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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes painful clicking sensation in the back?

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Dr. Suresh Heijebu

General & Family Physician

Practicing since :2010

Answered : 3573 Questions

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Posted on Fri, 3 Aug 2018 in Brain and Spine
Question: Hi Doctor,
I’m 23 years old and I’ve just had some really weird symptoms that don’t seem to be getting better. Ive been to the doctors but they’re only able to schedule appointments once every 2-3 months because of where I live and how busy they are :( basically this all started when I began to feel a strange clicking sensation in my back. It doesn’t hurt; no pain at all, I can just feel it and it comes and goes in intensity, usually if I sit for long periods of time like at work. Shortly after that, lymph nodes started swelling in my neck, and my neck began to get very sore and it hurts to swallow. Around the same time, these weird red tiny spots started appearing all over my body. They’re painless, but they look like blood under the skin. Now, the back of my head all the way to the scalp feels numb, and I’ll get these sharp pains and throbbing sensations in the back of my neck and my scalp. I’ve also started to experience black floaty things in my vision that don’t go away no matter how many eye drops I throw at them. Any information would be great as my doctors don’t seem to care at all because of my age, they rule everything out and tell me I just need to come back for follow ups. 2 follow ups later and we’ve gotten nowhere. Please help, I can’t stand the floaters anymore, the pain in my head and the difficulty swallowing!
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Answered by Dr. Suresh Heijebu 1 hour later
Brief Answer:
Connective tissue disorders need to be ruled out

Detailed Answer:
Hello Sir,

I can certainly understand your concerns..

I have worked through your attached query in detail.

Many of your symptoms are directly related to underlying multisystem pathology.

It's important to rule out autoimmune/ connective tissue disorders in your case.

For this, I'd advise you take up the following tests at the earliest to determine further course of action:

-ANA/ ENA BLOT

-MRI TOTAL SPINE

-SLIT LAMP BIOMICROSCOPY AND FUNDUS EXAMINATION OF THE EYE

-COMPLETE BLOOD COUNTS

-ESR ( Erythrocyte sedimentation rate)

-FNAC (Fine needle aspiration cytology) of the neck swelling (multiple).

Further management if any is largely determined by test reports.

Review with reports to determine further course of action

Hope I have answered all your relevant questions..

Are you satisfied with my consultation?
Is there anything else left to be discussed?

Thank you


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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