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Suggest Treatment For Multiple Joint Pain In My Left Hand, Arm And Fingers Along With Heart Palpitations
Question: good morning doctor,
for past one month i got severe multiple joint pain in my left hand arm fingers etc...i went all blood test regarding that there is no any abnormal symptoms of any danger , but i took calcium and some vitamin tablets, but now past 2 days i got my heart beat very fast and feel little pain in my left side under breast line.
then i went doctor he took x ray and ecg and said normal only , but being stress and anxiety due to lack of sleep you will be like that and then he proscribe nexito 5 mg and lonazep .25. but when first i took nexitio i dun fine any abnormal but second and third dose i will be little drowsie, keep on yawning and feel very little pain in both breast center ...can you please guide me what is going on in my.... thank you
for past one month i got severe multiple joint pain in my left hand arm fingers etc...i went all blood test regarding that there is no any abnormal symptoms of any danger , but i took calcium and some vitamin tablets, but now past 2 days i got my heart beat very fast and feel little pain in my left side under breast line.
then i went doctor he took x ray and ecg and said normal only , but being stress and anxiety due to lack of sleep you will be like that and then he proscribe nexito 5 mg and lonazep .25. but when first i took nexitio i dun fine any abnormal but second and third dose i will be little drowsie, keep on yawning and feel very little pain in both breast center ...can you please guide me what is going on in my.... thank you
Brief Answer:
Could be due to GERD and electrolyte imbalance
Detailed Answer:
Hello,
It is possible that somehow you have developed an electrolyte imbalance and that could be the reason for the pain that you are having. I would insist you to take juicy fruits like citrus fruits. They contain plenty of potassium which should help in proper functioning of the muscles and in reduction of the cramps. You also need to increase total fluid (water) intake and to take plenty of ORS (oral rehydration solution) to replenish the lost fluids and salts.
The pain below the breast line could be due to acid reflux.
In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.
Regarding the drowsiness, I would insist you to withdraw Lonazep and observe the difference.
Hopefully that should help.
Regards,
Dr. Prof. Kunal Saha
General & Family Physician
Could be due to GERD and electrolyte imbalance
Detailed Answer:
Hello,
It is possible that somehow you have developed an electrolyte imbalance and that could be the reason for the pain that you are having. I would insist you to take juicy fruits like citrus fruits. They contain plenty of potassium which should help in proper functioning of the muscles and in reduction of the cramps. You also need to increase total fluid (water) intake and to take plenty of ORS (oral rehydration solution) to replenish the lost fluids and salts.
The pain below the breast line could be due to acid reflux.
In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.
Regarding the drowsiness, I would insist you to withdraw Lonazep and observe the difference.
Hopefully that should help.
Regards,
Dr. Prof. Kunal Saha
General & Family Physician
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
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