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Avatar universal

New symptoms

Symptoms:
Fatigue & Weakness (I can do most things but it's much harder, for example it wears out my arm to burp a baby to the point I can't move it until I rest it.)

General malaise feeling.

Joint pain & stiffness. Extending my elbow is painful. Walking causes a lot of pain in my hip (the front side).

All of the soreness seems to be in my joints and surround areas.

I have red spots(petechiae) on the lower half of my legs/feet.

Lab findings:
Positive ANA 1:80 speckled
RA and CCP negative
CRP - 14 to 19, over a period of several months
Lymes - negative

Medical History:
- Have chronic idiopathic urticaria since about 2001 (started in legs)
- GERD - around 2001
- Hypopnea - (sleep apnea diagnosed in 2007)

I do get rashes in some areas that come and go.

The petechiae is new.

I was told this sounds like lupus or mixed connective tissue disease so I'm going to ask my rheumatologist about this when I finally get in to see her.

Are there other things I could discuss with the rheummy?  I've been dealing with this for awhile now so leave no stone unturned as it were...
4 Responses
Avatar universal
Forgot to add - I've had a sore in my nose that has persisted for like a month now.
1756321 tn?1547095325
Cause of petechiae include:

Age
AIDS
H1N1
Sepsis
Rubella
Mumps
Vasculitis
Parvovirus
Alcoholism
Pregnancy
Chickenpox
Endocarditis
Scleroderma
Viral infections
Mononucleosis
Aplastic anaemia
Allergic reactions
Epstein Barr virus
Local injury, trauma
Violent vomiting, coughing
Meningococcal meningitis
Thrombocytopenic purpura
Haemolytic uremic syndrome
Rocky Mountain spotted fever
Cancer - leukemia, lymphoma
Blood poisoning from severe bacterial infections
Toxic chemical exposure - pesticides, arsenic, benzene
Certain medications including warfarin, hepararin, cortison
Autoimmune diseases - lupus, rheumatoid arthritis, celiac's
Haemolytic uremic syndrome  - can occur with E. coli bacterial infection
Nutrient deficiency: vitamin C, vitamin K, vitamin B9, vitamin B12, calcium

I would recommend testing for Hashimoto's Thyroiditis (autoimmune hypothyroidism). A full thyroid panel is recommended - TSH, free T3, free T4, and thyroid antibodies TPOAb and TgAb.  Chronic idiopathic urticaria is well known to be associated with thyroid peroxidase antibodies (TPOAb).  200mcg of selenium daily is shown in numerous trials to lower TPO antibodies.

Non obstructive GERD is most commonly due to low stomach acid.  In the case of hypothyroidism, low acid is due to the parietal cells slowing down and not pumping out as much stomach acid which then leads to acid reflux/GERD. Besides increasing thyroid hormone production, treatments for GERD include betaine HCI with pepsin supplements to help increase stomach acid and digestive enzyme supplements to help break down fats, carbohydrates and fats.  Sleep apnea is a symptom of hypothyroidism as well.  Low body temperature is also a good indicator of a thyroid condition.

Treatment of hypothyroidism however is fraught with problems. Synthetic T4 medication lowers TSH to normal but symptoms can remain. Treatment options can also include a combination of T4 and T3 supplementation or natural desiccated thyroid hormone.

To note, if you are taking acid blockers, then vitamin B12 deficiency is extremely likely not to mention that 40% of hypothyroid patients are found with vitamin B12 deficiency due to low stomach acid.  

Automimmune disorders that occur with increased frequency in patients with Hashimoto's Thyroiditis include insulin-dependent diabetes mellitus, myasthenia gravis, celiac disease, pernicious anaemia, vitiligo, rheumatoid arthritis, systemic lupus erythematosus, scleroderma, primary biliary cirrhosis, dermatitis herpetiformis, and Sjogren's syndrome.
1756321 tn?1547095325
I meant to say digestive enzyme supplements to help break down fats, carbohydrates, and proteins.  My mother no longer suffers GERD or LPR taking both supplements with meals. Good luck with diagnosis. :)
Avatar universal
They checked my hormones ad nauseam (thyroid, parathyroid, etc.) and didn't see anything wrong though that doesn't mean anything I've come to learn.

Chemically, last year my B6 high though at the time I wasn't supplementing.  Then they found my calcium was low so I started supplementing with a combo of vit D, magnesuim, and calcium.

Then they found my vitamin D was low and did a correction. 50k IU for 8 weeks.  All that but I do eat a very well balanced diet.

Then they found my lead level was borderline toxic.  I'm like, WTF?  I'm not exposed to lead.

However, I did read that it's more or less a chain reaction.

I heard that when you have an autoimmune response that your body will purposely absorb less vitamin D so it doesn't go crazy.  Lower vitamin d over time lowers your ability to absorb calcium.  Consequently it all leads to your body not disposing of the lead that's naturally occurring so it builds up.

Recently I've also become lactose intolerant.  So now I have to buy Lactaid.  Also if I eat certain foods I get fat really easy.  Last year I gained 60lbs with no change in my diet.

That leads me to believe that's there is some mal-absorption going on.
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