What causes back and rib pain, nose and perineum bleeding, gums swelling?
Patient: I have been reading about leukemia and I think this may all be psychological but i have have pretty bad lower back pain, right lower rib pain, headaches for months, my nose bleeds only slightly, but often,, my gums are swollen, and a little blood comes from the skin in between my v@g!n@ and my rectum. Also, I am very tired almost all the time.. and recently i have been waking up very sweaty.. what do you think could be wrong? Doctor: Hello, I have studied your case with diligence.Due to malignancy there can be osteoporosis leading to back pain.There can be degenerative wear of bones, muscles, ligament and loss of elasticity of muscles, due to deficiency of calcium, vitamin D, VIT B12 and carnitine.so supplements of these nutrients can relieve pain.In post cancer osteoporosis is very common osteoporosis leads diffuse pain in back.Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis,You need to start supplement of calcium with vitamin D, vit B12, and if osteoporosis is severe then bisphosphonates can be started.I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies.You need to take diet rich in calcium and vitamin D.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care.