Discussions By Condition: I cannot get a diagnosis.

Leg pain!!

Posted In: I cannot get a diagnosis. 3 Replies
  • Posted By: Shammet92
  • January 1, 2009
  • 06:35 AM

my mother has been complaining of leg pains for quite some time. She is always working and is always tired. in her legs her veins are popping out and she has pins and needles sensations in her legs. She also has anemia(low white blood cell count). and gets headaches all the time
please help??

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3 Replies:

  • It sounds as if she's got varicose veins.Wearing support stockings will help the symptoms.Anemia is a low RBC count.not a low WBC count.
    richard wayne2b 1,232 Replies
    • January 1, 2009
    • 01:18 PM
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  • Well, the term for low white cell count is Leukopenia. Alternatively, if she has been diagnosed as simply anemic, it is generally referring to low red blood cell count. If she has has difficulty forming red cells, white cells and platelets, then we term this aplastic anemia or pancytopenia. There are many type of anemia and sufficient explanation too exhaustive to post here. You'll need to gain better clarification regarding the precise nature of her disorder in this regard in order for me to respond more extensively. The veins visibly "popping out" is more traditionally due to varicose veins, wherein blood collects in superficial veins of the legs and can create high pressure on them when standing. It is often painful to a variable extent among patients. Deep vein thrombosis or DVT is a common occurence in the presence of varicose veins and if she's experiencing a cramping type of pain, most generally in the calf, then it must be investigated promptly. The area may be red and even swollen, with the skin demonstrating a shiny surface on occasion and warm to the touch. I am not, however, describing the disorder for the purpose of fostering any type of at-home or layperson diagnosis of her problem and again, she needs to undergo diagnostic tests to rule out DVT. Also realize that if your mother does indeed have DVT, there is a reasonable risk of hereditary thrombophila, meaning that a problem exists with clotting factors that make the condition favorable to stroke, etc., so the existing presence of some type of existing hematologic disorder makes prompt evaluation even more important. If your mother's job requires a lot of standing, then together with the "anemia," the symptoms may be representative of disorders that would justify the constant fatigue. While the classic tension headache is quite common among most people, the variability in underlying cause is somewhat substantial depending upon the affected individual's medical history. There are oftentimes reports of headaches among persons with various types of anemia, but little clinical evidence to suggest anemia as the actual cause. I would consider the headaches to be merely coincidental at this point and treated symptomatically. Again, direct evaluation by your primary care doctor or specialist for the problem with her legs is strongly advised. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • January 1, 2009
    • 01:21 PM
    • 0
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  • Does your mum have any swelling in her legs? Especially aound the ankles? Are both legs equally bad? How old is she?
    Felsen 510 Replies
    • January 1, 2009
    • 03:34 PM
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