Health

Ask Health Experts and Get Answers to Your Health Question ASAP

Ask an Expert,
Get an Answer ASAP!

Health
This answer was rated:

I have had severe bone/joint pain for 4 years. At present my

Vitamin D is 26...
i have had severe bone/joint pain for 4 years. At present my Vitamin D is 26 , my calcium serum is 9.5, my platelets are half of what they were a year or 2 ago, and are now 260. ALkaline Phosphatase, S is 160(range is 25-150). I also have unacounted for fractures in my left wrist. My TSH is 1.917. SED rate is 20 WESTARGREN (RANGE IS 0 TO 20) cREATINE kINASE, tOTAL SERUM IS 25(RANGE IS 24-204) cAN YOU TELL ME WHAT THIS MEANS AND WHAT KIND OF M.D. I SHOULD SEE. tHANK YOU. mY EMAIL IS***@******.***
Show More
Show Less
Ask Your Own Health Question
Answered in 10 minutes by:
4/1/2008
DoogleNK
DoogleNK, Doctor (MD)
Category: Health
Satisfied Customers: 1,139
Experience: MD
Verified
May I know if the vitamin D level is mentioned in ng/ml or nMol/L.
The values are different in different units.

Also do you mean your platelets are 260 only or is it 2.6 lacs?
Ask Your Own Health Question
Customer reply replied 9 years ago
vitd3,ius
260
I think the underlying consition is osteomalacia-- vitamin D deficiency. This causes defective mineralization of bones. Bones become soft & fracture easily. This might account for the wrist fracture. (Alternately osteoporosis due to old age might also explain for the fracture). The soft bones become painful with weight bearing.

Vitamin D3 levels greater than 30 are considered necessary for the prevention of osteomalacic fractures.So, levels of Vitamin D3 level of 26 are low & make you susceptible to fractures with trivial trauma.

Serum calcium level is fine.

Alkaline phosphatase levels are indicators of bone formation. In osteomalacia there is increased metabolic activity in bones, but there is defective mineralization of newly formed bones.This increase activity is seen as raised alkaline phosphatase values. Your alakaine phosphatase is marginally raised. Fall in alkaline phosphatase levels is considered as a clinical indicator of recovery.

TSH level of 1.917 mU/L is within normal limits.Your ESR & CK values are also normal.

The platelet level of just 260 is very low & can predispose you to spontaneous bleeding in internal organs. I would suggest consulting a physician for this particular problem & getting treatment.

Now coming to the reative lack of response of your osteomalcia to vitamin D therapy. Osteomalacia can be caused by, (besides vitamin D deficiency) low levels of phosphates in blood which can be caused by kidney problems like renal tubular acidosis, Fanconi syndrome & some familial syndromes of hypophosphatemia & certain cancers. These causes may not show an adequate response to vitamin D. These other causes of osteomalacia need to be investigated.

For the problem of osteomalacia, I would suggest consulting an orthopedic surgeon primarily . You may also have to consult an endocrinologist.

For more information, please read this

Kindly press ACCEPT if your question has been answered. FEEDBACK is always appreciated.
______________________________________________________________________
Please note that the information provided is not a substitute to medical advice.
Ask Your Own Health Question
Customer reply replied 9 years ago
I'm seeing a rhuematologist, nd she doe not answer as to what kinds of minerald, I should take, with the D. I am taking calcium, 1000 mg every day. What other minerals should I take, and how much? I am 5'4" and weigh 222. I lost 82 pounds, this year. Thank you, ***** ***** advice, I will see a orthopedic doctorand an endocrinologist. I will also see a docotor for a scope of my indtestines,and a pulmonary doctor because have hx of smokinng and asthna/ Would these all cover the types of cancers that I'm now worried about?
Dr. Zia
Dr. Zia, Doctor
Category: Health
Satisfied Customers: 1,615
Experience: MBBS, MD, ECFMG certified
Verified
Just one correction that I would like to make to what the doctor has said... Your platelets at 250 are absolutely normal and there is nothing to worry about in terms of bleeding...

Kindest Regards
Ask Your Own Health Question
I would clarify about the platelet counts--
Normal platelet counts are 1.5 to 4.5 lacs per microleter (150000 to 450000 platelets per microlitre).
If your platelet counts are 260,000, then they are normal.
But if they really are (unusual situation) just 260 then they are very low & can predispose to spontaneous bleeding.
Please check the report again for what unit of platelet conut is mentioned there.
Ask Your Own Health Question
The tumors causing osteomalacia are lung cancer, bone cancer, multiple myeloma, giant cell tumor, fibrous dysplasia & many more. I think it is right to start with the doctors you are seeing- an orthopedic surgeon, endocrinologist & pulmonolgist.
I would suggest adding vitamin C to your diet or as a supplement in addition to vitamin D & calcium.
Kindly press ACCEPT if your question has been answered. FEEDBACK is always appreciated.
______________________________________________________________________
Please note that the information provided is not a substitute to medical advice.
DoogleNK
DoogleNK, Doctor (MD)
Category: Health
Satisfied Customers: 1,139
Experience: MD
Verified
DoogleNK and 87 other Health Specialists are ready to help you
Ask your own question now
Ask DoogleNK Your Own Question
DoogleNK
DoogleNK
DoogleNK, Doctor (MD)
Category: Health
Satisfied Customers: 1,139
1,139 Satisfied Customers
Experience: MD

DoogleNK is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, 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 VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor (MD)

5,660 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Nurse Milli, RN

Nurse Milli, RN

Nurse (RN)

4,051 satisfied customers

20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.

Dr. Ketch

Dr. Ketch

Doctor

102 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Doctor (MD)

5,095 satisfied customers

Practice Director

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor (MD)

19,749 satisfied customers

MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Chip

Dr. Chip

Doctor (MD)

14,036 satisfied customers

Over 20 yrs of Family Practice

Dr. Mark

Dr. Mark

Doctor (MD)

6,234 satisfied customers

U.S. Physician/Surgeon in Neurosurgery

< Previous | Next >

Related Health Questions
Well I had a blood tests recently and the only 'flag' was
Well I had a blood tests recently and the only 'flag' was monocytes 15.9 … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
My jaw is very swollen, it's even changing the shape of my
My jaw is very swollen, it's even changing the shape of my face. It is not particularly painful, no tooth pain, but I can't close my mouth … read more
Mark Bornfeld
Mark Bornfeld
General Dentist
Doctoral Degree
243 satisfied customers
Doc..well the furniture is moving around the ship again
Good morning doc..well the furniture is moving around the ship again doc..feel pretty sick in my belly.. yesterday too..i went to bed the other night and woke at 4 am and pretty sure realised i didnt … read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
14,036 satisfied customers
I was asking about a bump on my forehead and got bumped off
I was asking about a bump on my forehead and got bumped off your site, and in addition, I was not able to use paypal … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
Is it possible to get appetite loss from ciprofloxin and how
Is it possible to get appetite loss from ciprofloxin and how long can this last after stopping the med.… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,981 satisfied customers
I've been on celexa for over a year and wondered if I Can
I've been on celexa for over a year and wondered if I Can take Nyquil … read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
6,442 satisfied customers
My BP is 134 over 93. Well there was a sudden onset.
My BP is 134 over 93 JA: Is this consistent, or is there some fluctuation in blood pressure? Customer: Well there was a sudden onset JA: Anything else in your medical history you think the doctor shou… read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
525 satisfied customers
Feetswelling blue on the sides of feet. Pain canwalk good.
Feetswelling blue on the sides of feet JA: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)? Customer: Pain canwalk good JA: How long have you had the pain? What seem… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
791 satisfied customers
I have intermittent ear pain and fullness in my left ear. It
I have intermittent ear pain and fullness in my left ear. It comes and goes a few times a day but isn't too bothersome so I figured it would go away on its own. However I have just found a lump behind… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
My partner and I have been trying for a baby for a few
My partner and I have been trying for a baby for a few months now, not having sex each and everyday though but a few times a week. She missed her period for 3 weeks and we thought she must be pregnant… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,245 satisfied customers
I have had anal itching for about 2 months and it is getting
I have had anal itching for about 2 months and it is getting worse. I have been to the dr and he Gave me a vagus last cream bc he said i have yeast in my vagina and anus.. the cream is making it worse… read more
Dr.M.D.Mazumdar
Dr.M.D.Mazumdar
Consultant Gynecologist
MBBS. MD (Obstetrics and Gynecology
3,688 satisfied customers
I have a metallic tasting production when I cough. I can
I have a metallic tasting production when I cough. I can feel the constant sinus drip. I have bouts of dry unproductive coughing with a tyrannical tickle in throat. This has been going on for 2 months… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
791 satisfied customers
I just woke up and my blood pressure is 165/102. I have a
I just woke up and my blood pressure is 165/102. I have a severe headache that woke me so I immediately went to check my blood pressure. At what point should you go to the hospital?… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,245 satisfied customers
I started on 5 mg of escitalopram 7 months ago, 6 weeks
I started on 5 mg of escitalopram 7 months ago, 6 weeks later my cholesterol level was muc … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I sneezed today and my right side below my rib cage. Right
I sneezed today and my right side below my rib cage. Right below hurt like a knife went into my side. It took my breath away … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,065 satisfied customers
This morning I had an episode of irregular heartbeat with
This morning I had an episode of irregular heartbeat with blood pressure 109/70. I am 61 years old take 50mg atenolol for high bp. 80mg pravachol for cholesterol. I took .25mg Xanax after 30 minutes o… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,245 satisfied customers
I just blew my nose really hard and my ear drum hurts it's
I just blew my nose really hard and my ear drum hurts it's loud and my ear slightly hurts … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,245 satisfied customers
Is there a charge for your services? If so how much? Is
Is there a charge for your services? If so how much? … read more
Dr. Mo
Dr. Mo
Board Certified Physician
MD
1,772 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x