Hi, I have most of the symptoms above (achiness, flu like


Q: Hi,
I have most of the symptoms above (achiness, flu like symptoms, joint and muscle pains, swollen feet, blurred vision, feeling very cold always, very painful periods, itchiness, trouble concentrating, rash, irritability, fibromyalgia, gained 40lbs) but I have a temperature of about 99.8. Blood tests always come back normal, exept it shows slight inflammation. Doctors are not sure of what I have. Think it might be rheumatoid arthritis or sarcoidosis although my blood tests are never conclusive. Please do you have any suggestions? I have had these issues for years and they are getting worse. I am on methotrexate now and still have a lot of pain and a hard time walking. I am 33. Could it be my thyroid (although blood tests are normal)? Please any tips, suggestions, referrals are welcome. Thank you much


A:   Welcome to Ask The Doctor.
We are here to help you.

We should do workup to rule out other causes of generalized swelling. Most common causes being Hypothyroidism, Proteinuria due to kidney dysfunction, Drugs like Amlodipine causing swelling over feet, Anemia, Calcium and Vitamin D deficiency.
I would advise you following investigations:
1. Hemogram
2. Kidney function tests
3. Urine for Microalbumin
4. Thyroid profile.
5. ECG.
6. Serum Calcium and Vitamin D levels.
You will be treated according to the issue found.

I hope it helps.
Stay Healthy

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