Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

167 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

History of eosinophilic esophagitis. Feeling fatigue, nausea and joint pain. Any suggestion?

Answered by
Dr. Sudhir

Internal Medicine Specialist

Practicing since :2000

Answered : 1417 Questions

Posted on Tue, 11 Dec 2012 in Asthma and Allergy
Question: My 12 year daughter has history of eosinophilic esophagitis. Last blood test showed eosiniphils at 15%. Chronic complaints about fatigue, joint pain in wrist and ankle, nausea, poor weigt gain (Currently 62" and 88#) and has developed hard nodules on small joints of fingers. Any suggestions for testing would be helpful -seeing GI doctor and hand surgeon next month.
Answered by Dr. Sudhir 13 minutes later

In my view her symptoms arise suspicion of autoimmune disease like rheumatoid arthritis.Multiple joint pain and skin nodules are commonly seen in this condition. I am arising this possibility in view of symptoms and it is always better to get this checked even on mere suspicion.

I would recommend to see a Rheumatologist sooner to confirm the diagnosis.Doctor might want to get few routine blood investigations and RA factor checked.
You can decide about seeing hand surgeon after this, if needed.

Apart form routine blood investigation and eosinophilic count, I don't think any test can be undertaken before seeing GI doctor.

Hope this answers your question.Please feel free to ask if there are doubts.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Sudhir 6 minutes later
Thank you - the hand was xrayed which showed no calcifications or changes to the joints themselves - more superficial nodules. Would there have been changes to xray if RA diagnosis?
Answered by Dr. Sudhir 12 hours later
Xray changes might not be obvious in first few attacks.Generally it takes time to develop these changes, initial stage is of joint inflammation without any residual changes in bones or joints.

In RA one would get changes of arthritis like sub-articular osteoporosis,reduced joint spaces,irregular articular margins, soft tissue calcification and deformity in advanced stages.But it's not that xray will always show all changes.

It's kind of spectrum of findings, which one can get on xray varying from normal to advanced deformity.

I would strongly recommend a visit to Rheumatologist.

Hope this answers your question.Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,  

Recent questions on  Deformity

doctor1 MD

Hi, I'm 14, and my spine sticks out even if I'm not bending over, I'm 120 pounds, 5'4 1/2, not super skinny or anything, could something cause this? My brother said it reminded him of a dinousaur, and bending over is kind of painful, could something be wrong or is this normal?

doctor1 MD

My wife, age 83, has developed a situation where her dominant hand (left) the index and ring fingers have curled into the palm and those knuckles are swollen . This is very painful with the pain radiating up the arm to the elbow. she has no...

doctor1 MD

i just wrote to Dr. XXXXXXX Rynne but he never answered me back. I am not allowed to take any over the counter anti inflammatory pills. I have a very painful ankly and just had an MRI done where it was diagnosed as a flatfoot deformity with a...

doctor1 MD

CT Scan of Paranasal sinuses says " Large polypoid soft tissue is seen in the left maxillary sinus along its floor. Mild mucosal thickening is seen in both ethmoid air cells and minimal in the frontal sinuses. The sphenoid sinuses are clear....

doctor1 MD

I am experiencing a tingling sensation on the right upper side of my stomach. It's only when I am putting any type of pressure on it, like sitting up, or bending down. The last couple of weeks, i've felt the same feeling on the top of my back. ANy suggestions?

doctor1 MD

I feel lightheaded in the morning, usually after standing from sitting or bending over. I've had this off and on in my adulthood (age 42) but the other morning I was bending over to pet my cat and when I stood up I passed out and blacked out for a few minutes. It was very scary. I'm pretty sure it is low blood pressure, but what can I do about it?

doctor1 MD

My baby was due to be born on St. Patrick's day of 2010. During my 5th month of pregnancy, I was told that my baby had a deformed heart. I have no family history of heart deformation. I drank red bull daily, due to fatigue. Could Red Bull be the cause of my baby's death?