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Please diagnose me - my life is falling apart due to this mystery illness.

72 replies

Painengrained · 29/08/2015 14:03

Please help me figure out what is wrong. I am stuck in the system of best guesses and waiting lists and in the meantime, my relationship is suffering, I have become depressed and have enquired (with horror and disbelief) about putting my disabled child into care as I am struggling to care for her. I desperately want to feel better. I will make this as concise as I can though its been a long four months Sad

At the beginning of May I started having shortness of breath. I was newly diagnosed as Hypothyroid (autoimmune) and as a result, had been putting all symptoms down to that (had felt fatigued, had hair loss, aches and pains, loss of drive etc for months) GP checked me over, Levothyroxine dose tweaked, bloods good, was put down to anxiety. The year had been extremely stressful up to this point so I was inclined to agree. GP also gave me an antibiotic for a rash around my mouth.

The shortness of breath progressed to chest pains and very bad reflux-type-pain. I took gaviscon and made another appointment. I had been taking Tetracycline antibiotic for peri-oral dermatitis so thought it must be that. The day before my appointment, whilst still on the antibiotic, I felt quite ill. the right side of my body felt weak and I just wanted to lie down. Had to cancel all my plans for the day, family had to care for DD. GP checked me over, said it must have been a reaction to Tetracycline and I would start to feel better in a few days.

A few days later, the chest discomfort and weakness progressed to right sided rib pain. Back to the GP, convinced that something more must be going on. GP examined my abdomen, thought it was muscular but could be gallstones. Told me to try relaxation techniques as I could have been holding my body in a 'stress' position and referred me for a gallbladder scan.

Toward the end of May, I had what felt like a gallbladder attack. Extreme pain just below my ribs on the right side, pain going around and through to my back, right shoulder, neck and shoulder blade pain. DH took me to A&E. Bloods were normal, I was advised to wait for scan as surgeons were busy, told to go back if it happened again. It happened again, I went back, a different Dr examined me, thought gallstones as my right abdomen was 'guarding' and the pain was spasming/burning. A scan was set up for the following day, he offered to admit me but as my bloods were, again, normal, said I could go home.

Went for the scan, pain had subsided but was still smouldering. Gallbladder clear apparently, all abdominal organs looked ok. The only thing the scan picked up was that my common bile duct was measuring at the top end of normal (7mm). I was sent to surgical ward for a chat wit the 'experts' who said it was possible I had passed a stone, hence the CBD dilation. Following an examination, they diagnosed a probable ulcer an prescribed 4 weeks of Omeperazole (at a huge dose) followed by an Endoscopy if symptoms hadn't improved.

During the following 4 weeks, I had constant pain. It would peak and trough but was always there. It felt as if it were emanating from my right ribs, into my back, up through my shoulder blade, into my neck, into my armpit, down the inside of my arm, in my chest, even down through my hip and down my thigh. The whole right side of my body was suffering. I had severe constipation and nausea. I would wake at 3-4am in severe pain. Codeine made things worse, Tramadol made me feel very strange so had to discontinue, Buscopan helped a little, paracetamol was pointless and I couldn't take any NSAIDs as everyone was telling me I had an ulcer.

Through June I suffered, I have visited the GP almost weekly. I became increasingly desperate so they contacted the surgeons to set up an endoscopy. The surgeons refued and said I needed a stool test for H.Pylori bacteria. I had to come off the Omeperazole for two weeks prior to the stool test. It made no difference. The pain was the same, never letting up, I was becoming less able to handle it, weak from exhaustion and too scared to eat. I was devastated at the surgeons U-turn, I felt as if everyone thought I was exaggerating.

The stool test came and went, negative. Here I hit a low point, weeks of non stop, fluctuating pain, home life suffering, relationship suffering, exasperated and frustrated. GP referred me for urgent endoscopy which took another few weeks... in the meantime, I found a swollen lymph node above my right collarbone. I made the foolish mistake of googling, lymph nodes here are bad news. GP took bloods to check for inflammation and a full blood count to try and abate my fears as by this point I am extremely worried that something malignant is causing my prolonged pain.

I was also sent for an MRI on my spine as one of the GP's thinks I could have a trapped nerve/disc problem due to the - sometimes extreme - right hip pain i've been experiencing. I am waiting on the results of this. The hip pain seems to have come after the rib pain. if I stand for too long or walk for more than a few minutes, I get a searing pain in my right hip and down the inside, or front, of my thigh. I made the mistake of going for walk a couple of weeks ago and spent the night in agony with a leg that felt swollen and boiling hot but looked normal. I dont know if it is linked or as a result of my right side pain.

I had the endoscopy almost two weeks ago. Traumatic. And also negative. No ulcer, no gastritis, no cancer, no reason for this pain. The only thing it showed was some mild inflammation of my oesophagus. The Dr doing the exam said that would not be causing the pain that i'm suffering. The nurse looking after me said all my symptoms sound like my gallbladder. My bloods came back normal apart from a low Fibrinogen level which wouldn't be causing my pain (dr wants to investigate further but apparently it was low in 2013 too so isn't a new issue)

Last week I went back to the GP, with DH, to tell him that im struggling with life. I can barely look after DD, she requires constant care and I can barely function. Everything is an effort. I am in constant pain, couldn't sleep, hadn't slept in three months. He was very understanding, asked me to go over my symptoms and prescribed Mebeverine to take before meals and Mirtazapine to help me sleep, increase my appetite and 'lift my mood'. It certainly does help me sleep, it knocks me unconscious. And im eating everything in sight so at least I might put some weight back on, I lost a stone during this nightmare. He thought it could be Sphincte of Oddi dysfunction, which I've read is untreatable.

I have been urgently referred to Gastroenterology, it will still take a couple of months. A couple more months for me to google, to try desperately to figure out what the problem is and to worry myself sick. My worst fear is that it isn't going to go away, that this is my new normal. I cant stand up for long, some mornings I feel as if my pelvic bones have fused it hurts so much. The rib/abdo pain is constant but flares, the flares last days, it feels like there is something in there that shouldn't be or that something is inflamed. I am constantly bloated, sometimes painfully distended. Eating vegetables and meat seems to make things worse. My skin feels sore on my torso, possibly as a result of constant pain?

I do have Endometriosis but it has never felt like this. My gyne has agreed to do a laparoscopy to see if any has re-grown that could be exacerbating my pain, that op should be toward the end of the year. I am desperate for some relief, desperate to be a proper Mum and carer again. DH and I are arguing, we are both very frustrated. I am obviously depressed, I see no light at the end of the tunnel, whatever this is it has stolen our summer, it has stolen my ability to live my life. We have had to ask our disability social worker for a carer to help a few hours a week but DH is having to do the rest of DD's cares whilst working (from home, thanks to a very understanding boss) until she goes back to school. The holidays have been hellish.

I did book a private appointment with a gastroenterologist but realised we woudn't be able to afford any tests they requested so i'm having to rely on he NHS.

If anyone has made it to the end of this post, do you have any idea what is wrong with me? My life is falling apart, I am desperate.

OP posts:
Painengrained · 30/08/2015 14:29

My right kidney was scanned during the abdominal ultrasound, no problems. I'm passing urine ok. Once up and about the searing agony calms to a smouldering pain exacerbated by walking. I believe this is back related, however...
The stomach issues started first so I've maybe hurt my back while subconsciously guarding the primary issue?

Having spent most of the day feeling sorry for myself, I've had a salt bath which has helped a little. I am watching my posture, no more slouching.

When I press between my ribs it's very sore, like something in there is inflamed. Moving my hand over to my right ribs, they are sore with the slightest pressure. It must be biliary? or could it be a nerve problem? Though nerve problem wouldn't explain the 7mm bile duct and the fact that my skin and eyes look more unwell when the pain peaks. After my bath, I could feel my heart beating between my ribs, that's evidential of inflammation but my blood markers are saying there is no inflammation. Would they show an angry organ? I thought so.

My arms feel weak, my right arm doesn't feel right. I get strange nerve feelings in my right leg, probably to do with my hip. I've always had bouts of TMJ, this is by far the worst. My jaw is permanently clicking or out of alignment. I have considered MS? But that wouldn't start as a reflux, bile in mouth, indigestion and constipation problem would it.

I don't even know what kind of specialist I need! I'm veering from the slippery slope of despair to a burst of fighting spirit to get well and get my life back.

OP posts:
annandale · 30/08/2015 14:39

I think the MRI and the gastroenterology appt sound really appropriate. I'd say keep a pain and food diary - morning and afternoon rate your pain out of 10 and list what you ate - for a week or two if you can (but I'm not a medic so don't know if they will look at that).

I agree with the pp who said ring the consultant's secretary for the gastro appt due to being a carer, and ask for any cancellation, any time. Especially if you live a little way from the hospital, they may assume that you can't do an early appointment, for example (though actually early ones usually mean easier parking and less of a wait).

Have you had a carer's assessment from social services? Might be worth asking for another now while you are so ill.

Painengrained · 30/08/2015 14:47

We've had two emergency appointments with DD's social worker, he added 4 extra hours of cater support for next week and any extra respite that comes up in the form of cancellations by other families. DH has picked up the slack. Changing her pads is currently an exhausting and painful task for me, let alone the rest of her cares. Not being able to care for her is my worst nightmare, it appears to be coming true Sad

I will call the consultants secretary as soon as I get a letter to tell me who the appointment is with. Or I could call the gastro department on Tuesday and chase my referral. So far I've been like this with worsening symptoms for four months, in another four months it'll be Christmas, I only hope I am better or at least diagnosed and managing whatever is wrong with me.

Could stress cause all this? I had an incredibly stressful three months leading up to May, including bereavement. Have I internalised it and made something break? Or have the months of fatigue and other symptoms that I put down to my thyroid been a pre cursor to this crescendo?

I have been meaning to start a pain and food diary, some days even that is a step too far but I will get on with that right away. I've been keeping a rough diary on my phone so have a little to work with already. Thank you.

OP posts:
horsewalksintoabar · 30/08/2015 14:54

Do you have Hashimoto's thyroiditis? You mention autoimmune disorder.
Have they tested you for Lupus (SLE)??

horsewalksintoabar · 30/08/2015 14:55

www.lupus.org/answers/entry/common-symptoms-of-lupus

Do you relate to these symptoms? My first thought was Lupus. Get checked out.

laundryeverywhere · 30/08/2015 15:04

Sorry to hear you have been so ill. The symptoms of lupus described in the link don't sound that bad, but someone I know has it and she was very ill for months, so it is certainly worth looking into.

PowderMum · 30/08/2015 15:08

I have been somewhere near where you are OP but not as extreme (or at least I don't think so) I had undiagnosed stomach pain, reflux, frequent periods when it felt like my bra strap was on a mission to kill me plus occasionally sharp chest pains leading to panic attacks but for me it wasn't constant and I had periods of feeling well. I also had pain in my pelvic area and horrible period pain. Some days the pain was just random and I had just had enough.
This was 10 years ago and after a range of blood tests the GP told me I had IBS like symptoms so I paid for a private consultation which was frankly useless he just told me to cut out foods and food groups to work out what caused it. So I struggled on feeling rough but not to your extent I knew something was wrong but didn't want to make a fuss.

2 years ago at the end of a wonderful holiday when I had felt ok I got what I first thought was food poisoning, sickness but also horrific pain like I was being stabbed in the side far worse than childbirth. We were due to fly home and didn't want to be stranded so I soldiered through without medical attention and about 6 hours later it subsided and we got home. Next day I wasn't right but was due in work so off I went, had a coffee and biscuit and started to feel poorly, so took myself home, pain just got worse so I asked a friend to take me to A&E it really was that bad. I was fortunate it was a quiet day and the senior doctor was training new doctors so I got a diagnostic ultrasound which showed my gallbladder was enlarged. After IV morphine the pain subsided and the NHS sent me home no advice on what to do next. To cut s long story short I had my badly diseased gallbladder out but this only cut out half my symptoms so I had to go back through the NHS system again to discover I also had a huge fibroid requiring a hysterectomy. Finally I am pain free.

OP keep pushing

WhoTheFuckIsSimon · 30/08/2015 15:21

Ask for a referral to Addenbrooks. You already have an autoimmune problem and there are all sorts of weird and wonderful rare autoimmune disorders that most Drs might miss.

My dad was seriously ill for six months as an inpatient in hospital and they ran every test under the sun. Took them six months to get a diagnosis and that was only because I begged his consultant to talk to Addenbrooks.

He had weird pains, odd meningitis type rash, the aches in his legs were so bad he couldn't walk. It came on suddenly overnight. The pains in his head were so bad he couldn't open his eyes, would lie there clutching his head and crying in pain. Bloodshot eyes, couldn't eat, lost weight. He had Wegener's granulomatosis But there's all sorts of other weird and wonderful auto immune stuff. If after three months you don't have a diagnosis it's fair to ask for a referral and I believe you're allowed to ask to be referred anywhere nationwide. I recently asked to be referred to a leading urologist in London as local urologists have no clue about my bladder condition.

gamerchick · 30/08/2015 15:22

What you're saying does point to a gastric issue and certainly nothing life threatening which is seemingly what's freaking you out. Something simple as leaving a H hernia untreated will cause larger problems later on bitter experience. If all you can think about is your health and worrying to that extent then it's going to make you depressed. Do you exercise? If you've given in and do a lot of sitting about your muscle tone is going to go which causes its own pain in joints and constantly prodding and poking yourself means those areas will eventually start to hurt the more you do it.

Try and hurry up that gastro appointment and maybe get a new mattress.

Cocolepew · 30/08/2015 15:24

I thought lupus too, especially the mention of a rash.
I have gallbladder problems, I had an attack just this week. No stones showed up on the scan I had a few months ago, but sludge moving along can cause spasms and the pain is horrendous.
Pleurisy due to inflammation is common in lupus, causing rib pain. So ut neuropathic pain, ie burning skin, numbness, tingling, nerve pain.
Ive had hip pelvis and knee pain. Ive just been given insoles from a podiatrist which have helped ten fold.
Lupus can make you very, very ill.
You would need an appointment with a rheumatologist

PurpleHairAndPearls · 30/08/2015 16:05

Have you had all your bloods checked or seen a rheumatologist at all?

Re the rib pain, have you heard of costacondritis?

peacypops · 30/08/2015 16:32

My GP has diagnosed costochondritis for my rib pain. The key symptom is tenderness/pain when pressing on front of ribcage. Pain can also radiate around back/shoulders. It is horrible and I have been suffering since the start of the year. Strangely I also have stomach issues like OP but whether these are connected to rib pain I don't know.

ML29 · 31/08/2015 07:15

I also wondered if you have had Lupus ruled out !

Poor you, sounds horrendous and even worse when it is taking so long to be diagnosed.

What about Pancreatitis? Hashimoto's Thyroid disease, terrible muscle and joint pains with that, particularly that you already have hypothyroid diagnosed, Hashimoto's swings from Hypo to Hyper.

Please keep us posted on how you are getting on and hopefully you will have a diagnosis soon.

blahblahblah2000 · 31/08/2015 07:42

Like a previous poster I also thought lupus. Can you get your ANA and other autoimmune bloods tested (blood test)? I had traveling joint pain and have had gastro reflux symptoms, vomiting etc and extreme sudden fatigue. The joint pain is burning in sensation and have had shooting nerve pain as well. Good luck hope you find an answer Xx

blahblahblah2000 · 31/08/2015 07:43

Sorry forgot to add that shortness of breath and rib pain / pleuritis can be associated with lupus as well.

Painengrained · 31/08/2015 11:30

I haven't seen a rheumatologist but the have seen an endocrinologist this week as my thyroid antibodies are very high (>1000) would he have checked other antibodies? I know he checked my vitamin D and coeliac which were both ok.

I have had a quick read about Lupus, I fit a lot of the symptoms/features. Would it come on so suddenly and act like gallstones? I don't have a rash, I have pain like I'm getting a cold sore in my face and then acne-like-breakouts but haven't had anything like the butterfly rash since last year when I thought I'd had an allergic reaction to a different moisturiser. Could the symptoms act independently of one another, IYKWIM?

I don't feel as bad today. The pain is less. The right side of my body feels tight, like the muscles can't relax. It's very strange, it's an unnerving feeling. I'm watching my posture in case it is my spine. My right hip feels bruised but it isn't bruised.

gamer, we invested in a new mattress not too long ago. Your post insinuates I am suffering health anxiety and I agree somewhat but I knew I had an under active thyroid for 18 months before the drs would listen to me. By the time they listened to me (after me having to beg and plead for a blood test) they realised it must have been failing for years and I had become quite ill as a result. The GP who felt my lymph node looked visibly concerned, that's where my malignancy worry came from. At this point, even a diagnosis of cancer would be acceptable as at least I'd know what I'm fighting. I think I already am depressed, hence the antidepressants. I hadn't slept for three months, I can't function and I've got chronic pain - I think depression is an inevitability under the circumstances. Especially as I feel so let down by the system. There is no care for carers. If I can't care, it will cost the government in excess of £240 a day to care for my DD yet they are trying to save pennies by delaying my investigations. Penny wise and pound foolish.

My appetite is huge as a result of the new medication. When I eat, something definitely feels swollen behind my right ribs. I'm also suffering from painful belching which is gross but an important symptom I think? I did worry about my pancreas but I think id be in more pain?

It feels as if someone had put their hand in my right side, grabbed all my ligaments and twisted their fist round, does that make any sense? Should I make a chiropractor appointment?

OP posts:
Painengrained · 31/08/2015 11:30

Sorry, I've seen an endocrinologist this year, not this week.

OP posts:
ArendelleQueen · 31/08/2015 11:36

Lupus gets thrown about on threads where someone has a mystery illness but it has a very specific set of symptoms and nothing you said even crossed my mind to think Lupus.

Did the endo have an opinion on what's going on? I think gastro. is the right way to go at this point?

I know from my own bitter experience that pain can take over your life and make you think of nothing else. When you are in such severe pain on a relentless level, it's impossible to not to worry. It's clearly having an enormous impact on all aspects of your life. It's awful, I know. Flowers

ArendelleQueen · 31/08/2015 11:36

Sorry, ignore the question mark, I meant to say; I think gastro. is the right way to go at this point.

pnutter · 31/08/2015 11:44

Have you had a chest x ray?

pnutter · 31/08/2015 11:47

Only because my step sister was ill for 3 years and eventually diagnosed with lung disease that had affected her gastric system also. Not saying it is that but just sense your desperation. She had a private cat then pet scan to get diagnosis.

Painengrained · 31/08/2015 11:54

I've had a chest x-Ray, was done after my abdominal scan so May. Was clear. I looked into getting a private CT but with me being early 30s, I'm too young to go for a 'health scan'. When the breathlessness started one GP asked me to blow into a tube and my reading was almost normal so she wasn't concerned.

I've had an ECG (?heart monitor thing) as part of my gyne pre op as I've always suffered palpitations, that was normal. My heart rate is faster than usual but that could be because my thyroid levels are normal, my heart rate had always been lower than average. A couple of blood pressure readings have been high but the nurses doing them said it was anxiety/pain. I don't feel particularly anxious at the time but I know you don't have to feel anxious to be anxious.

OP posts:
peggyundercrackers · 31/08/2015 11:59

I have a friend who has something which sounds very smilar to what you describe. They say they get pain on the right hand side rib cage, which can go round to the back. Some of the other symptoms they have had is intermittent high blood pressure, intermittent racing heart, low oxygen levels, painful legs, stomach issues, bowel troubles etc. Etc. They describe it as like having an orange under their rib cage and its pressing against them at times. They also say it feels tight sometimes like a knot in their side or under their rib cage.

They have had at least 4 ct/MRI scans with contrast and without (gall bladder, pancreatic, abdominal and chest) and had more tests than you can shake a stick at from simple blood tests to heart tests to acth test, to bacterial overgrowth test, thyroid tests, 24hr urine tests for addisons and cushings, graves etc. etc. The only thing which has helped them is metronidazole but no one knows why it helps. They have suffered with this for 8yrs and don't have a diagnosis as yet however they are very much better now than when this started. From the 4 consultants they have seen one said friend was suffering from IBS, another said pheochromocytoma or paraganglioma another said early stage bowel cancer and the last said he has no idea. None of the test carried out have proven that it's any of those conditions.

I hope you don't suffer as long as my friend has, I would be interested in the
Outcome of your tests thou given how similar your symptoms sound.

ArendelleQueen · 31/08/2015 12:00

Severe reflux can cause chest pain and breathlessness. Are you on anything for those sort of symptoms?

Painengrained · 31/08/2015 12:00

The endo told me to speak to my gyne. The gyne told me to wait for gastro.

I'm an hour or two past a large breakfast/brunch, I feel like I can't get enough air. A couple of inches to the right of my sternum is sore, just below where my bra sits. Feels like there's something in there. It goes straight through to my back. Not agony by a long shot, it's like a low level soreness and fullness. All the way around my side/flank feels involved and my shoulder blade hurts. If feels as if my diaphragm won't let me inflate my lungs properly. The pain sometimes travels down right to lower right abdomen. I do also feel endometriosis pain on the right, lower down though and at certain points in my cycle, not typically now.

OP posts: