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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can fatigue And Hip Pain Along With Frequent Urination Be Treated?

Here are the symptoms: severe fatigue, thigh muscle aches, hip joint pain (perhaps from sitting), skin was slightly ashen or light yellow, shoulder muscle aches, annoying dry cough, frequent urination, feels cold (hands and trunk area) and can fall off to sleep almost instantly. After two blood labs, a colonoscopy and an EGD, and a chest -x-ray the results were negative for cancer. The blood revealed anemia, B-12 deficiency and hypothyroid level. Is being seen fy a Family Physician w/15 years. We are considering Desiccated Thyroid medication as his feet, ankles and half way up the leg is swelling tightly . . . concerns us!!! Now taking Levothyroxine .05 daily since 3/9/17, Iron gluconate and a shot of B-12 administered on 3/29/17. Is due back for a 2nd shot on 4/29/17. Little to no improvement and are aware of the side effects of all meds. Still weak and tired and tries to handle taking a shower safely. He is/was an avid hunter and blood was tested for Lyme s disease. Negative (however, could it have been missed & should it be tested at a Hematology clinic instead of a hospital lab??) Been advised to eat more green leafy vegetables and fortified grain cereals. He is a strong meat eater. Could any of this be related to Congestive Heart Issues. Did not have an EKG !! What is the timeline on the B-12 shots to begin to display improvement. It has taken 7 months to reach this level of weakened and muscle loss.
Wed, 7 Jun 2017
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General & Family Physician 's  Response
Hello Dear
I evaluated your long query in depth .
@ There is definite underlying pathology not yet figured out .
@ Many details are lacking here to co relate precisely as - current
thyroid status , does have diabetes , x-ray chest +/- 2D Echo done
@ B-12 shots begin to display improvement of its part within 72 hrs of
ingestion .
@ More in depth evaluation of the patient in form of bone marrow
examination , whole body CT Scan , specific antibody evaluations in
the hematology work up would be of definite help .
Hope this will help you definitely .
Feel free to ask any further health related question in future .
Thanks for using Healthcaremagic.com
Regards .
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How Can fatigue And Hip Pain Along With Frequent Urination Be Treated?

Hello Dear I evaluated your long query in depth . @ There is definite underlying pathology not yet figured out . @ Many details are lacking here to co relate precisely as - current thyroid status , does have diabetes , x-ray chest +/- 2D Echo done @ B-12 shots begin to display improvement of its part within 72 hrs of ingestion . @ More in depth evaluation of the patient in form of bone marrow examination , whole body CT Scan , specific antibody evaluations in the hematology work up would be of definite help . Hope this will help you definitely . Feel free to ask any further health related question in future . Thanks for using Healthcaremagic.com Regards .