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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do For Continuous Illness?

Hi, I ve been ill for a month and am having trouble getting a diagnosis. I m a 36 year old woman with 2 young children, am very over weight but do not suffer from any on-going conditions. A month ago I woke up in the night with a fever of about 101+ and progressed over the week to have a slight temp but my throat felt worse and worse. Not the tissue of the throat but deep in my throat and my glands. A week later a saw a doc who said it was a virus. 3 days after that I went back and was diagnosed with tonsillitus, laryngitis and pharyngitis and given 250mg PEN 4x per day for a week. My voice returned and I did feel better but my glands in my neck started really hurting, esp when I swallowed. I went back to the doc and he ordered a blood test. I tested negative for Glandular fever (Mono) but had high white blood cell count and plattelet, and some other indication of infection that I can t remember but wasn t give the results for ever a week. When I got the results I was put on PEN again and another blood test was ordered. Still negative for Gfever/Mono and white blood cell count was down to normal. Plattelet count was down but still above normal. However, all week my thigh muscles had been feeling very soar as if I d done a hard work-out even though I hadn t and on Thur my thigh muscles were so weak that I tripped and wasn t strong enough to stabelize myself and fell down. Additionally a few joints in my hands started to hurt on Thur. I went back to the doc who said it seems like a virus of some sort but we ll likely never know exactly which one and to finish my course of meds and have another blood test next week to make sure everything was back to normal. However, this morning I woke up and can hardly move my neck. Specifically my lower neck, where it meets my shoulders. The muscles are tight and painful. I don t have a rash and know it is not meningitus. Now my legs feel fine, my hand still hurts, my other hand has also started hurting and my neck is painful. I called the on call nurse who said it sounds viral or like something long-term which scares me. Can you point me in the direction is might be? Or by any chance tell me what is going on?
Tue, 23 Sep 2014
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Internal Medicine Specialist,  's  Response
A number of viruses can cause an acute infection and then residual muscle and joint pains that can sometimes last several months. You have 2 young children who often carry viruses like this that can cause different effects in an adult. Did either of them have a rash recently? There is a virus that causes a disease common in children called "fifth disease" that creates a rash, fever, and sore throat, which in adults is often associated with joint pain and swelling like an arthritis. without necessarily causing a rash. There are many other viruses that can cause similar problems. The symptoms generally clear up on their own without treatment, tho it may take some time. Usually a specific diagnosis of which virus is not made because there is no treatment for the virus any way. All you can do is wait until the symptoms clear up, and just treat the symptoms with something like ibuprofen. Hope this helps.
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What To Do For Continuous Illness?

A number of viruses can cause an acute infection and then residual muscle and joint pains that can sometimes last several months. You have 2 young children who often carry viruses like this that can cause different effects in an adult. Did either of them have a rash recently? There is a virus that causes a disease common in children called fifth disease that creates a rash, fever, and sore throat, which in adults is often associated with joint pain and swelling like an arthritis. without necessarily causing a rash. There are many other viruses that can cause similar problems. The symptoms generally clear up on their own without treatment, tho it may take some time. Usually a specific diagnosis of which virus is not made because there is no treatment for the virus any way. All you can do is wait until the symptoms clear up, and just treat the symptoms with something like ibuprofen. Hope this helps.