Good morning I am a 32 year old female. I recently found out that I have a severe Vitamin D deficiency as well as slightly elevated ALT levels. I am 5'4 and 240 pounds. The past week I have been experiencing pain in my forearm. It almost feels like I bruised my bone...achey. I also have joint pain in my knees, ankles, elbows and wrists. The forearms are different because they do no hurt in the joint but rather the entire arm and certain spots are bit more sore. I had a normal CBC other than the vitamin D and ALT. I did swim for about 30 minutes on Thursday. Any thoughts?
Person's Gender: Female
Person's Age: 31
Hello, this is Dr. David. I have read your question and am ready to help.
I see that another doctor suggested you get tested for celiac disease.
yes he did
do you get out in the sun much, if you don't that can cause Vitamin D deficiency
celiac spruce disease is an allergy to gluten which can cause diarrhea
i live in CA but i work fulltime and dont spend a lot of time outdoors
i spend a lot of time typing at work and at home as I am a student also
i dont know if thats causing the forearm pain
i notice that my joint pain is always worse right before my cycle
I have GAD and any health issue causes me great stress
I am worried that this is primary bone cancer or cancer that has spread to the bone
my pcm is not worried at all about the liver enzymes as they were only 2 above normal but is still having me do an ultrasound
should i be overly concerned about these?
no, don't be overly concern about the slight liver enzyme elevation.
just the vitamin D deficiency can cause some muscle pain
you don't have bone cancer or cancer spread to the bone
that would be super rare in your situation
that is your general anxiety disorder talking.
thank you very much. so probably not a liver issue that has spread to the bone>? Would anything have turned up on the CBC?
no, the CBC is a complete blood count and only counts the number of white, red cells and platelets in the blood.
but unlikely that this is a serious issue causing the pain?
yes, very unlikely serious issues are causing the pain.
you should be taking some vitamin D supplements, as your vit D level gets to normal
I bet your pain will get better.
yes i am doing that alos
as well as trying to alter my diet and lose weight
do you think this could be rheumatoid arthritis?
no, this is not characteristic of rheumatoid arthritis.
ok thank you !
have a great day!
Experienced Oncology Physician, Trained in NYC, Ready to help.