Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Severe Pain In The Legs, Hips, Shoulders And Neck
Question: I have been having all over body pain in legs, hips, low back, shoulders, neck. Plus I have been having a lot of upper stomach issues. I can't eat food I use too. I also don't sleep well, because of the body pain. I exercise regularly, walking and stretching if I don't the pain and stiffness is worse. I can't take Nsaids anymore because it makes my stomach worse. I don't know what to do and last time I did blood work nothing showed up.
Brief Answer:
Needs work up for rheumatological diseases and micronutrients defficiencies
Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.
First of all, it is sad to know what you had been experiencing lately. Based on the history you have shared, as most of the baselines and workup came normal earlier so in my opinion it is the high time to reconfirm for micronutrients defficiencies which can also present like this specially those of B12, D3 and folic acid. Also looking for thyroid levels and other endocrine issues after these turn out to be normal could be the next resort. Some rheumatological illness may also present like this such as polymyalgia rheumatica and need to be screened with ESR, CRP, ANA and RA factors at start and then specific antibodies may also be needed. Looking for myopathies is too early but atleast basic screening with LDH and CPK should be done.
Meanwhile for symptomatic relief you can use analgesics like acetaminophen which doesn't do much harm to the stomach though your concerns regarding Nsaids is very right. Supplements of D3, B12 and folic acid may also be started even before the levels arrive. Using antacids like omeperazole or pantoprazole for stomach issue alongwith motility agents like domperidone may be of help.
Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.
Needs work up for rheumatological diseases and micronutrients defficiencies
Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.
First of all, it is sad to know what you had been experiencing lately. Based on the history you have shared, as most of the baselines and workup came normal earlier so in my opinion it is the high time to reconfirm for micronutrients defficiencies which can also present like this specially those of B12, D3 and folic acid. Also looking for thyroid levels and other endocrine issues after these turn out to be normal could be the next resort. Some rheumatological illness may also present like this such as polymyalgia rheumatica and need to be screened with ESR, CRP, ANA and RA factors at start and then specific antibodies may also be needed. Looking for myopathies is too early but atleast basic screening with LDH and CPK should be done.
Meanwhile for symptomatic relief you can use analgesics like acetaminophen which doesn't do much harm to the stomach though your concerns regarding Nsaids is very right. Supplements of D3, B12 and folic acid may also be started even before the levels arrive. Using antacids like omeperazole or pantoprazole for stomach issue alongwith motility agents like domperidone may be of help.
Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
