Q. I have severe pain in my fingertips and toes. What could this be?

Answered by
Dr. Prakash H Muddegowda
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 14, 2017

Hello doctor,

I have had chronic bloating, indigestion, stomach pain, nausea, and diarrhea for over a month. During that same time, I developed frequent shortness of breath and palpitations with exertion upon waking and after eating. Also, during the same time, I began having severe pain in my fingertips, toes, and elbows that come and go. I just feel very sick. Any idea what this could be? My father had polycythemia vera. My physician assistant did some bloodwork. Monocytes were 10.9, creatinine was 1.6, BUN was 20, and total protein was 8.5. Please provide your opinion.



Welcome to

Based on your query, my opinion is as follows:

The serum protein and creatinine levels are a bit high possibly due to increased protein intake or associated dehydration in recent times.

Monocytes are mildly elevated and BUN (blood urea nitrogen) levels are in the upper normal range. Monocytes may indicate ongoing chronic inflammation. It is only mildly elevated and does not have much significance.

For polycythemia vera, hemoglobin levels or hematocrit levels are important. If they are normal, then there is nothing to worry.

If the pain is in the fingertips and toes and if there is any associated tingling or burning sensation, we can think of peripheral neuropathy. Vitamin B12 and folic acid supplements should be beneficial.

Looking at other symptoms like chronic bloating, indigestion, stomach pain, nausea, and diarrhea, gastritis, increased acidity in the stomach is a possibility.

You need to use antacids along with proton pump inhibitors like Pantoprazole to reduce the acidity. You also need to reduce stress, avoid spicy foods, and take regular meals.

There are no symptoms of polycythemia vera and more in relation to gastritis. If not checked, check once for hemoglobin levels. Maintain good hydration with at least six to eight liters of water per day.


For more information consult a hematologist online -->

Was this answer helpful?


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

Related Questions:
What causes numbness in my hands and feet?

.. vitamin B12 deficiency. Your symptoms are related to peripheral neuropathy. It is caused due to vitamin B12 deficiency. It is necessary to perform some tests to know the possible cause. You have to investigate vitamin D levels and vitamin B12 plas...   Read full

What can be the reason for elevated RBC, Hb and Hct?

With high vitamin B12 and polycythemia, polycythemia vera needs to be seriously evaluated ... Based on your query, my opinion is as follows: The elevated hemoglobin, red blood cell count and hem...   Read full

What test should I do to know the reason for tingling sensation?

 I would like to know your age and whether you have diabetes ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

The New COVID Variant From South Africa (Omicron)
The World Health Organisation has enlisted Omicron to be a variant of concern. Just scroll down the article to know abou...  Read more»
Managing Diabetes During Festive Season
All the festivals are indirectly a danger sign for diabetic patients. Read this article to know more about how to handle...  Read more»
What You Should Eat and Drink for A Healthy Life!!
Food is essential for our survival, and what we eat definitely impacts our health. We can easily reduce the risk of many...  Read more»

Ask your health query to a doctor online?

Ask a Hematologist 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.