fever without temperature, body weakness and muscle pain for over 1 year

[folwalsh]

Hi. I will really like help on this. I have suffered from internal fever. My body temperature when taken by a thermometer is normal,but I feel warm and feverish inside me. I have joint and muscles that ache especially on my booth knees. I also suffer from extreme fatigue sometimes and also realized that I have flu like symptoms the whole year round. This has last for over 1 year and have gone through numerous medical test but the doctors can't diagnose exactly what is wrong with me. Please anybody help me with advice. Im 24 yrs old and this situation keeps me so depressed.

[Barb135]

Thank you for verifying # 6 and 7.

Will look forward to seeing labs for thyroid - Free T3, Free T4 and the 3 antibodies.

[folwalsh]

Ok thanks very much. By thursday i will try to make sure i get the test and inform you. I am so greatfull for your help

[folwalsh]

#6 is ASO TEST- negative
#7 is in Normal Range
Also if i do a direct translation for number
#8 ESR test.

[Barb135]

Okay...

1)  FIBRINOGENE  is a protein of blood plasma and is involved in inflammation of the body.  Your level is within the normal range.

2)  Has to do with Enzyme Kinetics - the biologic reaction of enzymes in the body.  I'm far from being an expert on this, so I won't attempt to try to figure it out, but your result seems to be well within the normal limit.

3)  "Creatine phosphokinase isoenzymes play a key role in the intracellular energy transport from mitochondria to myofibrils and other sites of energy utilization"   Again, this is out of my scope, but your levels appear to be well within the reference range.

8)  "The sedimentation rate is part of routine examinations, done during a blood test. The sedimentation rate is the rate needed for cells and blood  sediment settle to the bottom of a test tube. The anticoagulated blood is placed in a test tube and the speed at which we observe erythrocytes fall and settle in the bottom of the tube."   I don't know what the normal rate is.

None of these tests are thyroid tests.  You need to ask your doctor to do thyroid tests.  Those would include Free T4, Free T3 and TSH, along thyroid antibody tests to determine whether or not you have either Hashimoto's Thyroiditis or Graves Disease.  Both can cause joint/muscle aches/pains.  

Since you have the weight loss, I might suspect you are hyper.  While Hashimoto's is, typically, associated with hypothyroidism, it's often characterized by periods of hyperthyroidism in early stages.  Ask for the antibody tests I mentioned above.  

In addition, you should ask to be tested for Graves Disease, which is always associated with hyperthyroidism.  The definitive test for Graves is Thyroid Stimulating Immunoglobulin (TSI).

[Barb135]

Since some of these are in French, I have to go look them up, so this will take me a little bit...

I can see that # 4 is equivalent to our Rheumatoid Factor and I note that's negative, which means you don't have have Rheumatoid Arthritis.

# 5) C-Reactive Protein is positive, indicating that there's inflammation in your body.

# 6) I'm not not sure what that means... Can you verify that?

#7)  We'd need a reference range for the uric acid to know whether that's in range or not.  

I'll have to look up and translate # 8..

[folwalsh]

No. I have never done those test. Below is list of test i have one
The are some in French I will just copy as it is to avoid a mis translation :)
TEST
1) FIBRINOGENE................2,70    g/l   valeurs de reference (1,70 - 4,50)

2) Cinetique enzymatique a 30 degree
CK MB...............................16,90   UI/L valeur de reference (0.00 - 25,00)

3) Creatine-Phosphokinase
  CPK...............................88,40    UI/I  valeur de reference (0.00 - 190.00)

4) FACTEUR RHUMATOIDE
examen qualitatif de depistage

- Test au latex......................................Negatif
- Titre du patient...............................0,00  UI/ml ( < 8,00)
conclusion............................... Recherche et dosage Facteur Rhumatoide Negative

5) Proteine Reactive ( CRP)...........Positive (12mg/ l)

6) ALSO .......................................Negative

7) Acide Urique (uricemie).................92 mg/l

8) Vitesse de sedimentation globulaire - 1st hr 04mm
                                                                2nd hr 07mm


Also i feel very weak and lost a lot of weight. I am so disturbed of my condition now, please help me

[Barb135]

Have you had your thyroid hormone levels tested?  Ask your doctor to test Free T3 and Free T4, along with the pituitary hormone TSH.  

Also ask them to test thyroid antibodies, Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TgAb) to test for Hashimoto's, which is an autoimmune thyroid disease that causes the thyroid to produce too few thyroid hormones.

Hypothyroidism (under active thyroid) can cause those symptoms.  The fatigue and general malaise can cause the feeling of having a fever and flu-like symptoms.