Suggest Treatment For Lower Joints Pain And Excessive Sweating

Posted on Fri, 7 Oct 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 7 Oct 2016 Answered on

Fri, 4 Nov 2016 Last reviewed on

Question : I had a nasty migraine that i was nausea the whole time an only vomited 1-2. I have been feeling week and lethargic, I have been drinking as much water as I can. And out of nowhere I started pouring sweat. It was soaking through paper towed. My migraine has diminished for the most part. My lower joints have been in pain especiley when I am getting up or down. THe heels of my feet hurt when I get up and makes it very difficult to go down stars.

Answered by Dr. Shehzad Topiwala (17 minutes later)

Brief Answer:
Tests

Detailed Answer:
Sorry to learn about your bothersome symptoms.

You have multiple problems that require systematic evaluation through appropriate testing. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting and can be done at any time of the day Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar