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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Body Pains With Normal Blood Work?

Hello Doctor. I am 42 years old, female, and have been experiencing pain throughout my body for years now - since about 2009. I have had bloodwork tested for many things, but everything continually comes back normal. I have pain throughout my body, headaches, stomach issues and cramping, cannot eat much without getting full fast, bloating, swelling in fingers, knees, hands, burning muscles, fatigue, headaches, charlie horses in legs and sometimes in my sides, frequent tingling in hands and feet, sometimes just two or three fingers or a couple of toes. Also severe pain in my back, usually the lower back, but the pain also travels upward to the middle/upper back. I have been experiencing trouble concentrating. When I get out of bed in the morning, it feels as if my whole skeletal structure wants to collapse upon itself. My legs hurt sharply as it go down the stairs in the morning, as if I am made of rusty metal and the bending of my ankles and muscles are straining. I have experience urgent urination [without much of a warning] and I am so tired all of the time. I get random sharp pains throughout my body including my head. My PCP has not been able to find a diagnosis. At first, he thought it might be fibromyalgia, and prescribed me some pain medication, but the pain intensified while I took the medication - so I quit taking it and informed my PCP. He offered no followup. The last time he ordered bloodwork, I asked him to have me tested for lupus, lyme, in addition to whatever else he wanted to test. Please help. I thank you in advance for any direction you can give me. I think I will get results if I have something to tell my PHP to look for.
Mon, 8 Dec 2014
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General Surgeon 's  Response
HI.
Thanks for your query an an elucidate history.
You have practically all types of pains.
Obviously the reasons have to be searched.

After reading and re-reading the history, I could feel like as if you are talking of Hypothyroidism, Anxiety , depression and so on.

I would advise in such a patient of 42 years female the following with the history you have provided:
First of all a thorough clinical / physical examination by a Physician;
And he the clinical signs are not certain to pin-point the cause/s I would also refer such a patient for Psychological evaluation and if required an opinion of the Psychiatrist;
Next actions would be detailed investigations other than the routine once which must have already done::
Thyroid Function tests,
Hormonal assays;
blood Hb1Ac
RA factor
ESR for chronicity.
If all the investigations are normal, obviously you need Psychiatrist's opinion and treatment .
Change of lifestyle.
I think 'may be' you are not coping with something.
Vacation outside of your area, mobiles phones to be off.
You must have noticed already that these changes help a lot.
Try to avoid anything which you are / have to do against your will and wish. Getr into the hobbies which make you forget the world around you. Life comes only once,
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What Causes Persistent Body Pains With Normal Blood Work?

HI. Thanks for your query an an elucidate history. You have practically all types of pains. Obviously the reasons have to be searched. After reading and re-reading the history, I could feel like as if you are talking of Hypothyroidism, Anxiety , depression and so on. I would advise in such a patient of 42 years female the following with the history you have provided: First of all a thorough clinical / physical examination by a Physician; And he the clinical signs are not certain to pin-point the cause/s I would also refer such a patient for Psychological evaluation and if required an opinion of the Psychiatrist; Next actions would be detailed investigations other than the routine once which must have already done:: Thyroid Function tests, Hormonal assays; blood Hb1Ac RA factor ESR for chronicity. If all the investigations are normal, obviously you need Psychiatrist s opinion and treatment . Change of lifestyle. I think may be you are not coping with something. Vacation outside of your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Getr into the hobbies which make you forget the world around you. Life comes only once,