[34F] Son with chronic leg pain and other symptoms

What might be happening

Your son's symptoms could be related to several conditions. Here are some possibilities:

1. Growing Pains or Osgood-Schlatter Disease: Given his age and recent growth spurt, leg pain below the knee could be due to growing pains or Osgood-Schlatter disease, which is common in active children and adolescents.

2. Juvenile Arthritis: The joint stiffness and leg pain, along with swelling, could suggest a form of juvenile arthritis. This condition can cause joint pain and swelling.

3. Anemia or Other Blood Disorders: The fatigue, weakness, and high red blood cell count might indicate a blood disorder. Anemia can cause tiredness and weakness.

4. Nutritional Deficiencies: High alkaline phosphatase levels can sometimes be related to vitamin D deficiency, which can also cause bone pain and weakness.

5. Chronic Fatigue Syndrome: The ongoing fatigue and weakness could be related to chronic fatigue syndrome, especially if other causes are ruled out.

Typical treatments or tests might include blood tests to check for deficiencies or inflammation, imaging studies for joint issues, and possibly a referral to a specialist like a pediatric rheumatologist.

What you can do

Leg Pain and Swelling:

• Encourage rest and avoid activities that worsen the pain.
• Apply ice packs to reduce swelling.
• Consider over-the-counter pain relief like ibuprofen, but consult a doctor for long-term use.

Headaches:

• Ensure he stays hydrated and maintains a regular sleep schedule.
• Limit screen time and encourage breaks during activities.
• Keep a headache diary to track triggers and patterns.

Fatigue and Weakness:

• Ensure a balanced diet rich in vitamins and minerals.
• Encourage gentle physical activity to improve energy levels.
• Monitor his symptoms and consult a doctor for further evaluation.

General Health:

• Use MDandMe to journal symptoms, track progress, and share notes with your healthcare provider.
• Schedule a follow-up with your healthcare provider to discuss these symptoms and any necessary tests.

What you should look out for

Seek medical attention if you notice:

• Increased pain or swelling in the legs.
• Persistent or worsening headaches.
• Any new symptoms like fever, rash, or significant changes in behavior.

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment plan.