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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:
Goawayangryman · 22/01/2022 09:47

Sounds very much like my friend's daughter, who has EDS.

Cornettoninja · 22/01/2022 09:47

Has your dd seen a dermatologist for the rashes/peeling skin? I would recommend pushing for a referral.

This is based on personal experience/opinion but dermatologists can be experienced at spotting skin conditions that are the result of other conditions and exploring options that might not be considered in other specialities. A dermatologist is more likely to consider the gastro symptoms in conjunction with the joint/bone symptoms iyswim.

It’s not a sure route to answers for your dd but I would pursue that route now if you’re able to.

Jewel1968 · 22/01/2022 09:48

Could be more than one thing going on and food intolerances could play into it onyxintegrative.com/key-signs-you-have-a-food-allergy-or-food-intolerance/

Some of her symptoms match food intolerances.

ittakes2 · 22/01/2022 09:56

I had something similar happen to me after an injury. My family tend to have autoimmune issues so our bodies over react. I had injured my achilles tendon and it was resolved quickly enough and my whole leg blew upfrom the knee down. But worst it seems to trigger an internal storm - my joints started to ache and I even had numbness and nerve tingling in random parts of my body, I became dizzy just sitting down etc etc and was really fatigued. At one point I was investigated for vasculitis and lupus and they ended up deciding I had the beginnings of fibromaylgia.
I managed to pull it all back with acunpucture mostly and an improved about of sleep. It was determined I was getting enough good quality sleep and wasn't entering the healing phase of sleep so went on amitripline which calmed by nerves.
I highly recommend acupuncture to get her body back into balance.

pammy6 · 22/01/2022 10:00

Thank you so much for all your replies. Too many to answer one at a time. In order to answer a few questions :Rheumatology didn't come up with anything other than hypermobility. She tries to avoid using pain killers as much as possible unless really necessary. A stomach ulce r would have been found on the endoscopy. A lot of people are saying EDS which is something we have been suspecting too but the doctor hasn't gone there. The other things that were mentioned I will certainly look into. I am so grateful for everyone's time, advice and support.

OP posts:
GoodnightGrandma · 22/01/2022 10:01

Has she seen an immunologist ?

ElizabethinherGermanGarden · 22/01/2022 10:09

Ehlers Danlos syndrome. Sounds exactly like the case on House.

ElizabethinherGermanGarden · 22/01/2022 10:10

Sorry, I do realise how flippant that's sounds - I shouldn't have posted; I have no actual medical knowledge, just a medical tv programme habit. I'm sorry your DD is suffering.

MenaiMna · 22/01/2022 10:11

You need a rheumatologist who specialises in PSORIATIC arthritis. It and other rate auto immune arthritis are seronegative (doesn't show in blood test), affects joints and tendons and connective tissue. Most GPs and basic rheumatologists think it's so rare that it's unlikely and will fob you off because it's expensive (for NHS) to treat so it takes years for diagnosis. Treatment is permanent anti-inflammatory meds, sometimes steroids, DMARDS and if you're bad enough biologic infusions. Once you've got it then there's whole teams to manage treatment - physics, OTs, dermatologists.
Some of the horrible features my long diagnosis (6 yrs of nagging for referral) has left me with include enthesitis, costochondritis, joint deformation, hyper mobility, labrynthitis, chronic fatigue and pain and permanent joint damage. (I have 48 joints affected). There is co-morbidity with diabetes & heart disease if left alone. Quick diagnosis will mean less permanent damage to joints and good management. No cure just management. Get her to do a PSARC joint assessment, get her seen by a good PsA rheumatologist privately if you can then have the diagnosis will get her into NHS consultant list (often same person).

3luckystars · 22/01/2022 10:15

Definitely sounds like an autoimmune thing and sometimes there can be two of them.

My friend had an autoimmune condition triggered after strong antibiotics.

I just read very quickly but has lupus and Psoriatic Arthritis been rules do out?

pammy6 · 22/01/2022 10:18

Thank you for such a detailed and informative reply. I appreciate everyone's time.
Thank you for this information it will really help to push for more investigations.

OP posts:
Mischance · 22/01/2022 10:22

It sounds as though she has Ehlers-Danlos Syndrome:

www.nhs.uk/conditions/ehlers-danlos-syndromes/

www.ehlers-danlos.com/what-is-eds/

I know people with this and I am suspected as having it in a mild form.

gogohm · 22/01/2022 10:28

Have they ruled out ehlers Danlos syndrome. That presents as hyper mobile, digestive, joints etc. various types some milder than others

jimmyreckon · 22/01/2022 10:32

EDS Fits as per pp but also vasculitis (there are a lot of different types) - she really needs to be re referred to rheum and endocrine for full screenings

TodaysFishIsTroutALaCreme · 22/01/2022 10:38

My heart stopped reading this. I could write very similar about my daughter.....rashes, raynauds, joint pain......

We are just at the start of our journey to diagnosis and I hope we can get some answers

AnnaMagnani · 22/01/2022 10:39

EDS with gastroparesis.

The episode of Diagnosis Detectives should be very helpful.

pammy6 · 22/01/2022 10:54

To 'today's fish...' I wish your daughter well too. Thank you for reply. I hope that she also gets the answers and support she needs.

OP posts:
Nat6999 · 22/01/2022 11:00

Sounds like EDS, Fibromyalgia could be the pain & digestive problems. Was she ever diagnosed with hypotonia as a child? My ds has this & it was connected to his autism which can also cause digestive problems.

Rubyglitter · 22/01/2022 11:34

When did she last have her bloods done? Is she deficient in anything (issues with her skin and bones)? If she’s losing weight from vomiting then she seriously needs to see a doctor again because I don’t think that’s a deficiency. In the meantime can you buy in bulk some Ensure shakes? She can drink these in between meals so she keeps the weight on.

Kshhuxnxk · 22/01/2022 11:37

GP's are that - general practitioners. You need to keep going back - those who shout loudest and all that. I have Crohn's disease and I had a flare up which purely affected my joints so much so I could barely walk, turn my head etc. I was having a flare up.

Cattitudes · 22/01/2022 11:48

Has she tried a FODMAP diet? I would ask for a referral to a dietician. If it is EDS then often it is about fire fighting individual symptoms.

Cattitudes · 22/01/2022 11:50

Climbing is actually quite good with EDS. Just taking it slowly and doing what she can when she can. Strengthening core can help for example pilates.

CuriousBogInTheNight · 22/01/2022 11:57

CREST syndrome?

purplesequins · 22/01/2022 12:00

yes to rheumatology

sounds like an autoimmune condition.
arthritis
psoriasis
lupus
crohns/ibd

GrannytoaUnicorn · 22/01/2022 20:44

By the second paragraph I had already decided it must be Ehlers Danlos. Has to be

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