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Dr. Gupta
Dr. Gupta, Doctor
Category: Medical
Satisfied Customers: 11651
Experience:  Vastly experienced MD Physician with 19 years of experience.
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I have problems with body temp, sleep patterns, muscle pain

Customer Question

Hi I have problems with body temp, sleep patterns, muscle pain and thirst.
JA: How long have you had the pain? What seems to make the pain better or worse?
Customer: Exercise and waking up
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: no
Submitted: 15 days ago.
Category: Medical
Expert:  Dr Hayat replied 15 days ago.
Hi. Dr Hayat here.  Welcome to JA.  May I please know your age and gender?
Customer: replied 15 days ago.
Hi I am 23 and female
Expert:  Dr Hayat replied 15 days ago.
Since when have you been having this?
Customer: replied 15 days ago.
Since the winter, it has been getting progressively worse
Expert:  Dr Hayat replied 15 days ago.

Any past medical history?

Customer: replied 15 days ago.
It started with the inability to heat up even when shivering
Customer: replied 15 days ago.
I have had my gallbladder removed
Expert:  Dr Hayat replied 15 days ago.
Any meds you are on?
Customer: replied 15 days ago.
Omeprazole
Expert:  Dr Hayat replied 15 days ago.

Have u seen any one for this ?

Any investigations/tests done ?

Customer: replied 15 days ago.
I have had a full blood count done which comes back normal, i've been tested for diabetes that is clear.
Expert:  Dr Hayat replied 15 days ago.
Thyroid profile?
Customer: replied 15 days ago.
That has come back normal
Expert:  Dr Hayat replied 15 days ago.

Serum Calcium ? Renal and liver function?

Expert:  Dr Hayat replied 15 days ago.

Urine output in terms of quantity?

Customer: replied 15 days ago.
I know my calcium was a little high, I had a chest x ray which showed 2 enlarged lymph nodes. I then was sent for CT they had went down again.
Expert:  Dr Hayat replied 15 days ago.

Work up for sarcoid ?

Customer: replied 15 days ago.
When I get thirsty my eyes dry out, hair dries out
Customer: replied 15 days ago.
They tested me for sarcoidosis and the dr said it wasn't that because the lymph nodes went down
Expert:  Dr Hayat replied 15 days ago.

Had any ACE levels ?

Customer: replied 15 days ago.
i'm not sure what they are
Expert:  Dr Hayat replied 15 days ago.

Ok. How your urine

Customer: replied 15 days ago.
My urine is normal
Customer: replied 15 days ago.
I know that I get liver pain sometimes
Customer: replied 15 days ago.
It seizes up goes stiff
Expert:  Dr Hayat replied 15 days ago.

Muscle enzymes?

Customer: replied 15 days ago.
I haven't had those tested
Customer: replied 15 days ago.
It's strange because my night and day time have swapped
Customer: replied 15 days ago.
I feel like my body wakes up at night
Expert:  Dr Hayat replied 15 days ago.

Ok. Please get your serum ace levels and muscle enzymes.  Let me know then. I don't have any definitive diagnosis to suggest at the moment

Customer: replied 15 days ago.
I just checked my discharge letter
Customer: replied 15 days ago.
They had run tests for both of those and it came back normal
Customer: replied 15 days ago.
I had the autoimmune tests for RA, lupus ect
Expert:  Dr Hayat replied 15 days ago.

What other things did u have ? Can u please mention them together,  all once ..Thank you

Customer: replied 15 days ago.
Sure, I had collapsed and so had a battery of tests done. The dr had been concerned that it was sarcoidosis . It's very frustrating because, I just want to go back to work but i'm so weak.
Expert:  Dr Hayat replied 15 days ago.

What is that battery of tests ??

Customer: replied 15 days ago.
Full blood count, enzymes, liver profile, electrolytes ect
Expert:  Dr. Gupta replied 15 days ago.
Hi,
Welcome to JustAnswer. Thank you for your question. I’m Dr. Gupta and I can help you today. I'll be back in a moment with my reply!
Customer: replied 15 days ago.
Thank you
Expert:  Dr. Gupta replied 15 days ago.

These are some strange symptoms, and I can understand your frustration,

Was the thyroid test normal, also was the work up for auto-immune conditions like ESR, CRP, ANA etc. done and was it normal,

Is there a working diagnosis at present?

Warm regards

Customer: replied 15 days ago.
Hi, yes they where all normal. It has been really tiring because its just getting out of hand. I've been unable to go to work. I also cannot cope with stress aswell as I used to. Something small stressed me out recently and I couldn't stop shaking and my heart was racing.
Expert:  Dr. Gupta replied 15 days ago.

Is there a working diagnosis at present, as per the doctors,?

Warm regards

Customer: replied 15 days ago.
To be fair I have had very little help. I'm very lost as to what it is.
Customer: replied 15 days ago.
I need to change my practice
Expert:  Dr. Gupta replied 14 days ago.

Hmmmm,

I agree,

Can you get to a University level hospital, since they can do more tests and try to help you in a more comprehensive way, maybe get a referral?

Warm regards

Customer: replied 14 days ago.
I live in Birmingham. Yes I can
Expert:  Dr. Gupta replied 14 days ago.

That sounds like a great idea :)

Go for it!

Warm regards

Expert:  Dr. Gupta replied 14 days ago.

I hope I was able to answer your question. If you would like to ask me another question in the future, you can add me as a favorite Expert. You'll have the option to do that on your "My Questions" page if you choose to rate our interaction or you can request me by name if you wish, again my name is*****