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Medical mystery, please help.

58 replies

pammy6 · 22/01/2022 08:40

I have a beautiful intelligent and courageous daughter whose life is hampered by a mystery medical condition. After suffering for 8 years and being no closer to knowing what is wrong she is reaching the end of her tether and we don't know where to turn. Here is her story:
For the first 17 years of her life she was very healthy, happy and active with no medical issues.
When she was 17 she sprained her ankle playing netball. This appears to have triggered something in her body. She started having very painful joints. Her wrists were so painful it was difficult to write. Her knees, ankles and hips hurt so much it was difficult to walk. Her back made it difficult to sit for long periods. The skin started peeling on her hands and she had raynaud's in her fingers. Of course we went to the doctors and had lots of tests at the hospital. They ruled out arthritis and said she was hypermobile. They prescribed her strong painkillers which made her sleepy. Nevertheless she struggled through her A levels and got a place at University to study paramedic science. Her joint problems continued accompanied by digestive problems (mostly diarrhoea) and breathing problems that the doctors said wasn't asthma.
She pushed through her university years and gained her degree to qualify as a paramedic.
She is now 25 and is still working as a paramedic. It hasn't been easy. She often dislocates her knees. The first time she went to hospital and spent weeks on crutches but now, in fear of losing her job if she takes too much time off, she pushes it back in herself and carries on through the pain.
She still has skin problems with a peely nose, scaly elbows and sporadic rashes. She often has diarrhoea. Her joints are painful especially around her period time.
In the last 4 months she has been suffering with nausea and vomiting. She has been for an endoscopy but they didn't find anything. She is losing a lot of weight because she can't eat too much and she vomits a couple of times a day. Incredibly she still carries on working, this is how determined she is.
She has an adventurous spirit and would love to do outdoor pursuits such as rock climbing, surfing and snowboarding. But everytime she tries things it ends up in disappointment as her joints let her down.
I worry if she will ever be happy and get married. I certainly don't think her body would be able to cope with pregnancy.
Although she is strong on the outside, inside she is heartbroken and reaching her limit. After 8 years of struggling with pain and illness we are desperate for answers.
Is there anyone out there who has medical knowledge or experience of a similar condition who can help us?
I will add that we don't have the budget for private medical treatment.

OP posts:
Porfre · 22/01/2022 08:43

You need to go back to your GP. And keep going back until its sorted.

I think she needs to see a gastroenterologist and or a rheumatologist. If she hasnt been referred to a rheumatologist before that is certainly one Avenue to explore.

pammy6 · 22/01/2022 08:48

Thank you for your reply, she has seen a rheumatologist, they said it wasn't arthritis and gave her painkillers. The gastroenterologist is the one that had the endoscopy done. They ruled out coeliac disease.
Like you said we just have to keep going back.

OP posts:
Scrunchies · 22/01/2022 08:49

I presume with that history she has already seen a rheumatologist. Do you know if her tests were all normal?

Could it be ehlers danlos syndrome?

LoannaJumley · 22/01/2022 08:51

That sounds like an autoimmune disease, probably a rarer one.

As said above, back to Gp and push for referrals to rheumatology, dermatology and gastroenterology.

Popskipiekin · 22/01/2022 08:52

So sorry to hear this. Have they ruled out EDS? Ehlers-Danlos syndrome. She can have genetic testing for it. A lot of her symptoms sound a match. I am not remotely a medical professional but have a close friend with this and only found out more that way.

Popskipiekin · 22/01/2022 08:52

Sorry cross post with above! Hope you find out the answer.

PregnantAgainOhMy · 22/01/2022 08:53

Has she been tested for coeliac disease?

Oldtiredfedup · 22/01/2022 08:54

Sounds so like EDS - it can take years to diagnose. I hope you get answers soon.

PregnantAgainOhMy · 22/01/2022 08:54

Never mind, just saw it’s been ruled out.

cupoftea2022 · 22/01/2022 08:55

Sorry it sounds very difficult for your daughter.

This is a basic NHS page that I'm sure you've already looked at
www.nhs.uk/conditions/joint-pain/

With the skin issues you have referred so do you think it might possibly be psoriatic arthritis?

HollowTalk · 22/01/2022 08:55

Regarding her sickness, could that be a stomach ulcer due to the painkillers she is having? I had a stomach ulcer because I was taking strong painkillers without omeprazole.

Gloschick · 22/01/2022 08:56

Could it be systemic sclerosis? Sounds like she should ask to go back to the rheumatologist.

Syeknom · 22/01/2022 09:06

Could it be the hypermobility / connective tissue disorder causing the issues? There was a BBC series that covered a case where with similar symptoms, joint trouble and stomach emptying issues. It's not on I player anymore but there's a synopsis here and I think the lady was diagnosed with Ehlers-Danlos
www.bbc.co.uk/mediacentre/proginfo/2020/36/the-diagnosis-detectives
I'm not a doctor but I have got some kind of issue with my connective tissue, it means I struggle to go to the loo/pass wind which leads to bloating , I also get very cold extremities and diarrhea. Had an endoscopy and the bowel looks normal/ not coeliac. I have always had very "clicky" ankles and toes, I have had bike crashes and sore knees from running and exercise makes it better because it strengthens the muscle support so the more I run the less sore my knees can be as the joint is better supported. As it happens I'm a keen mountain biker/fell runner/rock climber, somewhat curtailed by having kids and I really feel for your daughter. I've found my flexibility is good for rock climbing and not spraining your ankle fell running, I just struggle in different ways.
I've just reread your post about how it started, so maybe there is something else acting as well on top of the underlying hypermobility, I would guess things are worse at the time of the month when progesterone is highest.
I don't know if any of this is helpful. I really hope you can get to the bottom of it. X

rambleonplease · 22/01/2022 09:08

Have they done a screen for all autoimmune conditions. Very much sounds like this. I would second a referral to rheumatologist for the joint pains and problems alone. She may well have more than one autoimmune condition which is common. So she could have Crohn's disease causes the gastric symptoms and rheumatoid arthritis the joint pain.

The other autoimmune condition I am thinking of is Sjogrens which can cause a wide variety of symptoms that really can seem quite random. I'll share a link.

My background is medical and I also have autoimmune conditions as does my DH and mum!

www.sjogrens.org/understanding-sjogrens/symptoms

Covidwoes · 22/01/2022 09:16

Hi OP, I wonder if she has complex regional pain syndrome? I have a friend with this. It was triggered by a knee injury in her case, and your DD's symptoms sound similar.

underneaththeash · 22/01/2022 09:18

It does sound like a connective tissue disorder.

Where does the rash appear when she gets it and what does it look like?

Porfre · 22/01/2022 09:25

She need to go back to the rheumatologist

McPom · 22/01/2022 09:26

My DS has a rare bone disorder called C.R.M.O. which sounds a little like your DD's symptoms. It was identified through X Ray and MRI.

I got this information from the Genetic and Rare Diseases Centre website:

Chronic recurrent multifocal osteomyelitis (CRMO) causes abnormal inflammation to occur in and around the bones. Symptoms usually begin in childhood but can occur at any age. Symptoms may include episodes of pain and joint swelling, skin redness, and sometimes a fever. In some cases, CRMO leads to abnormal bone growth, bone deformity, and fractures. Symptoms can last for years, and may go away on their own. CRMO may occur alone or with other skin or bowel inflammation conditions.

2222NameChange · 22/01/2022 09:28

I'm not a medical professional either but EDS and fibromyalgia are 2 autoimmune conditions that frequently appear together and might fit the symptoms?

I really hope you get some answers soon x

Daisy95 · 22/01/2022 09:32

I was going to say EDS too, could you possibly afford a private consultation with a rheumatologist? they tend to actually listen when you're paying for them?
Sorry to hear about your daughter, she's doing amazingly to still go to work in a hard job such as a paramedic.

HoppingPavlova · 22/01/2022 09:34

Rheum & autoimmune screen.

Jewel1968 · 22/01/2022 09:35

Food allergies or food intolerance I understand can have wide range of impacts that impacts whole systems. Worth asking for allergy test as part of her journey. But it does sound more like autoimmune as others have suggested.

GoodnightGrandma · 22/01/2022 09:36

I came in to say EDS.
Has she seen an immunologist ?

Salamander91 · 22/01/2022 09:40

Her symptoms sound a lot like my SIL's. She has Ehlers danlos syndrome. You need to go back to the GP and push for referrals.

BurnDownTheDiscoHangTheDJ · 22/01/2022 09:40

Sounds very similar to me. I had a bad virus at 17 that was first diagnosed as gradual fever but then they thought not. Never been the same since. 20 years on I've had every test for the weirdest symptoms including joint and back pain, severe migraine and gastro issues. “Only” ever been diagnosed with fibromyalgia, IBS, cluster headaches and migraine.

I haven't been able to live my life exactly how I envisioned. Trained to be and was a teacher for a decade but it knocked the shit out of me. Gave that up when I had my children and pregnancy really was horrible for me. I had two children in two years and it easily took my body five+ year's to recover.

I've been through various stages of grief over it but found counselling really helped me come to terms with not living the life I imagined. If your near London I can recommend rheumatology at Guys; they provided the therapy as well as my ongoing fibro treatment. The therapy actually helped me carve out an alternative career for myself using my teaching qualifications and experience and I'm now very happy with my new career. I'm self-employed which has taken the pressure off and I have a few sources of income from various jobs varying in difficulty and levels of pay so that I can keep going even when sick.

For me, coming to terms with it was key but that took me years. For a long time I thought that the next drug/idea/diet would cure me but I accept now that I won't be cured. This is my body and it is what it is. For a long time I was fighting against my body but now I listen to it and go with it... I rest when I need to and I'm kind to myself. I'm grateful for what I have and the fact I could gave kids and I am grateful for the support around me.

Good luck to your daughter and you @pammy6. It's a tough road but there is the quality of life for your daughter out there, she perhaps just has to change her thinking.