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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes joint pain, cold and foul smelling hands along with altered speech pattern?

Answered by
Dr. Naveen Kumar Sharma

Orthopaedic Surgeon, Joint Replacement

Practicing since :2002

Answered : 4483 Questions

Posted on Thu, 19 Mar 2015 in Brain and Spine
Question: my daughter has extreme joint pain,fatigue,craves ice, has foul odor of hands which are also red and feel like they are on fire,weight gain but goes days without eating ,confused speech pattern...her dr is calling it RSD and treating her with pain patches which are not working and her symp. are getting more severe .She has trouble getting out of bed for days ,might partially function a day or so and right back down. I am concerned something else is going on and she needs to see another doctor. She has Difficulty driving,drops things easily and constantly, frequent headaches,all over body pain,distrubed sleep,hair loss,urinary incontinence,skin hurts and cannnot stand to be touched,heavy sweats,hands shaky-red and feel like they are in boiling water ,red butterfly rash at times,scalp pain and burns ,short term memory loss,feet and toes hurt and toes swell that they look like sausages,moody,lights and noise are painful,poor memory recall of easy everyday words,frequent falls/unbalanced and trips easily burns,goosebumps that are painful,has trouble forming sentences and saying what she is thinking(words come out making no sense) She has had PT which made her feel worse. Current meds: Norco 10-325 every 4hrs as needed/detrol 2mg 1tab 2x day/ cardizem 60mg 1 tab 6xday/fentanyl 100mcg /hr patch(apply new patch every 3rd day)/amitriptyline hlc 50mg at bed to relieve nerve pain/tegretol 200mg 1tab 3xday/ ferrous sulfate 325mg 1tab 3x day/ omemprazole 20mg 2x day
about how long does it take to receive an answer
also has ringing in ears and clap noises when she lays down and no one else hears them
Answered by Dr. Naveen Kumar Sharma 3 hours later
Brief Answer:
She is not having RSD

Detailed Answer:
I have studied your case and I believe that she is having some hormonal disorder. I do not think that her all symptoms are due to RSD. RSD causes swelling and stiffness in hand but not other symptoms.
I think she is having abnormality of hormones. I would suggest you to meet a Endocrinologist and get her hormonal assay.She is either having Thyroid or Ovarian hormone imbalance. She should also need to investigated for Scleroderma.It is skin problem and causes thickening of skin.
It is not right to treat her just symptomatically with pain killers without treating basic hormonal causes.
I hope this answer will be useful for you.
Let me know if you want to ask any further questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Naveen Kumar Sharma 6 minutes later
What is scleroderma? Also how would she be treated for these imbalances?
Answered by Dr. Naveen Kumar Sharma 44 minutes later
Brief Answer:
Scleroderma is a skin condition

Detailed Answer:
Scleroderma is a immunity related disorder,and it causes skin thickening,itching and sweating.
For hormonal disorder first we have to find out which hormonal is low and than we have to supplement that. You should see a Endocrinologist. They are the best person to handle this.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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