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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Anemia, Taken Treatment, Have Continuous Knee Pain, No Relief With OTC Medicines. Any Suggestions?

Hi my name is Shari, at my PE last year I explained some symtoms (one of which is constant, unbearable knee pain ) to my provider which prompted her to do some blood work. It was then that I was Dx with Anemia . I have been on 975mg of Ferrous sulfate and monthly injections of B12 for a year. All of my symtoms have subsided with the exception of the knee pain. I have treated the pain with OTC medications such as ibuprofen and acetominophen. Both provide no relief what so ever. I take rather high doses of both( 800mg ibuprofen, 1000mg acetominophen) which does not help. I am at a loss and don t know what to do. Any suggestions?
Thu, 20 Sep 2012
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Internal Medicine Specialist,  's  Response
Hi SHari,
I think you should get further evaluation regarding the cause of your anemia. It seems that you are taking large amounts of ibuprofen which can actually cause ulcers in the stomach, which can make you anemic. Your knee pain should therefore be evaluated by either a rheumatologist or an orthopedist, because maybe you will benefit from knee injections to relieve your pain, and at the same time avoid taking ibuprofen, which as I mentioned, may damage your gastrointestinal tract. You may also be having a problem absorbing your nutrients (including iron and vitamin b12), however these issues need to be evaluated by a gastroenterologist that may want to look inside of you with an endoscope through the mouth (upper endoscopy) and through your rectum (colonoscopy).
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Diagnosed With Anemia, Taken Treatment, Have Continuous Knee Pain, No Relief With OTC Medicines. Any Suggestions?

Hi SHari, I think you should get further evaluation regarding the cause of your anemia. It seems that you are taking large amounts of ibuprofen which can actually cause ulcers in the stomach, which can make you anemic. Your knee pain should therefore be evaluated by either a rheumatologist or an orthopedist, because maybe you will benefit from knee injections to relieve your pain, and at the same time avoid taking ibuprofen, which as I mentioned, may damage your gastrointestinal tract. You may also be having a problem absorbing your nutrients (including iron and vitamin b12), however these issues need to be evaluated by a gastroenterologist that may want to look inside of you with an endoscope through the mouth (upper endoscopy) and through your rectum (colonoscopy).