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What Causes Breathlessness Upon Walking, Intermittent Stiff Neck And Lower Back Pain?
Question: Dear Doctor,
I am a Male of XXXXXXX Nationality born on 16/09/1981 with 166 cm height and 89 KGs Weight, Yesterday i have got my casual blood work done and reports are hereby attached for your reference.
Peculiarities in Report:
1) High Serum Calcium (10.03 mg/dL)
2) Low ESR (1 mm/Hr)
3) Low Alkaline Phosphate (36.80 U/L)
4) Low Vitamin D (19.90 ng/mL)
5) High Total Cholesterol (231.99 mg/dL)
6) Non-Obstructive Kidney Stone of 2mm
7) Blood Pressure 146/82
My Present Condition:
1) Breathlessness after walking for some time which usually releaves after taking a puff of Asthalin Inhaler as i am having Paternal Asthma which is elevated only when in contact with Cold Climate or Dust.
2) Left Leg Joint Pain occasionally.
3) Sometimes Stiff Neck and feeling of hotness on the neck.
4) Sometimes Stabbing Pain above my buttock at the end of back bone.
5) Generalized feeling of fatigue usually in the evening after office hours from 4 PM to 8 PM.
My Primary Question:
Do I have Hyperthyroidism related Cancer or any other Complications?
My Secondary Questions:
1) Why my Calcium is on a higher end and Vitamin D on a Lower end together?
2) Do I have cancer/tumour related to Thyroid Gland?
3) Any Tests are required to diagnose further?
4) If no tests are required then what should be the duration of Wait-and-watch?
5) I am taking Vitabiotics Cardioace (Vitamin Supplement), One Capsule per day since one week which is having 20 Micro Gram Vitamin D. Still I am deficient of Vit D, Why?
6) What is your Overall Recommendation on the conditions mentioned above and what supplements you will suggest to relieve from the situation.
I am a Male of XXXXXXX Nationality born on 16/09/1981 with 166 cm height and 89 KGs Weight, Yesterday i have got my casual blood work done and reports are hereby attached for your reference.
Peculiarities in Report:
1) High Serum Calcium (10.03 mg/dL)
2) Low ESR (1 mm/Hr)
3) Low Alkaline Phosphate (36.80 U/L)
4) Low Vitamin D (19.90 ng/mL)
5) High Total Cholesterol (231.99 mg/dL)
6) Non-Obstructive Kidney Stone of 2mm
7) Blood Pressure 146/82
My Present Condition:
1) Breathlessness after walking for some time which usually releaves after taking a puff of Asthalin Inhaler as i am having Paternal Asthma which is elevated only when in contact with Cold Climate or Dust.
2) Left Leg Joint Pain occasionally.
3) Sometimes Stiff Neck and feeling of hotness on the neck.
4) Sometimes Stabbing Pain above my buttock at the end of back bone.
5) Generalized feeling of fatigue usually in the evening after office hours from 4 PM to 8 PM.
My Primary Question:
Do I have Hyperthyroidism related Cancer or any other Complications?
My Secondary Questions:
1) Why my Calcium is on a higher end and Vitamin D on a Lower end together?
2) Do I have cancer/tumour related to Thyroid Gland?
3) Any Tests are required to diagnose further?
4) If no tests are required then what should be the duration of Wait-and-watch?
5) I am taking Vitabiotics Cardioace (Vitamin Supplement), One Capsule per day since one week which is having 20 Micro Gram Vitamin D. Still I am deficient of Vit D, Why?
6) What is your Overall Recommendation on the conditions mentioned above and what supplements you will suggest to relieve from the situation.
Brief Answer:
will clarify your query
Detailed Answer:
Hai,
Thanks for consulting HCM.
Do I have Hyperthyroidism related Cancer or any other Complications?
With this parameters in your attached reports and symptoms, we cannot conclude cancer or hyperthyroidism. You need thyroid profile test to rule out hyperthyroidism.
1) Why my Calcium is on a higher end and Vitamin D on a Lower end together?
As your calcium level is little above normal. calcium level is perfectly normal.don't confuse with mild elevation in calcium with hyperthyroidism.
Vitamin D level 20ng/ml is very mildly suboptimal.
Vitamin D investigation - gold standard test is still in debate. you don't worry unless you develop any other bone or musculo skeletal related problem. 20ng/ml is adequate for healthy people.
however, you can take vitamin D tablets to increase your vitamin D level.no harm in it.
2) Do I have cancer/tumour related to Thyroid Gland?
you need to go for Thyroid scan and fine needle aspiration and cytology test to conclude that you have any cancer level in thyroid.
3) Any Tests are required to diagnose further?
Yes.
Thyroid profile,
Thyroid scan,
fine needle aspiration biopsy.
4) If no tests are required then what should be the duration of Wait-and-watch?
I don't find any cancer or hyperthyroidism related symptoms in you. Don't get anxious about it.
5) I am taking Vitabiotics Cardioace (Vitamin Supplement), One Capsule per day since one week which is having 20 Micro Gram Vitamin D. Still I am deficient of Vit D, Why?
One week vitamin D administration will not show much difference in vitamin D level.
6) What is your Overall Recommendation on the conditions mentioned above and what supplements you will suggest to relieve from the situation.
Firstly don't get panicked.
Complete physical and systemic examination should be done by a physician.
Your quoted symptoms will be there for over all population who do sedentary work.
As your cholesterol level is high. kindly take medication for that. and avoid fatty food,fried,junk food. take more fiber and vegetable foods.
As you are an asthmatic breathlessness is common. kindly take proper treatment.
Do have healthy diet and exercise. Be free from stress and anxiety.
Kindly get back to me if you need any further clarification.
Regards
Dr.S.senthilnathan
will clarify your query
Detailed Answer:
Hai,
Thanks for consulting HCM.
Do I have Hyperthyroidism related Cancer or any other Complications?
With this parameters in your attached reports and symptoms, we cannot conclude cancer or hyperthyroidism. You need thyroid profile test to rule out hyperthyroidism.
1) Why my Calcium is on a higher end and Vitamin D on a Lower end together?
As your calcium level is little above normal. calcium level is perfectly normal.don't confuse with mild elevation in calcium with hyperthyroidism.
Vitamin D level 20ng/ml is very mildly suboptimal.
Vitamin D investigation - gold standard test is still in debate. you don't worry unless you develop any other bone or musculo skeletal related problem. 20ng/ml is adequate for healthy people.
however, you can take vitamin D tablets to increase your vitamin D level.no harm in it.
2) Do I have cancer/tumour related to Thyroid Gland?
you need to go for Thyroid scan and fine needle aspiration and cytology test to conclude that you have any cancer level in thyroid.
3) Any Tests are required to diagnose further?
Yes.
Thyroid profile,
Thyroid scan,
fine needle aspiration biopsy.
4) If no tests are required then what should be the duration of Wait-and-watch?
I don't find any cancer or hyperthyroidism related symptoms in you. Don't get anxious about it.
5) I am taking Vitabiotics Cardioace (Vitamin Supplement), One Capsule per day since one week which is having 20 Micro Gram Vitamin D. Still I am deficient of Vit D, Why?
One week vitamin D administration will not show much difference in vitamin D level.
6) What is your Overall Recommendation on the conditions mentioned above and what supplements you will suggest to relieve from the situation.
Firstly don't get panicked.
Complete physical and systemic examination should be done by a physician.
Your quoted symptoms will be there for over all population who do sedentary work.
As your cholesterol level is high. kindly take medication for that. and avoid fatty food,fried,junk food. take more fiber and vegetable foods.
As you are an asthmatic breathlessness is common. kindly take proper treatment.
Do have healthy diet and exercise. Be free from stress and anxiety.
Kindly get back to me if you need any further clarification.
Regards
Dr.S.senthilnathan
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Above answer was peer-reviewed by :
Dr. Pradeep Vitta
Answered by
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