Pain in all the joints and also have digestive issuesfrom my childhood. - #10066
Hi... Mujhe kayi mahine se dard aur samasyaein ho rahi hain, jo dheere-dheere badh rahi hain. Pehle mere ghutno *(knees)* mein dard shuru hua, jo niche aur ghutno ke aas-paas hota hai. Sidhi chadhne aur utarne mein dikkat hoti hai. Iske baad, mere kohniyon *(elbows)* mein dard shuru hua, jo pehle stretch karne par hota tha, lekin ab load aane par bhi hota hai. Haal hi mein, mere kalai (wrist) mein dard shuru hua hai, aur mere ungliyon lock ho jate hai(kabhi light pain type feel). Kabhi-kabhi mere takhne *(ankles)* , nichli peeth ( *lower back* ), aur pair mein bhi dard hota hai. Mujhe jalan aur *burning sensation* bhi ho raha hai in back, neck wagera me. Legs aur elbows ka dard din bhar rehta hai aur baki joints ka din k bich me kabhi bhi ho skta hai. Mujhe bachpan se joint pop sounds aur *thirst*(pyas lagna) ki samasya hai aur fir uske saath pesaap aajata hai, aur mujhe digestive issues bhi hain. (Jaise Anna paani upper aana. ) Abhi filhal Mujhe *subah-utthne par(pair me ) aur shaam ko(knees me) dard adhik hota hai.* Mere kano ke paas gaadh jaisa hain jo kayi saalon se hain. Mere lakshan shayad kisi vitamin ya mineral ki kami ke karan ho sakte hain ya Mai pehle *heavy workout(gym)* krta tha(dard chalu hone k 4 mahina pehle Tak), aur mujhe lagta hai ki isse mere lakshan badhe hoge. Mere tests mein, *uric acid* ki maatra mein utaar-chadhaav aaya hai, pehle high tha, phir normal hua. MRI mein ACL sprain ki report aayi thi(normal according to dr) , lekin baki reports normal aayi hain. Mujhe abhi tak koi fayda nahi hua hai treatment se. Ulta bs badhte ja rha hai. Pehle Dr bole *chondromalacia patella* as knees se chalu hua tha, fir *hyperuracia & vaat* as uric acid ek baar high aya tha( *orthopedics* se consultation kiye the pehle) . Aur abhi latest *rheumatologist* ne *Fibromyalgia* hua hai bole. Sab alag bimari bata rhe hai. Abhi kal ayurvedic Dr ne muze *Aam vaat Rog* hai bole. Mere pass saare reports available hai. Kuch advice ki kya problem ho skti hai? And kaise sudhar skte hai. Abhi meri age bs 22 hai and in sab bimariyo se gunj rha hu. Pain start hone se pehleTakmai heavy liftingwagera bhi kartaa tha.
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Doctors’ responses
Hello dear Please be aware See as per clinical conditions you seems to be suffering from either rheumatoid arthritis or psoriasis with digestive problems Differential diagnosis includes diabetes mellitus As you have already undergone for various tests i suggest you to please share with me for confirmation Accordingly I can suggest an effective treatment for you Regards As you have already undergone
I can understand your problem. Please share me reports.
Test needed: 1) RA Factir 2) Vitamin D3 3) Vitamin B12
RX: 1) Dolo TH4 Max 1tab BD/PC after food for 5 days 2) Pan40 1 tab OD/AC for 5 days
Please review with reports.
DR Shayeque Reza MD
It sounds like a challenging situation and your mix of joint pain and digestive issues is something that requires careful evaluation. The multiple diagnoses you’ve received - from chondromalacia patella, hyperuricemia, fibromyalgia, to aam vaat rog - highlight how overlapping symptoms in musculoskeletal issues can sometimes point in different directions. Given your description, there are a few possible conditions that might be worth considering or revisiting.
1. Systemic issue: Conditions such as rheumatoid arthritis or lupus can cause widespread joint pain and might accompany systemic symptoms like digestive disturbances. Blood tests focusing on inflammatory markers, autoantibodies, and other specific markers can help in this differentiation.
2. Metabolic issues: Given the mention of uric acid fluctuations, ruling out gout or assessing for metabolic syndrome and its contribution to joint issues would be important. Diet modifications and lifestyle adjustments like maintaining a healthy weight, staying hydrated, and reducing intake of purine-rich foods can help manage uric acid levels.
3. Fibromyalgia: Common in younger individuals, this condition can cause pervasive pain and could explain the diagnostic difficulties. Treatment often involves a mix of low-impact exercise, stress management, and sometimes medications like antidepressants to manage symptoms.
4. Chronic Joint Problems: Chondromalacia patella, as you mentioned, refers to cartilage softening that needs endurance-focused physical therapy to strengthen surrounding muscles without overloading the joints.
5. Vitamin and Mineral Deficiencies: It is possible deficiencies such as Vitamin D or B12 could contribute to your symptoms. Supplementation based on confirmed laboratory tests can often lead to improvements.
Consider an integrated approach. Working with a rheumatologist may help to clarify if there’s an underlying autoimmune disorder and adjust treatment. Meanwhile, keeping a detailed symptom diary might assist both you and your healthcare provider to note patterns or triggers in your diet, activity level, or stress. Adopting a balanced anti-inflammatory diet rich in omega-3s and antioxidants along with a regular sleep schedule can positively influence joint health and digestive balance. Finally, if a specific treatment route isn’t yielding results, seeking a second opinion from another healthcare professional could offer fresh insights or affirm the current treatment approach.
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