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Abdullah Al-Badri

Abdullah Al-Badri

Licensed Doctor

الأسئلة المجابة 11916 | نسبة الرضا 97.9%

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hi, I recently went to see an orthopedic doctor...

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hi, I recently went to see an orthopedic doctor due to complaints about increased bone and joint pain, I've had knee pains for years now and doctors suggested it is due to the tightened hamstring and narrowing of the medial patella femoral joint space (according to knee radiology report) because of my tightened hamstring and most recently my orthopedic doctor recommended physio therapy and gave me coxicel 200 mg to take for 10 days to recover from inflammation (been taking it for 2 days). While my knee pain has been ongoing for years my doctor did not have an explanation for my joint and bone pain that I have been dealing with, last year i started experiencing sharp shoulder joint pain in both shoulders that I kept ignoring but they have been coming and going, the pain gets so strong that i cant lift my arm for a few minutes and then disappears, most recently i have been experiencing jaw joint pain (TMJ), wrist pain, knuckle pains at night, ankle tenderness towarsd my inner ankles, elbow pains, shin bone pain and fore arm pains and headaches that radiate around the top of my head, I also experience rib and chest pains at night - i noticed feel some weird heavy pain in my upper abdomen when i sleep in my left side). my orthopedic doctor ran some blood tests including Vitamin D test (result 57.6), ESR test (Result 7), Rheumatoid Factor (Result 4, Interpretation: Negative), Calcium (9.5) he said my blood work is normal which is great but my pain is still ongoing, he suggested i take the coxicel 200mg for (1 pill a day for 10 days) to any reduce inflammation. I wanted to know if what I am experiencing is normal? My symptoms have worsened the past two weeks which is why I went to see a doctor, I do not suffer from any chronic diseases, I am 23 years old and a female from Qatar, my doctor suggested that it could be "stress" but I am not really stressed.

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إجابة الخبير: Abdullah Al-Badri

Abdullah Al-Badri

Abdullah Al-Badri

Licensed Doctor

الأسئلة المجابة 11916 | نسبة الرضا 98%

what about this multijoints pain that you have ?
there are many reasons for this kind of complains that you are complaining from but the treatment in general the pain is treated by nonsteroidal antiinflammatory drugs such as diclofenac 50 mg 3 times a day then you have to do a further investigation to identefy the casue 
what are am i suffering from in the knee ?
you have what so called patellofemoral arthritis and the treatment is the same as we mentioned before or as in has been prescribed by your doctor ( coxicel is celecoxib and belongsto the same class which is nonsteroidal anti inflammatory drugs )  plus bed rest and ice packs and physiotherapy 
what it could  be the cause for the multi joints pain, headache, chest pain and abdmoinal heaviness  ?
there are many causes and since your tests are in normal range then we will suggest a diseases that arent affecting the lab tests results such as 
  • somatoform and its any pan or a collection of painfull symptoms that arent explained by medical lab tests and the clinical examinations and this disease is usually due to mental illness such as emotional stress and panic attacks 
  • hyperthyroidesm or hypothyroidesm 
  • parasitic ilnesses such as to toxoplasmosis 
  • baterial diseases such as cat scratch disease
  • viral disease such as cytomegalovirus 
  • fibromyalgia 
  • familial mediterranean fever ( FMF disease )
  • crohns disease and ulcerative colitis 
  • heart arrythmias 

what should i do to get the right treatment ?
you should visit the internal medicine doctor and do a full medical examination, check your rpn antibody test to exclude any connective tissue diseases for sure, do a blood film to check for the shape size and coun of the blood cells, MEFV TEST to rule out FMF, abdominal ultrasound, CAT SCAN OF the abdomin to rule out crohns disease and rule out ulcerative colitis, do a colonoscopy and gastroscopy to check for any systemic gastrointestinal diseases, check for the heart throught the echocardiography and ECG and  hulter monitor test for the teart and stress ECG to rule out the cardiac diseases and do a brain MRI  to check for any brain abnormaility for the headace 
what is the advice ?
these symptoms needs to be treated as whole and then as a single symptom and the best doctor to check for your symptoms as a whole package ( due to systemic illnesses ) is the internal medicine doctor then according to the results he will send you to the specialized doctor according to the results 

إسأل Licensed Doctor

Abdullah Al-Badri

Abdullah Al-Badri

Licensed Doctor

الأسئلة المجابة 11916 | نسبة الرضا 97.9%

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