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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Osteopenia?

I am a 52 year old woman. I have been diagnosed with osteopenia based on a Dexa Scan. I have had two blood tests for Multiple Myeloma, and both were negative. But I am repeatedly breaking ribs. No other bones, but this past week I broke yet another rib (my 5th in two years) lifting my veryfat catin her carrier to take her to the vet. I ended up in Urgent Care, and they did an X-Ray and then an Ultrasound (they thought the pain might be gallbladder). The US technician really hurt me. I mean she pressed super hard even though I told her I thought my rib was broken. The X-Ray showed the 7th right rib was fractured, but not displaced. I was told the Ultrasound was normal, but when I received the report it said, Liver: Normal size and contours. Normal echogenicity and echotexture. Minimal perihepatic ascites. Aren t ascites really bad? I had not fasted as I was not expecting an ultrasound. I don t know if that explains anything. But that phrase worried me. However, I would assume that the Dr would have said something if it was bad. Well, as the week has progressed, I have felt worse. So I went to my GP. She repeated the X-Ray, and now I have three broken ribs, and the one that was broken but not displaced, IS displaced. I truly believe the ultrasound technician broke the other two during the exam and displaced the third. So my questions are: Are the minimal perihepatic ascites something I need to be concerned about? And, do you know of any other diseases, other than osteroporosis, that would explain the repeated rib breaks? What are my ribs breaking so easily, but my other bones only showing minimal degrees of osteopenia per the Dexa Scan? Thank you.
Sat, 1 Sep 2018
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Endocrinologist 's  Response
Hi,

The perihepatis ascites needs to be evaluated further, it may caused by gall bladder infection but an abdominal MRI would give more information. Except of osteoporosis there are some other pathologies of the bone that makes them more fragile ( osteofenesis imperfecta).

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Osteopenia?

Hi, The perihepatis ascites needs to be evaluated further, it may caused by gall bladder infection but an abdominal MRI would give more information. Except of osteoporosis there are some other pathologies of the bone that makes them more fragile ( osteofenesis imperfecta). Hope I have answered your query. Let me know if I can assist you further.