HomeAnswersRheumatologyabdomen painAre stomach problem and knee and joint problems connected to each other?

I have stomach disturbance along with pop sound in legs and knee joints. Please help.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At May 27, 2020
Reviewed AtNovember 29, 2023

Patient's Query

Hello doctor,

I am a 36-year-old male. I am a vegetarian. Before three years due to stomach disturbance, yellowish urine, pain, and some popup and cracker sounds in my legs and knee joints. I visited a doctor and he suggest for liver function test all reports were in the normal range except for sugar which was 138 mg/dL at that time, he gave me some medicines, and was referred to an orthopedic for joint pain. I visited an ortho specialist and he took an x-ray of both leg knees and tell that it is an early stage of osteoarthritis of the knee and suggest for MRI. I had done an MRI and in the report, it is mentioned that the left knee has been affected with osteoarthritis. After that, he gives some medicines for 10 days and refers to a physiotherapist for exercise and weight loss. I visited as he told and I reduced my weight and now there is very little pain remaining in my left knee. But now my other joints, hips joints, both hand knee has a popup sound when moving including my neck, and jaws, all have some very mild cracking and popping sound, as there is no pain, but it seems to be taken care of in the next few years, so I prefer to consult a specialist like an orthopedic and gastroenterologist doctors. Still, I did not find any reason behind my current health situation, still, I have yellowish urine. Kindly interpret all the reports.

Please help.

Hello,

Welcome to icliniq.com.

I have gone through your history.

I have gone through your reports (attachments removed to protect patient's identity).

I would like to ask you a few more questions to confirm the probable diagnosis.

1. Do you experience a lot of fatigue?

2. Is the sleep pattern normal or is it disturbed?

3. Any feelings of tiredness in the mornings after sleep also?

4. Any history of recent irritability, or forgetfulness?

5. When you say stomach complaints does it mean loose stools or increased frequency of stools or constipation?

6. Any history of weight loss? Most of them seem to be normal except for mild ANA positive.

You are right that it all looks connected and we need to reach the diagnosis, as management gets easier then.

Please update with the answers.

Thanks and regards.

Patient's Query

Hello doctor,

Thanks for your reply.

I do not experience a lot of fatigue but one or two times a week. My sleep pattern is very good. Sometimes I feel tired in the mornings after sleep but no history of recent irritability or forgetfulness. I have lost weight but I believe it is lost due to my heavy work during the lockdown period. I maintain my diet and give full time to exercise.

Please help.

Hello,

Welcome back to icliniq.com.

From the history I can gather, it is the cracking sounds in the joints and bowel and bladder disturbances. Since there is a limitation of not being able to examine you, it does seem like you have joint hypermobility. You can read up on it once and see if it fits your symptoms. Usually, people with loose joints, have more wear and tear of the cartilage with the maximum impact on the knees and then these joints get more prone to injuries. Eventually, it causes pain spreading everywhere, known as chronic pain syndrome which can affect the stomach and urination. But there are limitations in my diagnosis as it has a lot to do with clinical examination. Nevertheless, you can once read up on it and then we can plan your further treatment. You should definitely include vitamins C and D in your diet as they help stabilize the joints and further wear and tear.

I hope this helps.

Thanks and regards.

Patient's Query

Hello doctor,

Thanks for replying.

My stomach gets disturbed (bloating and excess gas) when there is too much stress or pressure from work. One more problem is my eyes get dry in the early morning and there is hair loss as well. What to do?

Please help.

Hello,

Welcome back to icliniq.com.

These are the symptoms of Irritable Bowel Syndrome (IBS) which you are experiencing and it is very typical that it gets worse on stress and improves with passing of flatus. Hair fall and dry eyes could be connected to your mild ANA (antinuclear antibody) positivity.

From my side, tests are all good, but further treatment should be done after clinical examination. For Irritable bowel with constipation, you can try home remedies like Psyllium husk and high fiber diet.

Hope this helps.

Thanks and regards.

Patient's Query

Hello doctor,

Thank you for your attention and advice.

Due to this medical condition, should I go for marriage or not ?

Please suggest.

Hello,

Welcome back to icliniq.com.

As per your reports, I do not think there is any reason that you should not marry. So go ahead with it if there is someone.

Hope this helps.

Thanks and regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Naval Mendiratta
Dr. Naval Mendiratta

Rheumatology

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