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What Causes Dizziness When With History Of RA, CAD, Memory Loss After Stroke?
Question: I have a history of RA, CAD, short term memory loss due to stroke. problems with dizziness, that is getting progressively worse, diabetes, HTN, exogenis pancreatic insufficiency, (L) subclavin steal with 7 stents, and several other conditions. My problem is muscle pain, with walking, tenderness, I have to stop doing what every I am doing - I love yard work. But the muscle problem seems to getting worse. There is no pain ( chest), there is of course the RA (using Orencia q wk). Am on numerous meds, including Prednisone 5 mg qod, Orencia, Plaqunil, Arava 20 mg q am. The pain is mainly in the upper legs, and upper arms
I live in a small rural town, and no one of my DRs. seem to know what the problem is. Any help or suggestions would be greatly appreciated.
I live in a small rural town, and no one of my DRs. seem to know what the problem is. Any help or suggestions would be greatly appreciated.
Brief Answer:
Consultation
Detailed Answer:
Thanks for your question.
You describe a problem of muscle pain in the setting of multiple other medical illnesses. A few things come to mind. First, arthritis may actually be the cause of this pain. Pain the joints can be referred to other areas and may be confused as muscular pain. Or, relatedly, you may have another autoimmune disorder that affects the muscles, as RA is often associated with other autoimmune disorders. I would get testing for these (lupus, for example). Prednisone can cause muscle breakdown and pain. You are probably on a statin for cholesterol that can cause muscle pain (get a CK level). You may have a derangement of potassium related to kidney issues or a medication. Finally, this may be psychosomatic and you may benefit from addition of an SNRI antidepressant which also treats pain.
My name is Dr. Sheppe, and I am an XXXXXXX psychiatrist working in New York City. For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Consultation
Detailed Answer:
Thanks for your question.
You describe a problem of muscle pain in the setting of multiple other medical illnesses. A few things come to mind. First, arthritis may actually be the cause of this pain. Pain the joints can be referred to other areas and may be confused as muscular pain. Or, relatedly, you may have another autoimmune disorder that affects the muscles, as RA is often associated with other autoimmune disorders. I would get testing for these (lupus, for example). Prednisone can cause muscle breakdown and pain. You are probably on a statin for cholesterol that can cause muscle pain (get a CK level). You may have a derangement of potassium related to kidney issues or a medication. Finally, this may be psychosomatic and you may benefit from addition of an SNRI antidepressant which also treats pain.
My name is Dr. Sheppe, and I am an XXXXXXX psychiatrist working in New York City. For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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