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 DrThomasMd Your Own Question

DrThomasMd
DrThomasMd, Board Certified MD
Category: Health
Satisfied Customers: 57077
Experience:  Training in all aspects of health care, complementary and alternative medicine, prevention, health.
24257177
Type Your Health Question Here...
DrThomasMd is online now
A new question is answered every 9 seconds

I have lost 35 lbs, am now extremely fatigued, my joints ache

Customer Question

I have lost 35 lbs, am now extremely fatigued, my joints ache so much I can barely type or move. The worst are my hands and knees. My body aches like I have a fever but I don't. All of this has been going on for I think about 5 maybe 6 months (starting with the weight loss then progressing into further symptoms). my orthostatic hypotension is getting worse and i have fainted. my brain feels like it is in a constant blurr and I'm extremely frustrated because I don't have any answers.
Submitted: 3 years ago.
Category: Health
Expert:  DrThomasMd replied 3 years ago.
hello
why an endocrinologist?
Customer: replied 3 years ago.
He did a blood draw fasting results were 36 at 8am; repeated at 8am not fasting and it was the same
Expert:  DrThomasMd replied 3 years ago.
fasting for what lab//
Customer: replied 3 years ago.
blood cortisol level
Expert:  DrThomasMd replied 3 years ago.
Ok
this is slightly high
but does not mean you have high cortisol
the endocrinologist will order a 24 hour urine collection for free cortisol which will show if you might have cushings..too much cortisol secretion.
This can cause fatigue and aches and pains but causes weight gain usually.

your doctors should also order a sed rate and an ANA panel because this also sounds like the beginning of autoimmune disease possibility...such as lupus ....but if the joint are not swollen, then other possibilities.

Go with the endocrinologist and make sure that thyroid studies are checked, even if they were checked before.

good luck

Let me know if you have further questions

DrThomasMd, Board Certified MD
Category: Health
Satisfied Customers: 57077
Experience: Training in all aspects of health care, complementary and alternative medicine, prevention, health.
DrThomasMd and 2 other Health Specialists are ready to help you
Customer: replied 3 years ago.
I do have hypothyroidism and recently had blood levels checked and had to increase my dosage of synthroid.

I have had a 24 hour collection of urine for cortisol levels the levels of cortisol were 160 ug I can't remember what the AHA levels were but I do have them on a print out.

Is there any thing I can do at this point besides wait? I am going back to my primary care position Wednesday because it takes over an hour for me to get out of bed, not due to motivational issues, but because I am so fatigued. I am in so much pain with the joints etc that I almost can't move and there were at least 2 days I didn't know if I was going to make it to work. And the others I could barely function both physically and mentally.

Obviously I could take time off, but tylenol, and the over the counter pain relievers, even prescription naproxen that my dr had given me with hand joint pain before (that eventually went away). Is there anything besides that which I just don't take because it's not helping or ice or heat that have minimal help. I'm racking my brain. & I have plenty of rubs and creams...nothing. Just I guess looking for a miracle. Hoping the pain isn't this bad until the 17th but if you have any suggestions...as I said anything. i have tried various types of massage. I'm open to about anything that isn't illegal.
Customer: replied 3 years ago.
Relist: Other.
I'm not sure the expert is looking at my last comment
Expert:  DrThomasMd replied 3 years ago.
hello
i only received your post now

TSH should be about .8 for most people...so you can check on this
many docs think 2 is adequate but might be too high, hypothyroid
so find out what the target is
ANA panel and sed rate could be done now
for pain
NSAIDS are fine but once again rheumatology might need to get involved here
I would eat an anti-inflammatory diet...see Eat to live by Dr. Joel Fuhrman.
Add fish oil...3 grams daily
add turmeric and ginger to the daily regimen..anti-inflammatory
Check vitamin D levels
Take magnesium.
walking and sunlight daily.

good luck

Let me know if you have further questions

Customer: replied 3 years ago.
Yes, I know what levels of TSH should be, have been working with it. I appreciate the informationa about the book. I just had a second doctor run a TSH level. & he is an endocrinologist, not the one what normally runs my TSH. I'll see what the results of that since it was taken last week.

At this point, I really cant take short walks because of the pain. Even when I walk for a bit the synovial fluid does not seem to help get things moving and feel better. I do take magnesium to help prevent migraines.

& I know taking NSAIDs for a long period of time is not good for you either. Interestingly enought I did recently purchase ginger at the grocery store. Again thanks for the information on the book.
Expert:  DrThomasMd replied 3 years ago.
you are welcome
anytime
dt
Customer: replied 3 years ago.
Had something new happen today. I rested all day yesterday. Took today off as well. The pain in my muscles and joints lessened for a few hours; my exhaustion was increased. It was nice to have a slight reprieve from the pain though. does this make sense? & no I haven't had a chance to get the book yet.
Expert:  DrThomasMd replied 3 years ago.
chronic fatigue syndrome is something that is eventually going to need to be considered if nothing else turns up
as well as fibromyalgia.
but first these other problems need to be considered.

Let me know if you have further questions

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