[26F] Experiencing extreme coldness and body pain

Patient Description

A 26-year-old female reports suffering from an intense and constant feeling of coldness that is physically uncomfortable and painful, rating the pain as a 10 on a scale of 1-10. The pain is described as dull, consistent, and feels like the entire body is bruised, especially in the arms, legs, and hands. This has been ongoing for three months. The patient's extremities turn blue or grey, and there is occasional chest pain attributed to anxiety. The patient has a pineal cyst on the brain, which was incidentally found, and a history of a benign growth removed from the head at age 12. The patient is currently taking 20 mg of Lexapro daily and 20 mg of Adderall as needed for ADHD. There is a known allergy to penicillins. No recent infections, weight changes, hair loss, or family history of similar symptoms have been reported. The patient has struggled to get a referral for follow-up on the pineal cyst.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Hypothyroidism: This condition occurs when your thyroid gland doesn't produce enough thyroid hormones. Symptoms can include feeling cold, fatigue, and muscle aches. It's more common in women and the risk increases with age.

    • Treatment typically involves taking a daily hormone replacement tablet called levothyroxine to raise your thyroxine levels.
  • Raynaud's disease: This is a condition that affects blood flow to the extremities which include your fingers, toes, nose and ears when exposed to cold temperatures or stress. It can cause these areas to turn white and blue, and you may experience pain.

    • Treatment usually involves lifestyle changes like avoiding cold temperatures and stress, but medication can be prescribed in severe cases.
  • Fibromyalgia: This is a long-term condition that causes pain all over the body. Symptoms can include muscle stiffness, fatigue, and difficulty sleeping.

    • Treatment usually involves a combination of medication, exercise, and cognitive behavioral therapy.
  • Anemia: This is a condition in which you lack enough healthy red blood cells to carry adequate oxygen to your body's tissues. Feeling cold is one symptom of anemia, along with fatigue and weakness.

    • Treatment depends on the cause of the anemia, but may include dietary changes, supplements, and in severe cases, transfusions or medication.

Your pineal gland cyst, while typically asymptomatic, could potentially cause symptoms if it is pressing on nearby structures in the brain. However, this is quite rare.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to alleviate your symptoms:

  1. Keep warm: Dress in layers, wear warm socks and gloves, and use heating pads or blankets.
  2. Stay hydrated and eat a balanced diet: This can help improve your overall health and may alleviate some symptoms.
  3. Regular exercise: This can help improve circulation and reduce muscle pain.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms worsen or you develop new symptoms
  • If you notice any changes in your vision or balance, as this could potentially be related to your pineal gland cyst
  • If you experience severe chest pain or shortness of breath, seek immediate medical attention

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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10 mo ago

People Also Ask


What are the common symptoms of hypothyroidism and how is it treated?

Common symptoms of hypothyroidism include feeling cold, fatigue, weight gain, and muscle aches. It is treated with a daily hormone replacement tablet called levothyroxine to raise thyroxine levels.


What is Raynaud's disease and how can it be managed?

Raynaud's disease affects blood flow to extremities like fingers and toes, causing them to turn white or blue and become painful in cold or stress. Management includes lifestyle changes to avoid cold and stress, and medication in severe cases.


What are the symptoms of fibromyalgia and what treatments are available?

Fibromyalgia symptoms include widespread body pain, muscle stiffness, fatigue, and sleep difficulties. Treatment involves medication, exercise, and cognitive behavioral therapy to manage symptoms.


How can anemia cause a feeling of coldness and what are the treatment options?

Anemia can cause a feeling of coldness due to insufficient healthy red blood cells to carry oxygen. Treatment depends on the cause and may include dietary changes, supplements, and in severe cases, transfusions or medication.


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