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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Palpitations, Abdominal Pain And Back Pain?

This is exactly what is happening with me. My recurring symptoms started up back in February. Over the course of the last few months, I ve had a multitude of symptoms: Palpitations, abdominal pain, back pain, numbness/tingling in legs/feet, burning in the feet, chest pain, joint pain, muscle pain, fatigue, low-grade headaches, indigestion, night sweats (but not very many of them and not for awhile now), chills, hot flashes, frequent urination, conjunctivitis, ringing ears, and painful testicles. So basically, I feel whatever I have courses through my body because my symptoms change from week to week. Some days I feel like I m recovering and then the next day I m dragging. Or sometimes it works in half-day intervals. Pretty much all of my testing has come back negative: gobs and gobs of blood work, CT of chest and abdomen, head MRI, EMG of major leg nerves, echocardiogram, heart cath, chest x-ray, lumbar spine x-ray, holter monitor, urine tests, ultrasound on thyroid, and upper GI. Findings, not much: low potassium (briefly), low vitamin D, moderate acid reflux, mild gastritis in stomach, small kidney cysts. Some numbers on my bloodwork at times were a little out of range, but most of my CBC s have been within range. The one item that has stood out is my EBV test results. The antibody testing shows that I contracted EBV a long time ago, but all of the current antibodies has high titers. My symptoms started since last year, 2015 in May and is worsening.
Mon, 13 Jan 2020
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General Surgeon 's  Response
Hello,

* The number of symptoms narrated here with ample investigations suggestive of no underlying abnormality is most probably in concern with severe stress related to underlying disease presence in actual absence of the same.

* It is the stress-related hormone drive which gives palpitation without any EKG or echo changes.

Kindly consult an expert Neuro physician to get evaluated regarding the same and further guidance accordingly.

I would suggest now the diagnostic approach on clinical grounds rather than going for a bunch of other lab data and CT scans without relevant significance.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Bhagyesh V. Patel, General Surgeon
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What Causes Palpitations, Abdominal Pain And Back Pain?

Hello, * The number of symptoms narrated here with ample investigations suggestive of no underlying abnormality is most probably in concern with severe stress related to underlying disease presence in actual absence of the same. * It is the stress-related hormone drive which gives palpitation without any EKG or echo changes. Kindly consult an expert Neuro physician to get evaluated regarding the same and further guidance accordingly. I would suggest now the diagnostic approach on clinical grounds rather than going for a bunch of other lab data and CT scans without relevant significance. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon