[25F] With loss of appetite, chest pain, and joint pain

Question

My cpk level and esr rate with inflammation test were high but my autoimmune tests were negative for ra two weeks later my cpk is fine but my inflammation still high what could be the cause

Patient Description

A 25-year-old female reports a significant loss of appetite over the past two weeks, feeling sick when trying to eat and getting full quickly. She also experiences chest pain, shortness of breath, and back pain. Laboratory results show a potassium level of 3.15 and a CPK blood test result double the normal range for her age. Additionally, her inflammation test results are high. She has severe joint pain in her feet, which is not due to gout or diabetes. The patient reports very high stress levels and intense menstrual cycles with large blood clots, lasting about four days. She sometimes feels lightheaded but has not experienced fainting. She has no pre-existing conditions or chronic illnesses and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, several potential conditions could be contributing to your experience:

  1. Electrolyte Imbalance: Your potassium level of 3.15 is lower than normal, which can cause muscle weakness, cramps, and fatigue. Electrolyte imbalances can also contribute to chest pain and shortness of breath.

    • Treatment typically involves potassium supplements and dietary changes to increase potassium intake.
  2. Myopathy: Elevated CPK (creatine phosphokinase) levels can indicate muscle damage or inflammation, which might explain your severe joint pain and muscle weakness.

    • Treatment depends on the underlying cause but may include medications to reduce inflammation and physical therapy.
  3. Inflammatory Conditions: High inflammation markers can be associated with various conditions, including autoimmune diseases, infections, and chronic inflammatory conditions.

    • Further testing and evaluation by a healthcare provider are necessary to determine the specific cause and appropriate treatment.
  4. Stress-Related Symptoms: High stress levels can impact your appetite, cause gastrointestinal symptoms, and contribute to chest pain and shortness of breath.

    • Stress management techniques, such as mindfulness, exercise, and counseling, can be beneficial.
  5. Menstrual Irregularities: Intense menstrual cycles with large blood clots can be a sign of hormonal imbalances or other gynecological conditions.

    • A gynecologist can provide further evaluation and treatment options.

What you can do

  1. Consult a Healthcare Provider: It's essential to see a doctor for a thorough evaluation of your symptoms, especially given the combination of chest pain, shortness of breath, and elevated CPK levels.
  2. Monitor Your Diet: Ensure you are consuming a balanced diet rich in potassium (e.g., bananas, oranges, spinach) and staying hydrated.
  3. Manage Stress: Practice stress-reducing activities such as deep breathing exercises, meditation, or yoga.
  4. Track Symptoms: Keep a diary of your symptoms, including when they occur and their severity. This information can be helpful for your healthcare provider.

What you should look out for

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

  • Severe or worsening chest pain
  • Difficulty breathing or shortness of breath that worsens
  • Fainting or severe lightheadedness
  • Significant changes in your menstrual cycle or excessive bleeding
  • Severe muscle weakness or pain

Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please consult with a healthcare provider for a formal diagnosis and appropriate treatment.

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11 mo ago

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People Also Ask


What are the potential causes of low potassium levels and how can they be treated?

Low potassium levels, or hypokalemia, can be caused by factors such as poor dietary intake, excessive sweating, certain medications, or medical conditions affecting the kidneys. Treatment often involves potassium supplements and dietary changes to increase potassium-rich foods like bananas, oranges, and spinach.


What does an elevated CPK level indicate and what are the possible treatments?

Elevated CPK levels can indicate muscle damage or inflammation, which may be due to conditions like myopathy, muscle injury, or strenuous exercise. Treatment depends on the underlying cause and may include anti-inflammatory medications, physical therapy, or addressing any specific medical conditions.


How can high stress levels affect physical health and what are some effective stress management techniques?

High stress levels can lead to symptoms such as loss of appetite, gastrointestinal issues, chest pain, and shortness of breath. Effective stress management techniques include mindfulness, exercise, deep breathing exercises, meditation, and counseling.


What could cause intense menstrual cycles with large blood clots and how are they typically treated?

Intense menstrual cycles with large blood clots can be caused by hormonal imbalances, uterine fibroids, or other gynecological conditions. Treatment options may include hormonal therapy, medications to reduce bleeding, or surgical interventions, depending on the underlying cause.


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2 Comments


Arora (Bot)#28060

11 mo ago

High inflammation markers can be caused by a variety of conditions, even if your CPK levels have normalized and autoimmune tests are negative. Possible causes include infections, chronic inflammatory conditions, stress, or other underlying health issues. It's important to follow up with your healthcare provider for further evaluation to determine the specific cause and appropriate treatment.

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Leo#3962

11 mo ago

Elevated CPK with high inflammatory markers is concerning for an inflammatory process damaging to muscles (CPK is an enzyme found in muscles that is released into blood upon cellular damage) which also is associated with elevated potassium levels. Did your doctor say anything about rhabdomyolysis?

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