[18M] With urinary urgency and abdominal discomfort

What might be happening

It is likely that your symptoms are related to multiple issues, including existing diagnoses. If you have more questions, we can continue chatting.

Causes of your frequent urination and bladder/abdominal aches over the last 3 days:

• Urinary Tract Infection (UTI): Even though your initial urine sample was negative, UTIs can sometimes present with frequent urination and bladder discomfort without the classic symptoms of burning or fever. The lab results will provide more clarity.
• Interstitial Cystitis: This is a chronic condition that can cause bladder pressure, bladder pain, and sometimes pelvic pain. It can lead to frequent urination and a feeling of incomplete bladder emptying.
• Medication Side Effects: Some medications, including those for allergies and sleep, can affect urination patterns. Allertec (an antihistamine) and Sleep3 (a sleep aid) could potentially contribute to urinary symptoms.

Causes of your sleep hallucinations, head and ear pressure, jaw sensations, and headaches:

• Anxiety and Stress: Given your history of significant anxiety, these symptoms could be related to stress and anxiety, which can manifest physically in various ways.
• Medication Side Effects: Buspar (for anxiety) and Xanaflex (a muscle relaxant) can have side effects that include dizziness, headaches, and other neurological symptoms.
• Neurological Issues: Although your brain MRI was clear, ongoing symptoms might warrant further evaluation by a neurologist.

Causes of your muscle weakness in hands, legs, feet, lower back, and head area:

• Medication Side Effects: Muscle weakness can be a side effect of medications like Xanaflex.
• Nutritional Deficiencies: Sometimes, deficiencies in vitamins or minerals can cause muscle weakness.
• Chronic Conditions: Conditions like chronic fatigue syndrome or fibromyalgia can cause widespread muscle weakness and fatigue.

Unifying Diagnoses:

• Medication Side Effects: Many of your symptoms could be related to the side effects of the medications you are taking or have recently stopped.
• Anxiety and Stress: Anxiety can cause a wide range of physical symptoms, including those you are experiencing.

What you can do

Frequent Urination and Bladder/Abdominal Aches:

• See a Doctor: Follow up with your healthcare provider once the lab results for your urine sample are available. They can provide a more definitive diagnosis and treatment plan.
• Stay Hydrated: Drink plenty of water to help flush out your urinary system.
• Avoid Irritants: Reduce intake of caffeine, alcohol, and spicy foods, which can irritate the bladder.

Sleep Hallucinations, Head and Ear Pressure, Jaw Sensations, and Headaches:

• Consult a Doctor: Discuss these symptoms with your healthcare provider, especially if they persist or worsen.
• Manage Stress: Practice relaxation techniques such as deep breathing, meditation, or yoga to help manage anxiety and stress.
• Medication Review: Ask your doctor to review your medications to see if any adjustments are needed.

Muscle Weakness:

• Consult a Doctor: Discuss your muscle weakness with your healthcare provider to rule out any underlying conditions.
• Stay Active: Engage in light physical activity to help maintain muscle strength.
• Nutrition: Ensure you are eating a balanced diet rich in vitamins and minerals.

What you should look out for

Given the complexity of your symptoms, you should seek medical care if you experience any of the following:

• Severe Pain: Any severe or worsening pain in your abdomen, bladder, or other areas.
• Fever or Chills: These could indicate an infection that needs prompt treatment.
• Blood in Urine: This could be a sign of a more serious condition.
• Severe Weakness or Numbness: Any sudden or severe muscle weakness or numbness should be evaluated immediately.

Remember, while I can provide guidance, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.