[20F] Experiencing generalized extreme pain with sensitivity to touch and cold

Patient Description

A 20-year-old female reports experiencing extreme pain described as feeling like knives and needles throughout her body, particularly affecting her legs, feet, hands, and head. The pain has been present for 6 years and is rated as a 10 on the pain scale, indicating severe intensity. The pain occurs spontaneously and is exacerbated by touch and cold temperatures. Additionally, the patient reports severe headaches and episodes of fainting. There is no mention of recent injuries, and the onset of symptoms began suddenly one morning. The patient denies being pregnant and has not indicated any other medical conditions or medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible conditions:

  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It is often associated with sensitivity to touch, cold, and other stimuli.

    • Treatment typically involves a combination of medications, exercise, stress management techniques, and healthy lifestyle habits.
  • Complex Regional Pain Syndrome (CRPS): This is a form of chronic pain that usually affects an arm or a leg and typically develops after an injury, surgery, stroke or heart attack. The pain is out of proportion to the severity of the initial injury.

    • Treatment is most effective when started early and often involves a combination of medications, physical therapy, and psychotherapy.
  • Multiple Sclerosis (MS): This is a potentially disabling disease of the brain and spinal cord (central nervous system). Symptoms can include pain, dizziness, balance issues, and temporary paralysis.

    • Treatment typically involves medications to manage symptoms and slow the progression of the disease.
  • Postural Orthostatic Tachycardia Syndrome (POTS): This is a condition that affects circulation and can lead to an increased heart rate, fainting, and other symptoms when standing up.

    • Treatment typically involves lifestyle changes and medications to manage symptoms.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Schedule an appointment with a healthcare professional to discuss your symptoms. They may refer you to a specialist, such as a neurologist or rheumatologist, for further evaluation.
  2. Keep a symptom diary. Note when your symptoms occur, their severity, and any potential triggers. This can be helpful information for your healthcare provider.
  3. Practice good self-care. This includes eating a healthy diet, getting regular exercise, ensuring you get enough sleep, and managing stress.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes unbearable
  • You experience sudden or severe headaches
  • You have difficulty breathing
  • You lose consciousness or have a seizure
  • Your symptoms significantly interfere with your daily activities

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

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People Also Ask


What are the common symptoms of fibromyalgia?

Common symptoms of fibromyalgia include widespread musculoskeletal pain, fatigue, sleep disturbances, memory issues, and sensitivity to touch, cold, and other stimuli.


How is Complex Regional Pain Syndrome (CRPS) diagnosed?

CRPS is diagnosed based on a physical exam and the patient's medical history. Tests such as bone scans, MRI, or X-rays may be used to rule out other conditions.


What lifestyle changes can help manage Postural Orthostatic Tachycardia Syndrome (POTS)?

Lifestyle changes for managing POTS include increasing salt and fluid intake, wearing compression garments, avoiding prolonged standing, and engaging in regular, gentle exercise.


What are the early signs of Multiple Sclerosis (MS)?

Early signs of MS can include fatigue, numbness or tingling, muscle weakness, dizziness, balance problems, and vision issues such as blurred or double vision.


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