What causes morning stiffness with low platelet and Hb?

Question

Hello doctor,

I am suffering from low platelet count, low hemoglobin, burning back pain, shoulder pain, arm pain, forearm pain, breathing problems, abdominal pain, morning stiffness, foot, and hand pain. I feel tired, eyes pain and burning, headache, pallor, and frequent urination. My burning pain in the back gets worse while doing some household activities. Can you please help me with what is going on with me?

I am currently taking Naproxen 250, vitamin B12 injection and vitamin D3 capsule.

Answer 1

Hello,

Welcome to icliniq.com.

The shoulder pain, arm pain like symptoms could be because of low vitamin B12 levels. So you can complete the course of B12 injection.

For breathing issue, however, you need to investigate with spirometry and chest x-ray. Additionally, I have observed that your hemoglobin level and platelet counts are low persistently for the past two to three months. So kindly consult a nearby hematologist for a detailed evaluation of low platelet count. Some autoimmune thrombocytopenia like cause needs to be searched as per provided history. For that primarily ANA (antinuclear antibody) investigation has to be done.

I hope this helps.

Answer 2

Hi,

Welcome back to icliniq.com.

The burning back pain could be due to Vitamin B12 deficiency or some local spinal cause. I suggest you investigate with a local lower lumbar spine X-ray for that. If you are taking constant stress then also such multiple complaints can arise.

Your detailed neurological evaluation also should be carried out. So hematologist and neurologist can be consulted for detailed physical examination. Meanwhile, based on provided history you can investigate as I have suggested in my answer.

I hope this helps.