[21F] With burning sensation, seizures, and sensitivity to sound and light

Patient Description

A 21-year-old female reports experiencing a burning sensation inside her body, particularly in the middle abdomen, that has developed gradually. The episodes last about an hour each day and are somewhat alleviated when lying on her belly. The patient also experiences seizures within the first few minutes of falling asleep, body aches, constant fatigue, and oversensitivity to sound and light. Nausea and occasional vomiting have been present for about two months. The patient has experienced unintentional weight fluctuations and has noticed blood in her stool or vomit. She has been taking Suboxone (8mg daily) for the past two years and has a history of gastritis. There is no reported use of alcohol, tobacco, or recreational drugs. No additional chronic illnesses or pre-existing conditions were mentioned.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  1. Gastritis or Peptic Ulcer Disease:

    • Rationale: Your burning sensation in the middle abdomen, nausea, and vomiting are consistent with gastritis or peptic ulcer disease. These conditions involve inflammation or sores in the stomach lining, which can cause significant discomfort.
    • Typical Treatments/Testing: Treatment often includes medications to reduce stomach acid, such as proton pump inhibitors (PPIs) or H2 blockers. Your doctor might also recommend an endoscopy to visualize the stomach lining and confirm the diagnosis.
  2. Seizure Disorders:

    • Rationale: Your description of having seizures shortly after falling asleep suggests a possible seizure disorder. Seizures can sometimes be triggered by changes in sleep patterns or stress.
    • Typical Treatments/Testing: Neurological evaluation, including an EEG (electroencephalogram) and possibly an MRI, can help diagnose seizure disorders. Treatment usually involves anti-seizure medications.
  3. Sensory Processing Issues:

    • Rationale: Your oversensitivity to sound and light could be related to sensory processing issues, which can sometimes be associated with neurological conditions or stress.
    • Typical Treatments/Testing: A neurologist or psychologist can help evaluate these symptoms. Treatment may include sensory integration therapy or other forms of therapy to help manage sensitivity.

What you can do

Burning Sensation in Abdomen:

  • See a doctor: It's important to consult a healthcare provider to evaluate your symptoms and possibly perform an endoscopy.
  • Dietary Changes: Avoid spicy, acidic, or fatty foods that can exacerbate gastritis. Eating smaller, more frequent meals can also help.
  • Medications: Over-the-counter antacids or acid reducers like omeprazole may provide temporary relief, but consult your doctor before starting any new medication.

Seizures:

  • Seek medical attention: It's crucial to see a neurologist for a thorough evaluation and appropriate treatment.
  • Safety Measures: Ensure a safe environment to prevent injury during seizures. Avoid activities like swimming or driving until your condition is well-managed.

Oversensitivity to Sound and Light:

  • Create a Calm Environment: Use earplugs or noise-canceling headphones and wear sunglasses to reduce sensory overload.
  • Consult a Specialist: A neurologist or psychologist can provide strategies to manage sensory sensitivity.

General Tips:

  • Rest and Hydration: Ensure you get adequate rest and stay hydrated.
  • Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Given the severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

  • Severe or worsening abdominal pain
  • Persistent vomiting or inability to keep fluids down
  • Blood in vomit or stool
  • Frequent or worsening seizures
  • Unintentional weight loss

Remember, while I can provide information and suggestions, it's essential to consult a healthcare professional for a formal diagnosis and treatment plan. If you have more questions or need further assistance, feel free to continue the conversation.

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4 mo ago


People Also Ask


What could cause a burning sensation in the middle abdomen?

A burning sensation in the middle abdomen could be caused by conditions such as gastritis or peptic ulcer disease. These involve inflammation or sores in the stomach lining, leading to discomfort. Treatment typically includes medications to reduce stomach acid and dietary changes.


How are seizures diagnosed and treated?

Seizures are diagnosed through a neurological evaluation, which may include an EEG to measure brain activity and an MRI to look for structural abnormalities. Treatment usually involves anti-seizure medications and lifestyle adjustments to manage triggers.


What might cause oversensitivity to sound and light?

Oversensitivity to sound and light can be related to sensory processing issues, which may be associated with neurological conditions or stress. A neurologist or psychologist can evaluate these symptoms and suggest therapies to help manage sensitivity.


What are the potential side effects of taking Suboxone?

Suboxone, used for opioid addiction treatment, can have side effects such as nausea, vomiting, constipation, headache, and dizziness. Long-term use may also affect liver function, so regular monitoring by a healthcare provider is recommended.

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