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Where in your lower arms is the pain located? Can you describe it further? Duloxetine is also used for chronic pain Your pain may have increased as a result of being taken off this medication.
There is nothing medicslly serious that would cause bone pain in a young person like this. Stress may be the issue so you may be on the right track there.
I think your pain may be stress related and the day to day stress of caring for 6 closely spaced children. I doubt it is anything serious It sounds like you need to take some time for your self to get your health in order.
It would not be advisable to have any more children AFter 4 c sections the risk to both you and the baby is too high.
For women, sertraline can be a good start. It would help you to see a counselor
I would suggest seeing a psychiatrist. A medical Dr that may be able to help more.
Asma I am sorry I do not think I can help you much more online Good luck.