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Dr Uzair
Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 9881
Experience:  MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.
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Uzair I developed severe and apparently permanent adverse

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For Dr. UzairI developed severe and apparently permanent adverse reactions as a result of Hepatitis B vaccine.
About 4 years ago I was completely healthy and very athletic before this vaccination and have now
suffered severe, debilitating autoimmuneside effects from this vaccine.Would a referral to Orthopedadics or Rheumatology be better for my left shoulder pain, which isn't
in both shoulders at once, just the left, previously I had no shoulder problems, I used to lift 100KG
but now I get left shoulder pain when I lift 50KG and these started after vaccination. There's a
measurable loss in stamina before the vaccine to how I am now, I experience breathlessness much earlier
when I do cardiovascular exercise then before I had the vaccine. I have chronic fatigue and it is not
improved by getting rest. I have a dry persistent cough when there's nothing to bring up. I have a
constant pain while I'm seated, which is focused in one specific area, on the upper left side of my
abdomen. This area hurts while I'm seated with my laptop or while I'm watching TV or while I'm seated
on the bus. The pain is related to muscle movement and positional. The pain isn't there with change of
position i.e. Standing up or lying down flat. Painkillers don't help. It's not my stomach because when
I eat, I can feel the stomach processing food and the upper left abdominal pain both at the same time,
and they are in two different locations. I suffered the residual effects of all these symptoms for
more than 4 years.I have an Ultrasound scan soon and I've had normal blood tests all which came out fine.
Customer: replied 1 year ago.
also) I have joint pain in my little toes when I walk,
sometimes the right toes and sometimes the left toes.

Hi. Welcome to JustAnswer. I am Dr Uzair.
I am reviewing your post and will post back with your reply momentarily.

Can you please tell me what blood tests have you had and if you can, please mention the results as well.

Let me know.

Customer: replied 1 year ago.
Full blood count, Autoimmune abs. In total there were 14 or so blood tests

And these were all within normal limits?

Do you remember if you had an ESR and CRP tests?

Customer: replied 1 year ago.
they all came out fine. I don't remember if any of them were ESR or CRP

If you did indeed have an ESR and a CRP and autoantibody panel, and everything was fine, then an orthopedic surgeon is the best person to see for the shoulder pain and the lasting fatigue. A Rheumatologist will not be able to help if this is not an autoimmune or chronic inflammatory condition, which does not seem likely given the normal tests.

A MRI of the shoulder is in order but the best course of action will be to see the Orthopedic surgeon for an evaluation first.

Hope this helps.

Please do leave a positive rating for the service by clicking on the stars on top of the screen.

Best wishes.

Customer: replied 1 year ago.
Why a Orthopedic doctor over a Rheumatologist because it is affecting multiple joints. My toes and shoulder
Customer: replied 1 year ago.
My toes hurts when I walk but when I'm sitting down or sleeping the pain isn't there on my toes.

An orthopedic surgeon can do everything that a Rheumatologist can plus they are well versed with musculoskeletal disroders, secondly, your rheumatology tests like autoantibodies etc are normal. A comprehensive evaluation of the musculoskeletal system is warranted in your case.

Please do leave a positive rating for the service by clicking on the stars on top of the screen.

Best wishes.

Customer: replied 1 year ago.
Do you think it's a musculoskeletal problem or Chronic Fatigue Synrdome?And do you think my upper left abdominal pain is Neuropathic pain or Muscular pain?

It can be either of the two but that can only be established once a thorough evaluation is done. There is no room for speculation in this, chornic fatigue syndrome is a diagnosis of exclusion, once all other conditions have been ruled out and there is no other explanation for the symptoms, this can be labelled as chronic fatigue syndrome.

Upper left abdominal pain can be visceral rather than neuropathic or muscular, but more likely muscular than neuropathic.

Please do not forget to leave a positive rating for the service by clicking on the stars on top of the screen.

Best wishes.

Dr Uzair and 2 other Medical Specialists are ready to help you
Customer: replied 1 year ago.
What does that mean visceral?
Customer: replied 1 year ago.
Isn't it Unlikely to be visceral since it is positional
Customer: replied 1 year ago.
I think it is muscular because when I change from a seated position to a non-seated position, the upper left abdominal pain goes away.
Customer: replied 1 year ago.
Doctor could you please answer