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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do If Having Idiopathic Neutropenia, Fatigue And Headaches, Tinnitus In Ear, Mouth Sores, And Menstrual Issues?

I have idiopathic neutropenia. The oncologist thinks it may be auto immune because it responded well to steroids. My BP is 88/40 and my body temp stays around 65. I am 42 and started having physical decline after birth of my first baby when I was 35. I've been to a specialist, 2 bone marrow biopsies and am part of a wait and see study for pre luekemia and pre lymphoma. I had my gallbladder out in 2011, and have had chronic diarrhea that is yellow ever since. When I eat, I feel like a rock is in my abdomen and it won't go down. When I take digestive enzymes, it seems to lesson the pain. Without the enzymes, I get attacks that feel like what they told me were gallbladder attacks. I've had endoscopy by GI doctor who said he didn't see anything. Have many physical ailments-dishydrosis in the hands, afternoon fatigue and headaches, tinnitus in right ear, mouth sores, and menstrual issues. Last year, from Feb 14 to Mar 15 I bled heavily, slowed and stopped when OBGYN prescribed progesterone. Had menstrual only 4 times last year. OBGYN did uterine biopsy and pap, everything ok on tests. My family doctor and other doctors tell me something is wrong, they don't have any answers. After running weekly blood tests to monitor for several months and 2 bone marrow biopsy's and all the other tests, I'm just tired. I stopped the blood tests. I have an appt in Feb with an Endocrinologist, my FP requested testing me for Addisons to rule it out. Have 4 and 6 year who deserve a mother who isn't resting or feeling bad so often. Any ideas or suggestions?
Wed, 25 Feb 2015
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Orthopaedic Surgeon 's  Response
Thank you for the question. For your multitude problems you have already undergone several investigations and no positive finding apart from neutropenia which responds to steroids.So take prednisone 5mg tds for 2 weeks and gradualy taper to 5 mg once a day for another week. get complete blood count before and after a course. Take elavil(amitryptaline) 25 mg BD for 3 weeks and take nutritious diet,, more of fruits and vegetables and high fibre diets.Take isapgol (naturolax) powder 2 TSf with mik after dinner every dayrest assured there is nothing seriously wrong and you will be alright if you follow the advise
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What To Do If Having Idiopathic Neutropenia, Fatigue And Headaches, Tinnitus In Ear, Mouth Sores, And Menstrual Issues?

Thank you for the question. For your multitude problems you have already undergone several investigations and no positive finding apart from neutropenia which responds to steroids.So take prednisone 5mg tds for 2 weeks and gradualy taper to 5 mg once a day for another week. get complete blood count before and after a course. Take elavil(amitryptaline) 25 mg BD for 3 weeks and take nutritious diet,, more of fruits and vegetables and high fibre diets.Take isapgol (naturolax) powder 2 TSf with mik after dinner every dayrest assured there is nothing seriously wrong and you will be alright if you follow the advise