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Suggest Treatment For Joint Aches, Muscle Aches And Exhaustion

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Posted on Mon, 4 May 2015
Question: I have been having a whole body problem for years and extreme symptoms for months now and can't seem to get any straight answers. I need to get a definitive answer so I can hopefully get some relief from this. My symptoms are joint aches, muscle aches, aches especially from elbows up into the neck and shoulders, headaches, exhaustion to where I can't get out of bed, zero energy, sleep disturbance always, constipation, chills and sweats, thought process foggy, stressful situations send my body into tailspin, I feel out of breath at times. I've had three spine surgeries l4-5 PLIF; l3-4-5 PLIF; C4-5 5-6 6-7 the first in 2010 the last in Dec 2014. I have been a pain mgmt patient since 2011. At this point, pain mgmt isn't keeping pain away any longer and cannot imagine what shape I would be in without it right now. I'm tired of pain meds and not having a life and am looking for some direction for a physician who can possibly help with whatever this is. I currently have a primary MD (naval facility- hard to get in) and pain mgmt MD that I see. Can you please help with these symptoms as to what this could be and where I should turn before I can't take it anymore? Thank you.
doctor
Answered by Dr. Suresh Heijebu (52 minutes later)
Brief Answer:
Symptoms could be directly related to uncontrolled depression.

Detailed Answer:
Hi Mam.

I understand your concern.

I advise you to have a baseline battery of tests before ruling in Chronic fatigue syndrome/Fibromyalgia.

They include 1.Liver function test
2.Renal function test.
3.Complete thyroid profile.
4.Complete blood counts.

Depression can be a direct cause of your symptoms RATHER than CFS.

Adequate treatment of depression in your case will ameliorate most of the symptoms.

I advise you to go for Tab Nexito forte which is a combination of Escitalopram and Clonazepam.

This combination when taken for more than 6 months will help in controlling most of your symptoms including normalizing your sleep pattern.

Please Note:This drug has to be taken under strict medical supervision.

Post your further queries if any.
Thank you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (39 minutes later)
Thank you for the answer. So if these battery of test return normal results, then I suffer from depression for which there is no cure and will be destined to this type of life? I have been unable to work like this. If the tests show other than normal, then whatever should show, they will move forward from there? It is hard to fathom that I can be this debilitated for over a year now and seem to be getting worse. Should I see my doctor right away? I've bee to a psychiatrist who changed my meds and made me worse then sent me to counselor whom I couldn't relate, I tried their meditation and it's not for me. So where do I turn?
doctor
Answered by Dr. Suresh Heijebu (12 hours later)
Brief Answer:
Treating depression will cure your health issue.

Detailed Answer:
Hi

I understand your concern.

In case if these tests turn out to be normal,then its a good sign.

In such a case using a right dose and a right drug to treat depression will offer almost a permanent cure altogether.

You need not feel tensed or stressed about your problem.This is well curable.

All you require is patience and peace of mind for a while.

I advise you to see a doctor once you finish these basic battery of tests.

Post your further queries if any.
Thank you.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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Suggest Treatment For Joint Aches, Muscle Aches And Exhaustion

Brief Answer: Symptoms could be directly related to uncontrolled depression. Detailed Answer: Hi Mam. I understand your concern. I advise you to have a baseline battery of tests before ruling in Chronic fatigue syndrome/Fibromyalgia. They include 1.Liver function test 2.Renal function test. 3.Complete thyroid profile. 4.Complete blood counts. Depression can be a direct cause of your symptoms RATHER than CFS. Adequate treatment of depression in your case will ameliorate most of the symptoms. I advise you to go for Tab Nexito forte which is a combination of Escitalopram and Clonazepam. This combination when taken for more than 6 months will help in controlling most of your symptoms including normalizing your sleep pattern. Please Note:This drug has to be taken under strict medical supervision. Post your further queries if any. Thank you.