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What Causes Severe Body Pain While On Macrobid?
Question: Hello,
37 YO lady w body ache all ove for months, recurrent Aphthous in the mouth very paifu also c/o chronic fatiguel. labs : low platelet 40,000 and high CRP 25. All the other labs wbc,Rbc, ANA, RF ...........ESR all within normal.
What would be the next step.
Pt also has uti only sensitive to macrobid for oral abx with is causing low platelet itself?
Pt doesn't take any medication.
Tx so much,
Dr. T
37 YO lady w body ache all ove for months, recurrent Aphthous in the mouth very paifu also c/o chronic fatiguel. labs : low platelet 40,000 and high CRP 25. All the other labs wbc,Rbc, ANA, RF ...........ESR all within normal.
What would be the next step.
Pt also has uti only sensitive to macrobid for oral abx with is causing low platelet itself?
Pt doesn't take any medication.
Tx so much,
Dr. T
Brief Answer:
Hello. She should be looked for lupus
Detailed Answer:
Hello dear. I have gone through the details. So a kow platelet counts in a young female points towards systemuc lupus erythmatosus and sge should be investigated for the same. Anorher differential will be imnune thrombocytopenia. If these are ruled out, then uncommon possibility will be if leukemia. For ulcers, soda bicarbonatw based gargles can be done along with a topical anesthetic agent. It will help to relieve pain. For uti, antibiotic must be taken and completed. Antibiotic is an uncommon cause for low platelets.
Please discuss these points with your doctor and revert back.
Thanks and regards
Feel free to ask further
Hello. She should be looked for lupus
Detailed Answer:
Hello dear. I have gone through the details. So a kow platelet counts in a young female points towards systemuc lupus erythmatosus and sge should be investigated for the same. Anorher differential will be imnune thrombocytopenia. If these are ruled out, then uncommon possibility will be if leukemia. For ulcers, soda bicarbonatw based gargles can be done along with a topical anesthetic agent. It will help to relieve pain. For uti, antibiotic must be taken and completed. Antibiotic is an uncommon cause for low platelets.
Please discuss these points with your doctor and revert back.
Thanks and regards
Feel free to ask further
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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