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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Headaches Along With Joint Pain And Excessive Sleepiness?

I have been diagnosed with Lymes. I had it 5 years ago and went months/years without a diagnosis. At that time I got a pic line and Rocephin(sp) for a 30 day period. Symptoms disappeared and I felt much better. About 5 months ago I again began to experience the same symptoms I had 5 years ago-headaches, pain in all my joints, sleeplessness. Blood test revealed I had be re-infected and had Lymes. Cigna refuses to give me a pic line with the Rocephin, claiming that it is an experimental drug/technique, even though it worked for me 5 years ago. Is there a tablet form of this drug?
Wed, 28 Nov 2018
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General Surgeon 's  Response
Hello,

In my opinion, there is no reason to be worried and usually, this is just temporary and self-limiting.

Excessive daytime sleepiness is common issues and should be considered in this case.

Excessive daytime sleepiness may be caused by conditions such as sleep deprivation, metabolic disturbances, sleep apnoea, medications, neurological disorders such as seizures and psychiatric disorders such as depression.

If emotional causes are ruled out then some tests can be done to confirm the diagnosis.

In my opinion, polysomnography ( sleep study ), is one of the necessary examinations in order to achieve a correct diagnosis. Please discuss with primary care Doctor about these issues.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Headaches Along With Joint Pain And Excessive Sleepiness?

Hello, In my opinion, there is no reason to be worried and usually, this is just temporary and self-limiting. Excessive daytime sleepiness is common issues and should be considered in this case. Excessive daytime sleepiness may be caused by conditions such as sleep deprivation, metabolic disturbances, sleep apnoea, medications, neurological disorders such as seizures and psychiatric disorders such as depression. If emotional causes are ruled out then some tests can be done to confirm the diagnosis. In my opinion, polysomnography ( sleep study ), is one of the necessary examinations in order to achieve a correct diagnosis. Please discuss with primary care Doctor about these issues. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon