Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Sore Muscles, Fatigue And Irregular Heartbeats
Question: I have been having several symptoms for several months: sore muscles, muscle fatigue, shooting pains in body, Irregular heartbeat, i noticed I get purple feet when I stand or sit for too long, cold hands and feet, and extended capillary refill time. My hands fall asleep easily. I get pins and needles.
I also have hives, insomnia, and crushing fatigue.
I have been to 3 Rheumatologist, a neurologist, cardiologist and several primaries. my blood work has mostly come back pretty unremarkable and I have had what was said were clear MRIS of the head, neck, and spine. I had a vascular ultrasound and ankle brachial index of legs, and an MRA of my head. I have also had a head CT, CTA of heart, Echo, and Nuclear stress test. all of them clear.
One of the only things that seems to be off is my Iron studies. my ferritin was high twice before and I had two complete iron studies from Northwestern. I have attached the image of the exam. my question is does anything stand out about this test. Or any ideas of what other tests I can look into.
Thank you.
I also have hives, insomnia, and crushing fatigue.
I have been to 3 Rheumatologist, a neurologist, cardiologist and several primaries. my blood work has mostly come back pretty unremarkable and I have had what was said were clear MRIS of the head, neck, and spine. I had a vascular ultrasound and ankle brachial index of legs, and an MRA of my head. I have also had a head CT, CTA of heart, Echo, and Nuclear stress test. all of them clear.
One of the only things that seems to be off is my Iron studies. my ferritin was high twice before and I had two complete iron studies from Northwestern. I have attached the image of the exam. my question is does anything stand out about this test. Or any ideas of what other tests I can look into.
Thank you.
Brief Answer:
Please send me your all reports first.
Detailed Answer:
Hi, dear
I have gone through your question.
I can understand your concern.
Your cases seem somewhat difficult and it need through investigation. You have already gone through many investigation. So please send me your all reports. All blood reports, MRI, CT scan, vascular ultrasound and rest all.
So that we can avoid repeatation and we can save the time and money.
I will wait for your reports.
Thanks for using health care magic.
Wish you very good health.
Please send me your all reports first.
Detailed Answer:
Hi, dear
I have gone through your question.
I can understand your concern.
Your cases seem somewhat difficult and it need through investigation. You have already gone through many investigation. So please send me your all reports. All blood reports, MRI, CT scan, vascular ultrasound and rest all.
So that we can avoid repeatation and we can save the time and money.
I will wait for your reports.
Thanks for using health care magic.
Wish you very good health.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Attached are the reports I have electronically. The vascular ultrasound I do not have electronically, but I can take a pic and send it.
Please let me know if there is anything that you think they may have missed.
Please let me know if there is anything that you think they may have missed.
Brief Answer:
It can be fibromyalgia or chronic nonspecific pain
Detailed Answer:
Hi, dear
I have gone through your question.
I can understand your concern.
I have gone through your all reports.
Your routine blood reports, liver, kidney, electrolytes, ANA test and other testing for connective tissue disease all are normal. Slightly high ferritin level is also insignificant.
Your Test for DVT is also normal.
Your Ct scan and MRI studies are also normal.
So truly speaking, I can not find any disease match with your symptoms.
Chronic muscle pain, soreness, fatigue, weakness, legpain, headache, insomnia can be seen in fibromyalgia.
It is very challenging to diagnose fibromyalgia without examination.
Almost all reports are negative in fibromyalgia and no any diagnostic tests are available.
Only examination of tender points can give diagnosis.
Your summary says there is no focal tenderness so it is also confusing.
In my opinion you should be reexamined for that.
If you have tenderness then please guide your examiner for that.
No further testing is required in your case. It will not help you further.
If you will be there at my clinic then I will try tricyclic antidepressants like amytriptiline with exercise and other alternative treatment.
Please talk with your doctor for that.
Hope I have answered your question. If you have any doubts then feel free to ask me.
I will be happy to answer.
Thanks for using health care magic.
Wish you very good health.
It can be fibromyalgia or chronic nonspecific pain
Detailed Answer:
Hi, dear
I have gone through your question.
I can understand your concern.
I have gone through your all reports.
Your routine blood reports, liver, kidney, electrolytes, ANA test and other testing for connective tissue disease all are normal. Slightly high ferritin level is also insignificant.
Your Test for DVT is also normal.
Your Ct scan and MRI studies are also normal.
So truly speaking, I can not find any disease match with your symptoms.
Chronic muscle pain, soreness, fatigue, weakness, legpain, headache, insomnia can be seen in fibromyalgia.
It is very challenging to diagnose fibromyalgia without examination.
Almost all reports are negative in fibromyalgia and no any diagnostic tests are available.
Only examination of tender points can give diagnosis.
Your summary says there is no focal tenderness so it is also confusing.
In my opinion you should be reexamined for that.
If you have tenderness then please guide your examiner for that.
No further testing is required in your case. It will not help you further.
If you will be there at my clinic then I will try tricyclic antidepressants like amytriptiline with exercise and other alternative treatment.
Please talk with your doctor for that.
Hope I have answered your question. If you have any doubts then feel free to ask me.
I will be happy to answer.
Thanks for using health care magic.
Wish you very good health.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
do you think it's possible it can be chronic stress/anxiety? I have had that suggested by one Dr
Brief Answer:
Yes it can be due to chronic stress and anxiety.
Detailed Answer:
Hi, dear
I have gone through your question.
I can understand your concern.
There is no definite cause for fibromyalgia.
But chronic stress and anxiety can leads to fibromyalgia.
That is the reason I told you to try Tricyclick antidepressant like amytriptiline.
Discuss your doctor about that. It is prescription based medicine so you have to take it on written prescription.
Hope I have answered your question. If you have any doubts then feel free to ask me.
I will be happy to answer.
Thanks for using health care magic.
Wish you very good health.
Yes it can be due to chronic stress and anxiety.
Detailed Answer:
Hi, dear
I have gone through your question.
I can understand your concern.
There is no definite cause for fibromyalgia.
But chronic stress and anxiety can leads to fibromyalgia.
That is the reason I told you to try Tricyclick antidepressant like amytriptiline.
Discuss your doctor about that. It is prescription based medicine so you have to take it on written prescription.
Hope I have answered your question. If you have any doubts then feel free to ask me.
I will be happy to answer.
Thanks for using health care magic.
Wish you very good health.
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
