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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Constant Pain Under Rib Cage, Carpal Tunnel Syndrome, Back, Neck Problems,stiffness, Pain In Joints

Having constant pain just under the rib cage on the left side for two days, almost like lacking the oxigen when wrongly running-splean? Being nauseus and very tired in the morning and NOT pregnant, having strong pain in the stomach if taking a cup of coffee on an empty stomach. Till recently, being on prolonged dose of vitamin and mineral suplements due to a carpal tunnel syndrom and back and neck problems, morning stifness and pains in the joints ( vitamin B complex , glucosamine , vitamin D @A , vitamin C , ...for almost 3 months, now stoped due to excessive pain in the stomach if taken. Having very low cholesterol and low to normal blood pressure, being a bit overweight , 44 years old, 165cm and cca 80 kg, pear shaped, veins problems for years, itchy skin on few spits on my problematic leg. Operated meniscuses on my right knee and bowel due to prolaps and hemorroides _NOT successful. More problems then before. Do not want to operate my hands even though I have constantly numb first three fingers on both hands, right worse. I have Mirena fitted for last three years and now blaming it on my prolonged worsening of all conditions I already have - even borderline smear tests for two years in a row, sometimes bleeding after intercours, or having strong pain with certain positions; ultrasound appears to be normal. Could it be Mirena??? I am a houswife at the moment, so not overstressed or extremely overburdened. I tried to walk a lot , cycle and swim aprox 2_3 times monthly. Have to abandon tennis and golf in last two years..thanks .
Fri, 22 Nov 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
I would come up with these possibilities and measures for these symptoms , these includes.
1 The first possibility is of peptic ulcer disease due to excessive use of glucosamine .Diagnosis can be confirmed by upper G I endoscopy . Try raising the head of your bed about 4 inches with blocks.It also might help to avoid eating or drinking for 2 hours before you lie down.To help control stomach acid one should not drink alcohol or drinks with caffeine in them or eat chocolates or spicy or greasy foods.Also take some antacid ( if it contains oxetacaine than good ) but if symptoms are severe then you may need drugs like proton pump inhibitors.
2 Mirena is not responsible for your present circumstances , so relax , as pain during may be due to cervicitis . Diagnosis can be confirmed by physical examination by a gynecologist.
3 As pap smear test is normal so don't worry , but it examined every years just for precaution.
In my opinion deal accordingly .
Good luck. Dr. HET
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Constant Pain Under Rib Cage, Carpal Tunnel Syndrome, Back, Neck Problems,stiffness, Pain In Joints

Hello, Thanks for the query to H.C.M. Forum. I would come up with these possibilities and measures for these symptoms , these includes. 1 The first possibility is of peptic ulcer disease due to excessive use of glucosamine .Diagnosis can be confirmed by upper G I endoscopy . Try raising the head of your bed about 4 inches with blocks.It also might help to avoid eating or drinking for 2 hours before you lie down.To help control stomach acid one should not drink alcohol or drinks with caffeine in them or eat chocolates or spicy or greasy foods.Also take some antacid ( if it contains oxetacaine than good ) but if symptoms are severe then you may need drugs like proton pump inhibitors. 2 Mirena is not responsible for your present circumstances , so relax , as pain during may be due to cervicitis . Diagnosis can be confirmed by physical examination by a gynecologist. 3 As pap smear test is normal so don t worry , but it examined every years just for precaution. In my opinion deal accordingly . Good luck. Dr. HET