15 Conditions/Diseases often misdiagnosed

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You have been to the doctors and all they can tell you is ‘ its in your head’ or ‘take these drugs and lets see’ or worse off you have been misdiagnosed and are on another treatment that is clearly not making you feel any better. Most of us have been there, we have been poked and prodded , undergone one too many tests and scans only for the doctor to misdiagnose. Most people go for years without the right diagnosis which not only increases the symptoms but leaves one in a state of defeat and depression. You as the one being in pain and discomfort have a right to a correct diagnosis and if you feel that particular doctor isn’t helping you, ALWAYS seek a second, third or fourth opinion. You have the right to proper diagnosis and treatment.

Below we look at the 15 conditions/Diseases that are often misdiagnosed.

Celiac disease

So much confusion surrounds celiac disease — an immune reaction to gluten that triggers inflammation in the small intestine — that it takes the average patient six to 10 years to be properly diagnosed. Celiac sufferers would, in theory, have digestive problems when eating gluten-containing foods like wheat, barley, and rye, but in fact, only about half of people diagnosed with the disease have experienced diarrhea and weight loss.

Celiac disease can also cause itchy skin, headaches, joint pain, and acid reflux or heartburn, and it’s all too easy to blame these symptoms on other things. A blood test can diagnose celiac disease no matter what symptoms are present, and an endoscopy can determine any damage that’s been done to the small intestine.

Rheumatoid arthritis(RA)

Unexplained aches and pains may also be caused by rheumatoid arthritis (RA), an autoimmune disorder. Unlike osteoarthritis (the “wear and tear” kind that appears as people get older), RA causes inflammation and painful swelling of joints and can occur at any age.

“Early stages of RA can mimic many other conditions — sometimes it’s just a sense of aches or stiffness in the joints, which could be caused by a lot of different things,” says Fleming. Blood tests can help detect the presence of inflammation in the body, he says, but an exact diagnosis of RA also must take into account a patient’s medical history and a doctor’s careful physical exam.

Irritable bowel syndrome(IBS)

Some conditions are difficult to diagnose because there is no real test to prove their existence; rather, they require a “diagnosis of elimination,” says Fleming, as doctors rule out all other possibilities. Irritable bowel syndrome (IBS) — a chronic condition that affects the large intestine and causes abdominal pain, cramping, bloating, diarrhea, and/or constipation — is one of these cases.

According to diagnostic criteria, a patient should have symptoms for at least six months before first being seen for a formal evaluation, and discomfort should be present at least three days a month in the last three months before being diagnosed with IBS.

Lupus

The most distinctive sign of lupus — another chronic inflammatory disease — is a butterfly-shaped rash across a patient’s cheeks, but that’s not present in all cases. For those who don’t develop the rash, diagnosis can be a long and difficult process, says Shapiro.

“Lupus can present in different ways; it can affect the joints, kidneys, brain, skin, and lungs, and can also mimic many different issues.”

There is no one way to diagnose lupus, but blood and urine tests, along with a complete physical exam, are usually involved. Treatment also depends on a patient’s individual signs and symptoms, and medications and dosages may need to be adjusted as the disease flares and subsides.

Lyme disease

You probably know to look out for tick bites and the telltale bullseye rash that can form around them if a person is infected with Lyme disease. But not everyone develops this rash — and Lyme disease’s other symptoms (like fatigue, headaches, joint pain, and flu-like symptoms) can easily be confused for other conditions, says Shapiro.

A blood test can check for Lyme disease antibodies in the blood, but those usually don’t show up until a few weeks after infection and the test is notoriously unreliable. It’s important to remove the tick immediately and see a doctor right away. Quickly removing a tick can possibly prevent the transfer of dangerous bacteria, and antibiotics for Lyme disease are most effective when given immediately.

Hypothyroidism

The condition is often mistaken for natural, age-related problems because the subtle early stages include fatigue, dry skin, muscle aches, forgetfulness, and weight gain. It is especially common in women over 60.

'I can still hear my doctor saying: 'That's harmless. You'll be well in no time!''
‘I can still hear my doctor saying: ‘That’s harmless. You’ll be well in no time!”

Fibromyalgia

Fibromyalgia, which is characterized by widespread musculoskeletal pain, involves “medically unexplained symptoms” — a term doctors use to describe persistent complaints that don’t appear to have an obvious physical cause. When doctors can’t find a root cause for a patient’s chronic pain and fatigue, they often settle on this diagnosis. This may involve seeing specialists and ruling out other diseases, some of which prove equally difficult to diagnose, says Dr. Eugene Shapiro, deputy director of the Investigative Medicine Program at Yale University.

“There are studies that show that people with certain symptoms who show up at a rheumatologist will be diagnosed with fibromyalgia, but if the same patients show up at a gastroenterologist they’ll be diagnosed as having irritable bowel syndrome.”

Endometriosis

Many perfectly healthy women deal with menstrual pain and discomfort, so it’s not surprising that endometriosis is often misdiagnosed. However, women with endometriosis (in which uterine tissue grows outside the uterus) often report pelvic pain, cramping, and heavy bleeding that’s far worse than usual, and that gets worse over time. A pelvic exam can sometimes detect endometrial tissue or cysts that have been caused by it. In other cases, an ultrasound or laparoscopy is required for a definite diagnosis.

Polycystic Ovary Syndrome(PCOS)

The condition affects women of reproductive age who have elevated levels of male androgen hormones, or infrequent or prolonged periods. They may have abnormal facial and body hair, though this symptom is less common in women of certain ethnicities such as Asian or Northern European. Additional possible symptoms include irregular periods, difficulty getting pregnant, enlarged ovaries with cysts, and weight gain.

Inflammatory Bowel Disease (IBD)

There are primarily two types of inflammatory bowel disease (IBD): Crohn’s disease and ulcerative colitis. Both cause inflammation of the digestive tract, as well as pain, diarrhea, and possibly even malnutrition. Because there’s no one test for IBD, however, it is diagnosed primarily by excluding everything else.

“If a patient comes in with severe abdominal pain, we might first think it’s their gallbladder,” says Shapiro. “If he comes in with loose stools, we might think it’s an infection. So we go through a litany of tests — imaging, blood tests, assessments — and sometimes we finally come down to the fact that we’ve ruled out every other possibility, so this is what we’re going to treat you for and we’ll see if it works.”

Appendicitis

You might think that an inflamed or burst appendix should be easy to identify, and often, it is: typical appendicitis symptoms include nausea, pain and tenderness around the belly button, and possibly a low-grade fever. But not always.

Patients with backward-facing appendixes present symptoms in unusual locations. A ruptured appendix may relieve the pain, causing the patient to feel better until an infection forms.

Migraines

For many migraine sufferers, nothing could be more obvious than the severe headaches, which are usually characterized by intense throbbing or pulsing and can be accompanied by nausea, vomiting, or sensitivity to light and sound. But some people may get migraines without even knowing it.

“Sometimes migraine symptoms can be very severe, where the patient can even develop paralysis, and other times they can be very subtle,” he says. “Patients might feel dizzy or lightheaded or feel a vague discomfort in their heads, and oftentimes they’ll get treated with medication that might not be appropriate for a true migraine.”

A neurologist should be able to rule out other possibilities, and make the proper diagnosis.

Cluster headaches

Another headache disorder that’s often misunderstood, cluster headaches are extremely painful but also very rare — affecting less than 1 million Americans. Cluster headaches tend to occur close together, often on the same day, and last 30 minutes to three hours, on average. Scientists aren’t sure why, but cluster headaches tend to occur when seasons change. Because of this, they can sometimes be misdiagnosed as allergy-related sinus headaches.

Multiple sclerosis(MS)

Another autoimmune disease, multiple sclerosis (MS) occurs when the immune system attacks the body’s own nerve cells and disrupts communication between the brain and the rest of the body. Some of the first symptoms of MS are often numbness, weakness, or tingling in one or more limbs, but that’s not always the case.

“Multiple sclerosis can be episodic; the disease waxes and wanes,” says Shapiro.

Depending on the number and location of lesions in the brain, he adds, signs and symptoms may be more or less severe in different people. Once a doctor does suspect MS, however, a spinal tap or MRI can help confirm the diagnosis.

Diabetes

Type 2 diabetes can’t stay hidden forever; if left untreated, it can cause life-threatening damage to the body’s major organs. Before signs of diabetes develop, says Fleming, adults can have diabetes for years without knowing it.

“There are a lot of people out there with elevated blood sugar levels who aren’t getting to the doctor regularly, so they aren’t getting checked for it,” he says. “They won’t realize it until it gets severe enough that they start developing side effects, like problems with their vision or numbness in their feet or hands.”

To avoid these problems, watch for earlier symptoms like increased thirst or hunger, frequent urination, sudden weight loss, and fatigue.

health.com/cnn.com

 

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