitational pressure on joints
Doctor :   3. less Fatty and more vgetable diet
Doctor :   4. sound sleep minimum 8 hrs
User :   ok
Doctor :   5 Decrease smoking
User :   ok
Doctor :   All these measures are important inspite of having any other problem
User :   ok thanks doc
Doctor :   Did I answer your queries?
User :   yes sir
User :   thans
Doctor :   Thank you or consulting us
Doctor :   Bye
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