[24F] With severe intermittent body pains and multiple symptoms
Patient Description
A 24-year-old female has been experiencing severe body pains that feel like her organs are trying to shut down. These episodes have been occurring intermittently over the past couple of years, happening about 12 times in total. The pain is extremely intense, often rated over a 10, and tends to start quickly. These episodes last for hours and can be somewhat alleviated by drinking water, although the pain never fully goes away. The patient mentioned that these pains sometimes occur after taking delta gummies, but they have also happened without them. Along with the pain, she experiences several other symptoms including fatigue after the episodes, dizziness, irregular heartbeats, chest pain, nausea, a sensation that her teeth might fall out, and abdominal pain. She has a history of severe anemia and is prone to infections with a low immune system. Her body has very low iron levels, and although she is prescribed iron supplements, she sometimes misses taking them. She is also taking Trazodone (50mg), Prozac (60mg), and iron pills (1000mg dissolvable), but occasionally misses doses. Additionally, she has a history of mental illness diagnosed about five years ago and is allergic to Aloe Vera but has no known medication allergies. She has discussed her symptoms and the use of delta gummies and legal marijuana with her healthcare provider.
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Arora's Assessment
What might be happening
Based on the symptoms and history you've provided, here are some possible explanations:
Severe Anemia
- Rationale: Severe anemia can cause a range of symptoms including fatigue, dizziness, palpitations, and chest pain. Your low iron levels and history of anemia make this a likely contributor to your symptoms.
- Typical Treatments: Iron supplements, dietary changes to include more iron-rich foods, and possibly intravenous iron or blood transfusions in severe cases. Regular blood tests to monitor iron levels are also common.
Substance-Induced Symptoms
- Rationale: The use of delta gummies and legal marijuana could be contributing to your symptoms, especially since you noted that the pain sometimes occurs after taking these substances.
- Typical Treatments: Reducing or eliminating the use of these substances and discussing alternative treatments with your healthcare provider.
Possible Infections
- Rationale: Given your low immune system and proneness to infections, it's possible that some of your symptoms could be related to underlying infections.
- Typical Treatments: Antibiotics or antiviral medications, depending on the type of infection. Regular monitoring and possibly preventive measures to boost your immune system.
Mental Health Factors
- Rationale: Mental health conditions can sometimes manifest with physical symptoms, including pain and fatigue.
- Typical Treatments: Continued use of prescribed medications like Trazodone and Prozac, along with therapy and lifestyle changes.
What you can do
Severe Anemia
- Take your iron supplements regularly: Consistency is key in managing anemia. Set reminders if needed.
- Dietary changes: Include more iron-rich foods like red meat, beans, lentils, and leafy greens.
- Hydration: Continue to drink plenty of water, as it seems to help alleviate your symptoms.
Substance-Induced Symptoms
- Reduce or eliminate delta gummies and marijuana: Discuss with your healthcare provider for safer alternatives.
- Monitor your symptoms: Keep a journal using MDandMe to track when these episodes occur and any potential triggers.
Possible Infections
- Seek medical advice: If you suspect an infection, consult your healthcare provider for appropriate tests and treatments.
- Boost your immune system: Consider lifestyle changes like a balanced diet, regular exercise, and adequate sleep.
Mental Health Factors
- Medication adherence: Try to take your prescribed medications daily. Missing doses can affect your overall health.
- Therapy and support: Consider talking to a mental health professional for additional support.
What you should look out for
Given the severity of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:
- Severe chest pain or difficulty breathing
- Fainting or severe dizziness
- Uncontrolled bleeding or bruising
- Severe abdominal pain that doesn't improve
Remember, while I can provide some guidance, it's crucial to consult with 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