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Abdullah Al-Badri

Abdullah Al-Badri

Licensed Doctor

الأسئلة المجابة 11916 | نسبة الرضا 97.5%

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Hi, my name is Joud am 16 years old and am having...

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Hi, my name is Joud am 16 years old and am having muscle twitching and muscle spasms from 7 or 8 years, am getting worse everyday, am having other symptoms that are getting worse, such as heart palpitations, shortness of breath, fatigue, muscle weakness, tremors, sometimes back pain. I went to nearly 15 doctors, each doctor diagnosed me with something different, I stopped all medications last year because I was getting worse. I did a blood test, potassium, magnesium, iron, thyroid were good, I had vitamin D deficiency and high levels of calcium and white blood cells. When I spend energy on the tiniest thing I get tired, if I jump my heart starts beating fast. A new thing now happening is when I wake up I feel like 2 watermelons are on top of each lung, I wake up exhausted and can't breathe feeling like I'll get a heart attack in any second. I need help Thank you.

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إجابة الخبير: Abdullah Al-Badri

Abdullah Al-Badri

Abdullah Al-Badri

Licensed Doctor

الأسئلة المجابة 11916 | نسبة الرضا 97.5%

what is the treamtment of vitamin D deficiency ?
the treatment by using a supplemental vitamin D  pills and multivitamin pills 
what is the treatment of the high calcium levels ( hypercalcemia )?
hypercalcemia is treated by bisphosphonates  that is an iv drug which has the ability to drop the calcium levels, cinacalcet ,  calcitonin and its a hormonal drug that is used to treat hypercalcemai and in some cases the parathyroid glands ( one or all of them ) removal is a most 
vitamin d is low and calcium is high  ???
it seems that your not enough vitamin d in your body causing you calcium to elevate due to malabsorbtion ( clacium isnt going to be absorbed without vitamin D ) and vitamin D isnt going to be enough in your body without the synthesis of it properly by the help of parathyroid hormone 
what are the signs of hypercalcemia ?
  • tremor 
  • muscle pain 
  • frequent urination and thirst 
  • depression 
  • high blood pressure and heart diseases 
  • fatigue 
  • palpitation 
  • chest pain and bone pain 
  • recurrent urolethiasis ( kidney stones ) 

what are the signs of vitamin D deficiency ?
  • depression 
  • fatigue 
  • muscle pain 
  • hair loss
  • bone pain and back pain 
  • recurrewnt infection 

what are the possible causes of hypercalcemian ?
  • cancers and malegnancy 
  • tuberculosis
  • vitamin d supplementation and high levels of vitamin d 
  • sacroidosis 
  • hyperparathyroidism 

what are the causes of vitamin d deficiency ?
  • celiac disease 
  • cystic fibrosis 
  • kidney  diseases
  • obesity 

what are the possible causes of chest heaviness ?
  • the possible causes maight be due to hypercalcemia and vitamin d defficiency 
  • anginal pain and ischemic heart disease 
  • heart failure 
  • emotional stress 

what are the casues of white blood cells elevation ?
  • infection 
  • physical stress 
  • leukemia 
  • immune related diseases such as crhons diease
  • smoking 

what are the diagnostic tests needed for your condition ?
at first the doctor might ask for the past medical history and exam the patient clinically , electrocardiogram to check for your chest pain and also it might reveal high levels of calcium, echocardiogram and it can detect any abnorma structural heart disease and the doctor can see the heart contractility nad identify any abnormailiy, mesuring the level of vitamin d and the level of serum calcium in the blood and check for the parathyroid hormone level 
what is the advice ?
we advice you to visit a family medicine doctor for the right dignosis and reffer you for the appropriate speciality 

إسأل Licensed Doctor

Abdullah Al-Badri

Abdullah Al-Badri

Licensed Doctor

الأسئلة المجابة 11916 | نسبة الرضا 97.5%

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