Get your Health question answered in 3 easy steps

139 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

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

Suggest treatment for joint pain , nerve pain and weight loss

Answered by
Dr.
Dr. Raju A.T

General & Family Physician

Practicing since :2008

Answered : 3680 Questions

default
Posted on Mon, 11 Aug 2014 in Lupus
Question: 32F, joint pain in hands, nerve pain in lower back, swelling, recent 42 lb weight loss with no diet/activity change. + ANA with homogeneous & speckled pattern
doctor
Answered by Dr. Raju A.T 4 hours later
Brief Answer:
Test result is not significant

Detailed Answer:
Hi,

Thanks for your query.

ANA titre of 1:320 may not be considered diagnostic. The homogenous and speckled pattern of antibody reaction can be sen in normal individuals too.

I suggest you to get a test called C-reactive protein and RA factor estimation. These can provide a link between your symptoms and the weakly positive ANA titre.

If you are on medication please do mention the same.
Is the pain in the joints more in the mornings ?
Do you face stiffness in the joints specially in the mornings?

Waiting for your response,




Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Raju A.T 48 minutes later
Joint pain, stiffness and swelling is all the time not just in the morning. Rheumatoid factor was 8. Crp scheduled for monday.

Also suffering from chronic heart burn. Flakey nails.
doctor
Answered by Dr. Raju A.T 14 hours later
Brief Answer:
Shall wait for the CRP report

Detailed Answer:
Hi,

Thanks for writing back.

The symptoms you have can also be seen in Lupus, I would like to rule other forms of inflammatory disorders. Let me wait for the CRP report. Please upload it once you receive it.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

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

Recent questions on Nerve pain

doctor1 MD

i have had above knee amputation in 2010 after a bka in 2008 due to osteomylites/ this past may i had Dr due surgery to remove a nerve when i woke up he told me he removed a grapefruit sized mass from anteriuor side at end of stump. As this was going on none of the mri s with and without contrast showed the 1st mass. In the last 5 months i have a mass on the antirior femoral end that has grown to size of tennis ball and smaller one 2 inches above it/ had mri 2 weeks ago with and without contrast/ Dr advvised radiologist belived it was scar tissue but i had to show my Dr how to look at the mri in rainbow wich showed alot of hot spots/ The dull aching pain is always there barely in control along the front lenght of femor stump/ also devoled severe nerve pain in last 12 weeks and they put me on Nuronton wich helps with the shooting never pain/ should i be concerned about the pain Dr does not want to operate due to risk of infection but is recontacting Radiologist/ I am worried with not seeing the first mass removed in may on mri and now pain is worse and and devoleped never pain/ what would you advise me/ i want to dig out the bone and mass with a knife it hurts so bad/ should i encourage my Doctor to surgicly go in and see what is there or what? At this point and time my femoral stump is right agaist the skin there is no cushion and i am afraid if i fall the bone will just go through the bottom of my leg. Thanks Joe Carter Delaware usa

doctor1 MD

i got blood leakage before ejacuvation(with semen in same flow).but i wont masturebate even frequently.i make it 3or4 days once only that too single time .after some months back the problem started. i consulted doctor he said its infection. but i got many problems. 1)eye irritation while getting at morning & while hungry 2) nerves around my head(nerves between head skin and head bone) pinches like punching with sharp needles 3) knee pain,i can feel the differnce between normal pain and this type of pain 4) hands are shaking 5) couldn't lift weight 6)spinal pains heavely 7) nerve pain at the end of spin (filum terminale) 8) blood pressure 9) high rate of heart beat (bursting beat con't tolerate sometime) and many more problems....plz help me....

doctor1 MD

Hi Doctor

I have had problems with my stools, for over 4 mths now, i have had No Solid stools at all, my stools start off as a soft consistency and end with an extra soft consistency, many times runny. also it is very hard to clean from my behind, i have to use about 3/4 of a roll of toilet paper each time I go, plus wet wipes to clean myself, i have been going to the toilet between 1-3 times each day, many times it comes out with great force and diarrhoea like, at times i have only just reached the toilet , or do not managed to make the toilet in time, the stool itself look’s like it has lots of extra intestinal fluid at the end, and is of a much lighter colour, it also has a distinct extra strong terrible smell, but not the type of smell the you would associate with a Natural stool.

I have a generally Good diet.

I am asking for you advise over the internet because of two main reasons ( One It is very very embarrassing, And two I have noticed that I have started to loose some weight over the past 4-5 weeks.

Do I still leave it and see if it finally stops ? which was what I was hopping for.

Also; do you have any idea of what this “Could “ be ? Or what “Could” be causing it ?



My very brief medical history ( I am a Male, 49 yrs old ). “On and off” over the last 5 years I have had blood burst out from my behind which smothers the whole toilet ( I have No haemorrhoids And have Never had haemorrhoids ) I have also had bouts of Soft black tar like stools which are almost impossible to wipe off from my behind ( I was told by my GP this was probably blood in my stool ) I also had constipation in the early stages of my toilet problems, But I did not pursue it any further because of the embarrassment.



I have been under a neurologist for a 7year history of ridged muscles / stiff joints / jerks / tremor and related excessive pain Etc, The muscle problem has distorted some of my trunk bones, ( Condition is assumed to be Stiff person Syndrome ) Or another related autoimmune condition. I also have server damage between cervical spine joints in neck between ( C5 / C6 ) & ( C6 / C7 ) Which is an early onset of an arthritic condition, I have just had another M.R.I neck, 3 years after my first Neck M.R.I, Still waiting for comparison update, Plus all in all I started having breathing problems 3 years ago ( So I stopped smoking 2 ½ Years ago ) But over the 3 years my breathing has got much worse And I have now also been diagnosed With a C.O.P.D ( Due to something about 74% lung capacity and a restrictive problem due to no flexibility within my airways, so I take one Spiriva 18 mg capsule via an inhaler Each day, but it does not help much, I I had an 8 X Dosage test with a Ventolin pump on a machine under test conditions, but the results showed it did not help my breathing at all.

Meds; that I have been taken and constantly reviewed and adjusted by my Neurologist are; Diazepam / Phenytoin / Pregabalin / Ibuprofen / Amitriptyline at night ( Amitriptyline at night ,Very low dosage to help with night time nerve pain) I have been on these meds for some time, I have had no change in meds over the last 12 mths, So I don’t think they are contributing factor to the change in my toilet stool’s !

Kind regards

Mr A Evans

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here...i am suffering from tinggling pain in left side of chest hand and arm for last one year i ve gone through chest x rays ecg echo all are normal sometimes ifeel that my breast is going down the pain is like nerve pain which is not very severe.

doctor1 MD

In 2011 I received Proton Therapy for Prostate Cancer , recently, I have started having some discomfort in the hip on both sides where the proton entered and traveled on its way to radiate the prostrate. The discomfort is similar to that felt...

doctor1 MD

is the a connection between CIPD and fibromyalgia?

doctor1 MD

I have had shingles twice and had treatment and the shingles vaccine . My shingles were on the left side of my body, under the breast and around my back to the spine, I now have nerve pain , but it has now moved to my right breast and is extremely...