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General symptoms
Multiple joint pains loss of appetite slight brain fog type weakness
Blood urea nitrogen 4.99
HB 13.4
Answers (28)
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Go for high calcium diet till
cap cipcal daily and tab brutalflam mr 4 twice daily
Milk and green veggie
Blood test - vit b and vit d
Esr and urine complete
Next Steps
Milk, fluid, cocconut water and sprouts
Health Tips
Yoga and meditation with walk 15 minute daily
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do more lab test
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Hello, I am Dr. Romain Rajan, General Physician.
Your case has been allotted to me.
I understand your concern. Joint pains with weakness, loss of appetite, and mild brain fog can have several underlying causes ranging from post-viral fatigue or vitamin deficiency to thyroid or inflammatory issues. Your hemoglobin of 13.4 is normal, and the low Blood Urea Nitrogen (4.99) simply indicates good hydration or mild nutritional imbalance, not kidney disease.
1. Advices
Ensure adequate protein intake include eggs, paneer, lentils, and curd in your diet.
Sleep 7â8 hours regularly and maintain hydration (2.5â3 L water/day).
Light stretching or mild exercise daily helps reduce stiffness and fatigue.
2. What to Monitor
Whether the joint pains migrate (change location) or stay fixed.
Any morning stiffness lasting >30 minutes.
Weight loss, persistent tiredness, or fever.
3. Management
You can start with a B-complex and Vitamin D supplement once daily for 2â3 weeks.
If symptoms persist beyond 10â14 days, get the following basic tests done for clarity:
ESR & CRP (for inflammation)
Vitamin D3 & B12 levels
Thyroid profile (TSH, T3, T4)
These will help identify whether itâs post-viral weakness, nutritional, or autoimmune-related.
4. When to Consult a Doctor Immediately
If you develop persistent fever or severe joint swelling.
If appetite loss worsens or you lose weight rapidly.
If weakness progresses or affects daily work.
Every patientâs situation is unique. For accurate diagnosis and complete recovery, itâs important to discuss your full history and test results in detail.
ð You can reach out to me directly for this case, and also connect with me in future for any medical consultation.
I am available on Practo or on WhatsApp at 85271646 seven seven for a one-on-one consultation, where youâll receive:
⢠A personalized treatment plan
⢠Safe medicine adjustments (if required)
⢠Quick follow-ups to track your recovery
Take care, wishing you good health.
Best regards,
Dr. Romain Rajan
General Physician
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Hello 👋
Thank you for sharing your concern — I understand how uncomfortable it can feel to deal with multiple symptoms like joint pains, weakness, and brain fog at such a young age. Let’s go through this step-by-step.
Your symptoms — multiple joint pains, loss of appetite, and fatigue/brain fog — suggest a few possibilities:
1. Post-viral or autoimmune cause – conditions like early rheumatoid arthritis, lupus, or autoimmune thyroid issues can start this way.
2. Vitamin deficiencies – especially Vitamin D3, B12, or low ferritin can cause joint discomfort, fatigue, and mental fog.
3. Metabolic or hormonal imbalance – sometimes seen with thyroid disorders.
About your reports:
Your Hemoglobin (13.4) is perfectly normal.
Your Blood Urea Nitrogen (4.99) is slightly on the lower side but not worrisome — it often happens if you’re not eating enough protein or are mildly dehydrated.
What you should do next:
Get a few additional tests: Vitamin D3, Vitamin B12, Thyroid profile (T3, T4, TSH), ESR, and CRP.
Increase hydration and protein intake (milk, eggs, dals, paneer, etc.).
For now, you can take a balanced multivitamin and mild pain relief if required.
Once these reports are reviewed, we can decide if this is nutritional, post-viral, or autoimmune — and begin proper treatment.
For a detailed review of your reports and to create a personalized recovery plan, you can message me directly on WhatsApp — nine three two six zero two zero five three six.
I’ll help you identify the exact cause and guide you on how to fix the fatigue and pain naturally and effectively.
— Dr. Shivam Mishra, MBBS
Internal Medicine & Rheumatology Care | Ex-Registrar, Cooper BMC Hospital, Mumbai
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Your symptoms could be due to multiple reasons.
Need detailed history to find the root cause of symptoms.
Dont take pain killers unless prescribed.
Consult a general physician
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Require more details
Next Steps
connect with me on practo for further treatment
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Require detailed history.
Consult online to discuss further.
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Please seek a proper consultation with a General Physician with all the reports
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Please share detailed history
Please connect with me
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Need more history and symtomatology to properly evaluate your problem
Connect online
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Need more details
Diet,proffesion,other health issues etc
Kindly consult with more details
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Take a glass of milk daily.
Thanks.
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Fever? Appetite? Work overload? Physical stress? Any other investigations? Need detailed medical history. Kindly consult with me on 94 two six eight six 78 nine six.
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Please share detailed history of your symptoms.
Get ESR, serum calcium, vit. B12, d3, proteins, thyroid function tests, liver function tests, done and share results.
Take more of fresh vegetables, fruits, nuts, milk products, sprouts, eggs.
For pain, whenever it is more you can take take tab paracetamol 500mg one sos.
Take syp R.B. tone 5m.l. morning and evening for 4 weeks.
Tab shelcal m one morning and one evening for one month.
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Needs detailed assessment book appointment online
For now do ESR / CRP and vit d3 level
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Need few more details
Kindly connect.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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Video consult me.
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I need to take a detailed history
You can contact me
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green vegetables more
Fiber meal
Do connect and consult
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Due to gastric
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Get routine blood test and share
Consult online will guide you further need proper history and evaluation for further management
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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