Seeking Your Recommendations for Medical Guidance
Hello everyone, I'm a 29-year-old female reaching out for your recommendations. I have an upcoming appointment on October 28th, but I would appreciate any perspective you might offer beforehand. As someone diagnosed with celiac disease, I strictly adhere to a gluten-free diet. I can guarantee this since I prepare all of my meals myself and ensure that every product I use is gluten-free, being extra vigilant about my choices. Lately, I've been struggling with symptoms of gastroparesis nearly around the clock for more than a month. The discomfort has become quite challenging to manage. In addition to this, I've been experiencing persistent joint pain, frequent headaches, and discomfort at the junction of my head and neck. I've noticed small bruises appearing on my legs, and I'm becoming increasingly prone to bruising just from light scratching, which seems to happen often. While I'm not looking for a specific diagnosis, I would appreciate suggestions on what type of medical professional I should consult next, aside from my gastroenterologist. For context, I reside in New York, USA, and I typically visit Northwell Doctors and hospitals.
Answers (1)

9/14/2025, 4:10:42 PM
OpenHealth AI
Thank you for sharing your concerns. It sounds like you're experiencing significant symptoms that are impacting your quality of life, and it's understandable to seek additional guidance before your appointment.
Main Points:
- You have celiac disease, adhere strictly to a gluten-free diet, and are experiencing symptoms of gastroparesis, joint pain, headaches, neck discomfort, and easy bruising.
- While I can’t provide a diagnosis, I can suggest specialists to consider and some immediate actions to help manage your symptoms.
Explanation: Celiac disease and its strict dietary management can sometimes lead to additional complications, including nutritional deficiencies, which may explain symptoms like joint pain and easy bruising. Gastroparesis can also contribute to various digestive challenges and discomfort, affecting your overall wellbeing. Given your symptoms, it’s important to build a comprehensive approach to your health.
Next Steps:
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Consider Seeing a Rheumatologist: Given your joint pain and bruising, a rheumatologist can evaluate if there’s an underlying autoimmune condition or other issues contributing to these symptoms.
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Visit a Dietitian Familiar with Celiac Disease: You might benefit from consulting with a registered dietitian who specializes in celiac disease. They can help ensure you are getting all the necessary nutrients and possibly identify any dietary triggers exacerbating your symptoms.
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Keep a Symptom Diary: Document your symptoms, including timing, duration, and potential triggers (foods, stressors, etc.). This will help healthcare professionals better understand your condition and guide their recommendations.
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Stay Hydrated and Manage Symptoms at Home: Continue to ensure you’re drinking plenty of fluids, as dehydration can make other symptoms worse. For gastroparesis, you might also want to try smaller, more frequent meals and softer foods that are easier to digest.
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Evaluate Stress Levels: Stress can exacerbate many physical symptoms, so consider integrating relaxation techniques such as meditation, yoga, or gentle physical activity, if feasible.
It's good that you have an upcoming appointment; these suggestions can be useful to discuss with your healthcare professionals. Remember to express all concerns during your visits, so they can provide the most helpful interventions. If you have any more questions or need further support, feel free to reach out.
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