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What Causes Bilateral Muscle Pain, Nausea And Increased Headache?
Question: Hello...I recently have had a elevated sed rate just at 21. My baseline for prior results has been 16. The ANA is positive with 1:80 fine speckled titer. CBC was normal with just a low MCHC. I have had significant bilateral hip,leg,elbow,wrists,fingers,femur and leg muscle pain. Nausea, increased headaches, brain fog. This has increased from on and off to now constant the past 2 months. Dr is referring me to rheumatology. Are you able to provide any inside as to result interpretation and or direction to go in? Thank you for your time.
Brief Answer:
This could be Lupus .
Detailed Answer:
Dear Madam,
Thank you for posting your query on HCM.
Well looking into your problem I would like to tell you that , since your ANA is positive although not in a high titre , there is a possibility of Lupus . Your ESR is not that raised . I think you need to get an ENA profile , Urine to look for proteinuria , CPK , TSH antiphospholipid antibody profile done to rule out further organ involvement in lupus . All your symptoms can arise due to Lupus as Lupus has myriad presentation and can give multiple symptoms which can be confusing . If all these tests come negative then we will think of other possibilities but we need to rule this out first . Any other query you want to ask please ask .
Take care.
Dr. Shruti
This could be Lupus .
Detailed Answer:
Dear Madam,
Thank you for posting your query on HCM.
Well looking into your problem I would like to tell you that , since your ANA is positive although not in a high titre , there is a possibility of Lupus . Your ESR is not that raised . I think you need to get an ENA profile , Urine to look for proteinuria , CPK , TSH antiphospholipid antibody profile done to rule out further organ involvement in lupus . All your symptoms can arise due to Lupus as Lupus has myriad presentation and can give multiple symptoms which can be confusing . If all these tests come negative then we will think of other possibilities but we need to rule this out first . Any other query you want to ask please ask .
Take care.
Dr. Shruti
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Above answer was peer-reviewed by :
Dr. Sonia Raina
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