[21F] Experiencing chronic hip pain and recent onset of food-related nausea

Patient Description

A 21-year-old female presents with a 1.5-year history of persistent pain in the lower right hip, which subsides only during menstruation. The pain is described as severe, constant, and pulsating, with increased intensity when sitting. The patient also reports new-onset nausea when consuming red meat, chicken, and milk, starting two months ago. Additionally, there is a history of a swollen lymph node on the right side of the neck for several years, which has recently become tight. The patient suspects a vitamin D3 deficiency and has a history of symptoms resembling sinusitis and impetigo. There is no known allergy except for a reaction to an unspecified antibiotic causing prolonged diarrhea. Past treatments for sinusitis-like symptoms with antibiotics such as Festover or Coamoxiclav 625 have not been fully effective. The patient's menstrual cycle has recently changed, increasing from 28 to 42 days between periods. No other systemic symptoms such as fever, night sweats, or unintentional weight loss were reported.

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Arora's Assessment

What might be happening

Based on the information you provided, here are some possibilities:

  • Musculoskeletal Pain: The persistent pain in your right hip could be due to a musculoskeletal issue, such as a strain or sprain, especially given your history of inactivity. This would not typically be associated with your other symptoms.

    • Treatment usually involves physical therapy, pain management with over-the-counter pain relievers, and lifestyle modifications like regular exercise and weight management.
  • Food Intolerance or Sensitivity: Your nausea when consuming red meat, chicken, and milk could suggest a food intolerance or sensitivity. This would not typically be associated with your other symptoms.

    • Management typically involves avoiding the offending foods.
  • Hormonal Imbalance: Your change in menstrual cycle could suggest a hormonal imbalance, such as Polycystic Ovary Syndrome (PCOS). This would not typically be associated with your other symptoms.

    • Treatment often involves lifestyle modifications and sometimes medication to manage symptoms and prevent complications.
  • Swollen Lymph Nodes: These can be caused by many conditions, from benign infections to more serious conditions like cancer. Given the duration and recent change in your lymph node, it would be important to get this evaluated by a healthcare provider.

    • Treatment depends on the underlying cause.

What you can do

  1. Consult a healthcare provider: Given the range and duration of your symptoms, it would be important to consult a healthcare provider for a thorough evaluation. They can order relevant tests and refer you to specialists as needed.

  2. Lifestyle modifications: Regular exercise and a balanced diet can help manage musculoskeletal pain and hormonal imbalances.

  3. Monitor your symptoms: Keep track of your symptoms and anything that makes them better or worse. This can help your healthcare provider in diagnosing and treating your condition.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe pain
  • Rapidly enlarging lymph node
  • Unexplained weight loss
  • Fever, night sweats, or other signs of infection
  • Difficulty breathing or swallowing

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

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11 mo ago

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People Also Ask


What could be causing persistent pain in the lower right hip that subsides during menstruation?

Persistent pain in the lower right hip that subsides during menstruation could be related to musculoskeletal issues, such as a strain or sprain. However, the fact that it subsides during menstruation might suggest a hormonal component or endometriosis, which should be evaluated by a healthcare provider.


Why might someone experience nausea when consuming red meat, chicken, and milk?

Nausea when consuming red meat, chicken, and milk could indicate a food intolerance or sensitivity. This can occur due to the body's inability to properly digest certain proteins or sugars found in these foods, and management typically involves avoiding the offending foods.


What could cause a change in menstrual cycle length from 28 to 42 days?

A change in menstrual cycle length from 28 to 42 days could be due to hormonal imbalances, such as those seen in Polycystic Ovary Syndrome (PCOS) or thyroid disorders. It is important to consult a healthcare provider for a proper evaluation and diagnosis.


What are the potential causes of a swollen lymph node that has been present for several years and recently became tight?

A swollen lymph node that has been present for several years and recently became tight could be due to a variety of causes, ranging from benign infections to more serious conditions like lymphoma. It is crucial to have this evaluated by a healthcare provider to determine the underlying cause and appropriate treatment.


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