Discussions By Condition: I cannot get a diagnosis.

Tachycardia, nephrocalcinosis, general symptoms

Posted In: I cannot get a diagnosis. 10 Replies
  • Posted By: NneedofDX
  • December 19, 2010
  • 11:53 PM

For months I have been dealing with an ever-growing array of symptoms and I can't seem to get a diagnosis.*

I am a 26yo female with children. Prior to the onset of these new symptoms my only significant med hx is a cholocystectomy in 2008, 2 months after our youngest was born.*

I'll try to net it out:
I went in for tachycardia and mentioned flushing and GI symptoms. Thyroid, 5HIAA, catacholamines, metanephrines.. All normal. EKG and echo show no abnormalities other than sinus tach.*

Mg was low (1.4) was given 2g IV and when Mg was redrawn a week and a half later it was "normal" (I haven't seen those lab results yet.)

The following labs were drawn and came back "normal":
Thyroid, CBC, metabolic panel, hepatic function panel, A1C, urinalysis, CA 119, CA 125, CEA
A chest x-ray was apparently normal as well.*

An abdominal and pelvic ct showed corticomedullary nephrocalcinosis.*

Since my serum Ca was normal he says he's not concerned about the calcinosis. Does this sound right? He put me on a beta blocker and said see you in a month.*

Symptoms:
Tachycardia, diarrhea, constipation, abdominal pain, fatigue, some dizzyness, random low grade fever, 2 lumps in my face (one in my right cheek and one in the area of the parotid gland). When I lay down at night after a day where I have felt really bad I have terrible joint pain. Mainly my hips, but also knees and ankles. Often I wake up in the morning with a swollen face, hands, and some minor pitting edema in both legs. There are palpable (not big, but only recently palpable) lymph nodes in my chest and groin area.*

I'm sorry it's so long, and I'm sure I've still forgotten things, but I am just really getting desperate for answers. It doesn't seem like all of this would be going on for no reason, and after one big round of tests the doc just gave me a beta blocker. *Anyone else dealt with this and gotten a diagnosis? Is nephrocalcinosis really nothing to be concerned with since my blood calcium isn't high?*

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10 Replies:

  • How long do you suffer for these symptoms?Your weight? Have you lost weight?
    Anonymous 42789 Replies
    • December 20, 2010
    • 08:44 PM
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  • I'm about 160 lbs. At one point a few weeks ago when I was feeling really bad I lost 7 or 8 lbs in a week, but other than that no significant weight loss (unfortunately lol). I have been having GI problems for years but they have gotten much worse over the last year. The flushing has also been going on for several years, the tachycardia I just noticed a couple of months ago.
    NneedofDX 7 Replies
    • December 21, 2010
    • 00:03 AM
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  • Also, I don't know if this has anything to do with anything, but I have had Bell's palsy twice. Once as a child when I was about 7, then again during my second pregnancy four years ago.
    NneedofDX 7 Replies
    • December 21, 2010
    • 00:04 AM
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  • Also, I don't know if this has anything to do with anything, but I have had Bell's palsy twice. Once as a child when I was about 7, then again during my second pregnancy four years ago.Maybe primar Hypomagnesemia... Do you suffer for cramps?
    Anonymous 42789 Replies
    • December 21, 2010
    • 07:44 AM
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  • Did they test you for any autoimmune disease ?
    Anonymous 42789 Replies
    • December 21, 2010
    • 02:09 PM
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  • I dont' really have many issues with cramping, the once in a blue moon calf cramp or back spasm, but they don't occur very often. No, he has not tested for any autoimmunes. Does that sound like something I should request? Lupus? Or something else?
    NneedofDX 7 Replies
    • December 21, 2010
    • 02:33 PM
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  • I dont' really have many issues with cramping, the once in a blue moon calf cramp or back spasm, but they don't occur very often. No, he has not tested for any autoimmunes. Does that sound like something I should request? Lupus? Or something else? Yes you should...But also it could be infection...
    Anonymous 42789 Replies
    • December 21, 2010
    • 02:42 PM
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  • I picked up a copy of my lab and test resutls today. The CT report says that there is "calcification throughout the kidney at the corticomedullary junction diffusely. There are a few small bilateral renal cysts but no suspicious lesions are present" The report also shows that there are "follicular-sized cysts within the right ovary. The largest measures up to 2.1 cm in diameter. There is minimal free fluid.." Sodium and Chloride were slightly elevated, Mg was 2.0, Basophils slightly elevated. Amorphous phosphate, bacteria, and squamous epithelial cells detected in urinalysis with a pH of 7.0. It looks like RTA could be a possible culprit, however my CO2 was 30 which for this lab is the very upper edge of normal, wouldn't that indicate alkaline and not acid? I tried to shop with my family today and got very worn out, I am again running a low grade fever. I am supposed to see the doc again on Jan 6th. What tests should I ask for? He is planning to test parathyroid, vit D, and uric acid. Should I insist on a Lupus test, or just bring it up? Anything else I should ask for? Thank you so much for your input.
    NneedofDX 7 Replies
    • December 22, 2010
    • 00:50 AM
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  • Get worked up for autoimmune diseases; lupus, RA, Sjogren's.
    aquila 1263 Replies
    • January 6, 2011
    • 08:07 PM
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  • I saw the doc yesterday and the only new thing was that my vitamin D is really low. He put me on 50,000 units of vitamin D for two months and then he's going to check my levels again in three months. He also upped my metoprolol to 50 mg, as the 25 mg was still not bringing my heart rate down. We asked him about testing for autoimmune diseases, but he said that my labs were not bad enough yet to justify the testing. He said that people with autoimmune will continue to complain and search for dx but it takes years and it doesn't happen until the patient's labs etc get really bad. Does this sound right? It kind of sounded like he was saying that an autoimmune panel would come up negative until I got worse? I have an appt with a GI specialist in early February, my doc is pretty sure they are going to be doing a colonoscopy... Seems to me like an autoimmune panel is a less drastic measure than a colonoscopy!
    NneedofDX 7 Replies
    • January 8, 2011
    • 04:45 AM
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