How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. P. Jyoti Your Own Question

Dr. P. Jyoti
Dr. P. Jyoti, Consultant MD
Category: Health
Satisfied Customers: 8947
Experience:  17 yrs experience in treating OPD & Emergency patients.
11269312
Type Your Health Question Here...
Dr. P. Jyoti is online now
A new question is answered every 9 seconds

Are there painful deseases of the leg bones resulting from

Customer Question

Are there painful deseases of the leg bones resulting from dystonia that began in my toes? I also have dystonia in my hands. All four limbs are affected, however my left side is in "worse shape" than my right side. Although not yet diagnosed I think I have spasmodic dysphonia. Symptoms are whispery voice, trouble swallowing, very taut neck muscles and extremely taut larnyx. It feels like my voice box is being squeezed. I have extremely loud noises in my head from the vocal cords hitting against each other and the reverberation that that causes. I am getting some relief from the medications I already have for my limbs but the maximum doses allowed in no way gives enough relief. Right now I am up to needing help in about 1-2 hours from the last time I medicated myself. I know that dystonia is rare but I will soon be 70 yrs old. Is this all unusual for my age? I also have ideopathic neuropathy & sjogrens syndrome. Quite hard! Thanks! XXXXXXXX@XXXXXX.XXX.
Submitted: 5 years ago.
Category: Health
Expert:  Dr. P. Jyoti replied 5 years ago.
Since you have so many different systems affected, you need to rule out connective tissue disorders. Dystonia would not occur so late in age. Connective Tissue disorders are of two kinds, Heritable connective tissue disorders and Immune-related connective tissue disorders.

The main Heritable connective tissue disorders are: Marfan's syndrome, Ehlers-Danlos syndrome, Epidermolysis Bullosa and Osteogenesis Imperfecta.

The main Immune related Connective tissue disorders are : systemic lupus erythematosus, rheumatoid arthritis, scleroderma, polymyositis, and dermatomyositis. In addition to these, there is 'undifferentiated connective tissue disorder' or ‘Mixed connective issue disorder' which is used to classify those that do not fall into any category, plus combinations of any of these. You may be having a connective tissue disorder like Polymyositis.

Tests that are done are:

For all of the disorders: Raised antinuclear antibodies (ANAs) and antibodies to ribonucleoprotein (anti-RNP)

SLE: anti-DNA or anti-Sm (Smith) antibodies, falsely positive blood test for syphilis, anticardiolipin antibodies, lupus anticoagulant, or positive LE prep test.

RA: rheumatoid factor" can be found in 80% of patients. Citrulline antibody (also referred to as anti-citrulline antibody, anti-cyclic citrullinated peptide antibody, and anti-CCP).

Scleroderma: A particular antibody, the anticentromere antibody, is found almost exclusively in the limited, or CREST, form of scleroderma. Anti-Scl 70 antibody (antitopoisomerase I antibody)

Polymyositis; CPK or creatinine phosphokinase, aldolase, SGOT, SGPT, and LDH. EMG.

You must bear in mind that ultimately, a clinical diagnosis is the best diagnosis for connective tissue disorders.

You need to approach a Rheumatologist for further investigations along this line. Rheumatologists are the specialists for connective tissue disorders.You can read up here:

http://www.mayoclinic.com/health/lupus/DS00115

http://www.merck.com/mmhe/sec05/ch068/ch068f.html

http://www.medicinenet.com/mixed_connective_tissue_disease/article.htm

http://www.mayoclinic.com/health/mixed-connective-tissue-disease/DS00675





I hope my answer has helped you. Please click on the green ‘accept' button below for accepting this answer. Feedback/Bonus will be appreciated.



Dr. P. Jyoti, Consultant MD
Category: Health
Satisfied Customers: 8947
Experience: 17 yrs experience in treating OPD & Emergency patients.
Dr. P. Jyoti and 5 other Health Specialists are ready to help you
Customer: replied 5 years ago.

Dear Dr. Baughman:

I appreciated your prompt response and your answers were helpful. At least I know where to start looking. I like to look up what each illness is about so I can better understand what I am hearing and ask the proper questions. I do have a very knowledgeable rheumatologist and I know he will get the right answer for me and know what to do for it. It would be so very nice if the medical reseachers/scientists in this wonderful world of ours could come up with cures for some of these little known illnesses..

Thanks again and HappyHolidays!............................................................................................................................................................................................................................................................................................................................................................................... ......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

 

D. Murphy

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Dr. P. Jyoti
Dr. P. Jyoti
Health Professional
8947 Satisfied Customers
17 yrs experience in treating OPD & Emergency patients.