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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do For Joints And Back Pain And Weight Loss?

Dear Doctor,

This is Srinivas from Velachery, chennai.

Recently from past 3-4 months I am going through the following list of symptoms.

1) Frontal and Anal gas (burping), chest heaviness

2) back pain
3) pain from knees to foot, and pulling sensation in feet
4) joints pain (hands and legs)
5) burning sensation near joints, palms and thighs skin

6) unexplained/ untried weight loss (68 to 64)

In last 3-4 months I consulted Gastro/ Artho and Cardio, and also went through the below diagnostics procedures.

> Master health check-up showed all fine, except Vit D and Vit B 12 deficiency
> spine x-ray showed all fine
> endoscopy showed all fine
> ECG/ TMT/ Echo showed all fine

Even after all these, I am facing all the symptoms, except my weight is constant at 64.

Could you please tell me how I can proceed further? Whom I have consult next?
I am confused whether to consult a general physician or ortho.

Please give me your advice in the next step I can take.

Thanks,
Srinivas
YYYY@YYYY
Wed, 9 Apr 2014
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Psychologist 's  Response
Hello,

I had gone through the case and found that first start the medication for Vitamin D3 and Vitamin B12 deficiency.

Take Calcium twice a daily with Calcirol once a week with milk for vitmain D.

Take Meganeuron OD once a day for vitamin B12. If it is very low then take injectable Vitamin B12 5 dose on alternate day.

For gas or indigestion take antacid before meal two times a day.

You did not mention the hemoglobin report.if normal or less then go for TRBC, ferritin level.

Further if have any query then I will advise to consult the Rheumatologist super specialist doctor in chennai.

Hope you will find the answer of the query and do not worry, your problem will be solved.

Thanks and Take care
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What To Do For Joints And Back Pain And Weight Loss?

Hello, I had gone through the case and found that first start the medication for Vitamin D3 and Vitamin B12 deficiency. Take Calcium twice a daily with Calcirol once a week with milk for vitmain D. Take Meganeuron OD once a day for vitamin B12. If it is very low then take injectable Vitamin B12 5 dose on alternate day. For gas or indigestion take antacid before meal two times a day. You did not mention the hemoglobin report.if normal or less then go for TRBC, ferritin level. Further if have any query then I will advise to consult the Rheumatologist super specialist doctor in chennai. Hope you will find the answer of the query and do not worry, your problem will be solved. Thanks and Take care