[24F] With severe neck and right-sided pain, petechiae, and blood in mucus

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

1. Cervical Radiculopathy: This condition occurs when a nerve in the neck is compressed or irritated, leading to neck pain that can radiate to the shoulder, chest, and upper back. It can also cause headaches and dizziness. However, it typically doesn't cause petechiae or blood in mucus.

2. Vasculitis: This is an inflammation of the blood vessels that can cause petechiae (small red or purple spots on the skin) and sometimes bleeding in the mucus membranes. It can also cause pain in various parts of the body, including the neck and shoulders.

3. Other Possibilities: Given your medical history of a brain aneurysm and PFO, it's important to consider that these conditions might be contributing to your symptoms, especially the headaches and dizziness.

It's crucial to seek medical attention to get a proper diagnosis and treatment plan. Your healthcare provider may recommend imaging studies, blood tests, or other diagnostic procedures to determine the underlying cause of your symptoms.

What you can do

Neck, shoulder, and chest pain:

• Apply a cold or warm compress to the affected area to help alleviate pain and stiffness.
• Practice gentle neck and shoulder stretches to improve mobility and reduce tension.
• Consider over-the-counter pain relief, such as ibuprofen or acetaminophen, to manage pain, but consult with a healthcare provider before starting any new medication.

Petechiae and blood in mucus:

• Keep track of any new or worsening symptoms, such as increased bleeding or additional rashes.
• Avoid activities that may increase the risk of bleeding, such as contact sports or heavy lifting.

Headaches and dizziness:

• Ensure you stay hydrated and maintain a balanced diet to support overall health.
• Rest in a quiet, dark room during headache episodes to help alleviate symptoms.
• Monitor your symptoms and note any triggers or patterns that may help your healthcare provider in diagnosing your condition.

Consider using MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your healthcare provider. This can provide valuable insights into your condition and help guide your treatment plan.

What you should look out for

Given the severity of your symptoms and the potential for serious underlying conditions, it's important to seek medical care as soon as possible. Reasons to seek care more urgently include:

• Sudden or severe headache, especially if accompanied by vision changes or neurological symptoms.
• Increased bleeding or new areas of petechiae.
• Shortness of breath or chest pain.
• Any new or worsening symptoms that cause concern.

Remember, while I can provide information and guidance, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment.