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Suggest Treatment For Pain In All Body Parts Along With Dryness And Skin Color Changes

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Posted on Tue, 29 Apr 2014
Question: I have many vague symptoms. I am embarrassed as I am not one who makes things up. I am presently being treated for trigeminal and occiptal neuragia with injections every few months. also taking a list of medications. zoloft, synthroid 225 mcg, cymbalta 90 mg, oxycontin 60 am than 40 midday and at night. I also have oxycodone 10 mg 3x day if needed. Lisionopril 5mg, metoprolol 25 mg 1/2 2xday asa baby.azorstatin 80 mg, I had a NSTEMI april 2013.hx of gastric bypass 2007, bilateral knee replacements 2001 and 2005. I hae terrible head and face pain. my joints ache. Mostly bilateral metacarpals Distal ulna painful to touch. both elbows even my toes the 2nd toe looks a bit misformed and the joint is very painful to touch. My hips hurt, ribs are painful to touch..My hands at times are discolored which doesn't last. in no relation to cold or hot. Both my hands hurt. I have terrible dry mouth, nose and eyes. Frequently have canker sores several at a time. I have had several blood tests including ANA all were neg. My skin is very dry as is my hair I don't expect a diagnosis, just guidance into what I should be saying to my doctor. I am sure she thinks I am a nut case. I am 59 have not had a period for 7 years. 210 lbs. i have gained 50 pounds over the last year
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Answered by Dr. Dr. Prasad J (9 hours later)
Brief Answer: Consult a rheumatologist.... Detailed Answer: Hi, I empathize with you. You seem to be suffering with widely spread pain across all parts of the body / limbs along with dryness +/- deformities and skin colour changes. Based on this group of symptoms, I shall name two possibilities that explains your symptoms. 1. Autoimmune condition: I am pleased to know that ANA work up was negative; however most rheumatologist believe in clinical examination findings more than ANA results. And since the pains are especially predominant on the joints, it is a good option to ask your treating doctor for a rheutologist reference. If deemed necessary, the doctor can consider repeating those ANA profile tests including antitopoisomerase antibodies, anticentromere antibodies, SSA/Ro and SSB/La. 2. If autoimmune condition is excluded comprehensively, then these symptoms can be manifestation of complex regional pain syndrome (CRPS). You will benefit from rehabilitation and functional restoration therapies such as physical therapy, occupational therapy, biofeed back, cognitive behavioral therapy, etc. Other interventions such as spinal blocks can be combined with oral pain medicines to treat this condition. CRPS is best treated with combined efforts of pain medicine specialist, rheumatologist, psychiatrist and physiotherapist. You should ask your doctors for reference after rheumatologist's consultation. Amenorrhea (no periods) for 7 years is from menopause. Further menopause is most likely they reason for weight gain. However I don't think menopause is related to your painful symptoms; but it will help if you can perform some activities and reduce your weight. Hope this information suffices. Let me know if you need clarifications. Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Dr. Prasad J

General & Family Physician

Practicing since :2005

Answered : 3708 Questions

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Suggest Treatment For Pain In All Body Parts Along With Dryness And Skin Color Changes

Brief Answer: Consult a rheumatologist.... Detailed Answer: Hi, I empathize with you. You seem to be suffering with widely spread pain across all parts of the body / limbs along with dryness +/- deformities and skin colour changes. Based on this group of symptoms, I shall name two possibilities that explains your symptoms. 1. Autoimmune condition: I am pleased to know that ANA work up was negative; however most rheumatologist believe in clinical examination findings more than ANA results. And since the pains are especially predominant on the joints, it is a good option to ask your treating doctor for a rheutologist reference. If deemed necessary, the doctor can consider repeating those ANA profile tests including antitopoisomerase antibodies, anticentromere antibodies, SSA/Ro and SSB/La. 2. If autoimmune condition is excluded comprehensively, then these symptoms can be manifestation of complex regional pain syndrome (CRPS). You will benefit from rehabilitation and functional restoration therapies such as physical therapy, occupational therapy, biofeed back, cognitive behavioral therapy, etc. Other interventions such as spinal blocks can be combined with oral pain medicines to treat this condition. CRPS is best treated with combined efforts of pain medicine specialist, rheumatologist, psychiatrist and physiotherapist. You should ask your doctors for reference after rheumatologist's consultation. Amenorrhea (no periods) for 7 years is from menopause. Further menopause is most likely they reason for weight gain. However I don't think menopause is related to your painful symptoms; but it will help if you can perform some activities and reduce your weight. Hope this information suffices. Let me know if you need clarifications. Regards