ADVERTISEMENT
ADVERTISEMENT

Q. Why do I have joint pain, back pain, depression, gastric irritation, and headache since a long time?

Answered by
Dr. Ashaq Hussain Parrey
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 18, 2022

Hello doctor,

Since childhood, I have experienced joint pains. I had food aversion and was taken to the ER once for fainting with a high fever. I developed food allergies, severe joint aches, chest pains, depression, and anxiety as an adult. Now that I am 54 years old, my depression is somewhat managed, and I have seen specialists. I lost my job eight years ago due to hypothyroidism. Now I feel like I cannot remember much and cannot reason well as I once did. I also have GI and periodontitis that keep me home (embarrassing gas and halitosis). I am menopausal and have fibroids and hirsutism. Some symptoms improve with time and then come back, like back pain, headaches, and joint pain. My current medications include:

  • Liothyronine 5 mcg.
  • Levothyroxine 112 mcg.
  • Omeprazole 40 mg.
  • Duloxetine 30 mg.
  • Cetirizine half a tablet for allergy and dryness.
  • Hydroxyzine for insomnia.
  • Iron supplements.
  • Montelukast 30 mg.
  • Vitamin D 50,000 IU weekly.
  • Multivitamins.
  • Tylenol one tablet daily.
  • Statins for high cholesterol and triglycerides.
  • Repatha.
  • Prozac.
  • Wellbutrin.
  • Mobic.

My protein electrophoresis test results show an elevation in alpha-2 globulin, ESR, and CRP values. An oncologist ruled out multiple myeloma. However, my hemoglobin is low sometimes, and so are my CO2 and chloride. In addition, I have numerous allergies, anemia, asthma, tremors, central hypothyroidism, sleep apnea, pre-diabetes, periodontitis, chronic fatigue, depression, joint pain, IBS, weakness, and memory problems. What do you think is going on with me?

ADVERTISEMENT
#

Hello,

Welcome to icliniq.com.

I went through your reports and investigations (attachments removed to protect the patient's identity). It seems like you have polymyalgia rheumatica. I would suggest a single intramuscular dose of Depo-Medrol (Methylprednisolone Acetate) 40 mg. If the response in symptoms is more than 50 %, that will confirm the diagnosis and ease further management.

Regards.

Hello doctor,

Thank you for the reply.

Is polymyalgia rheumatica called just arthralgia for people under 50 years of age? I have had body pain since elementary school.

Thank you.

#

Hello,

Welcome back to icliniq.com.

If you have had the problem for decades, I believe it cannot be a serious illness because no serious illness will stay silent for decades. Polymyalgia causes pain and elevation in the ESR (erythrocyte sedimentation rate). If ESR were normal, fibromyalgia would have been a better diagnosis. PMR (polymyalgia rheumatica) is generally a disease that occurs after 50 years, as you said. I am sure there is nothing wrong with one injection of Depo-Medrol, or you can start Duloxetine 20 mg and increase the dose after two weeks for FMS (fibromyalgia syndrome).

Regards.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
What causes extreme swelling and pain in both legs?

I could not find the results of anti-cardiolipin antibody or lupus anticoagulant and beta2 glycoprotein 1 ... Anti-cardiolipin antibody IgG (immunoglobulin G) and IgM (immunoglobulin M) ... Hi doctor, I have extreme swelling and pain in both lower le...   Read full

Juvenile Fibromyalgia - Causes, Symptoms, Diagnosis and Treatment

Abnormal Pain Messages - The central nervous system transmits information all over the body by specialized cells ... If a young person has musculoskeletal pain widespread in the body above and below the waist for at least three months, they usually h...   Read full

My joint pain is affecting my academics. Please suggest a permanent cure.

.. through your query. Your predominant complaint is pain along the axial skeleton. If it is associated with early morning stiffness of the back and if the pain increases with rest, then ankylosing spondylitis needs to be ruled out. If the above feat...   Read full

ADVERTISEMENT

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Management of Coronasomnia
Coronasomnia refers to increased sleep problems among people during the COVID-19 pandemic. Read the below article to get...  Read more»
Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»

Ask your health query to a doctor online?

Ask a Rheumatologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.