Discussions By Condition: I cannot get a diagnosis.

new member, trying to find answers

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: jadaly17
  • January 1, 2007
  • 08:53 AM

I have used this site before for research. I now wish to inqiure to all the other users of this forum for help. I will list my conditions and symptoms as follows:

Possible diagnosis of Reynaud syndrome?

high blood pressure ( I take atenelol and asperin daily)
femoral to femoral bypass
stent in right Illiac
right index finger pain, discoloration (white, blue, red) nearly constant pain
warming of finger seems to help to some degree, although not so much
increased activity, pressure, sudden contact with finger will cause pain
I believe Reynaud is an episodic event, mainly triggered by cold, I don't believe that is what's happening to me. The tip of my index finger and back to the first knuckle seem to be the main areas of pain. As I said, the pain level comes and goes but at times feels like I have vice grips on the end of my finger. Cold, pressure, and contact seem to set if off. It takes anywhere from 15 minutes of warmth and inactivity to several hours for the pain to diminish. The tip of my index finger has been always numb/tingly for about a month now. Not sure where to look for help. Anyone who has questions or similar symptoms will be more than welcome to contact me. I have Kaiser insurance, not that that's a plus; they take a very long time to get you in for help. Thanks for your time, Sincerely, Jack

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2 Replies:

  • my sister had something similar to this as a child but it was called raynaud's phenomenon.I cut and pasted this from an article. Blood vessel constriction attacks affecting fingers and/or toes. More detailed information about the symptoms, causes, and treatments of Raynaud's phenomenon is available below. A disorder of the small blood vessels of the extremities, causing coldness and reduced blood flow. In response to cold or anxiety, these vessels go into spasms, causing pain, the sensations of burning and tingling, and cWHAT: Raynaud's phenomenon. Raynaud's Phenomenon: the paroxysmal constriction of the small arteries and arterioles of the hands or feet, usually precipitated by cold or emotional upset, resulting in pallor and cyanosis of the fingers or toes following a characteristic pattern. WHY: Raynaud's phenomenon may occur in mixed connective tissue disease, systemic lupus erythematosus, progressive systemic sclerosis, poly- myositis/dermatomyositis, and rheumatoid arthritis associated with Sjogren's syndrome. HOW: In Raynaud's phenomenon there are three classic color changes of the fingers or toes. First, vasoconstriction results in a white blanching of the fingertips. Second, vasodilatation with sludging of vascular flow follows and results in blue, cyanotic digits. Finally, with recovery, there is increased blood flow with resulting erythema of the fingers. With observation of two of the three color changes, Raynaud's phenomenon is considered present. Symptoms: Symptoms usually affect fingers, toes, nose, lips or earlobesSkin color changesSkin whiteness then blueness then rednessCold sensitivityPallor (whiteness)Cyanosis (blueness)Redness (rubor)Finger symptomsFinger color changesFinger pallorFinger tinglingFinger rednessFinger numbnessFinger sensitivityFinger painToe symptomsToe color changesToe numbnessToe rednessToe pallorToe sensitivityToe painNose symptomsNose color changesNose numbnessNose rednessNose pallorNose sensitivityNose painEarlobe symptomsEarlobe color changesEarlobe numbnessEarlobe rednessEarlobe pallorEarlobe sensitivityEarlobe painLip symptomsLip color changesLip numbnessLip rednessLip pallorLip sensitivityLip painEpisodic attacks - lasting minutes or hoursSmall blood vessel constriction (vasospastic attacks)Symmetric symptoms - usually both hands or both feet rather than just oneBoth hands and both feet - primary Raynaud's affects all 4; secondary Raynaud's typically affects either hands or feet but not both.Other areas affected - hands and feet most common but others are possibleNose symptomsLips symptomsEar lobes symptoms hope this information help you, my sister suffered for years until it strangely cleared up with the pregnancy of her first child.
    kitty k 31 Replies
    • January 1, 2007
    • 11:04 AM
    • 0
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  • I would seek a physiatrist to acquire a nerve conduction study. It does not sound like Reynaud's Phenomenon, to me. It sounds more of a nerve type disorder. Perhaps a carpal tunnel-like syndrome. This can be determined from a simple nerve conduction study. Do you have a job or do you perform any type of constant repetitive motion with your hands, say, typing...using air guns in a factory, something that would require a constant twisting motion at your writsts? Good luck.
    Anonymous 42,789 Replies
    • January 4, 2007
    • 04:28 AM
    • 0
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