[26F] With chest pain, body aches, and gastrointestinal symptoms

Patient Description

A 26-year-old female presents with whole body aches, chest pain described as a bruise-like sensation in the center near the breastbone, and gastrointestinal symptoms including diarrhea for approximately one and a half weeks. The diarrhea initially presented as watery stools, now described as very loose, occurring 2-3 times daily. The patient reports bloating and a heavy sensation in the lower abdomen, with dull pain in the lower abdomen that is not severe but persistent. The chest pain is rated at 5-6 out of 10 in severity and is exacerbated by touch but not by movement, and it improves when lying down. The patient also experiences exhaustion and body aches, particularly in the lower middle back near the spine, and shoulder aches with activity. No recent physical activity, trauma, travel, or contact with travelers reported. No specific foods identified that worsen the diarrhea.

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Arora's Assessment

What might be happening

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

  1. Gastrointestinal Infection or Irritation: Your loose stools and bloating could be due to a gastrointestinal infection or irritation. This can sometimes occur after a viral or bacterial infection, even if you haven't traveled recently. It can also be related to dietary changes or stress.

  2. Costochondritis: The bruise-like pain in your chest, especially when touched, could be due to costochondritis, which is inflammation of the cartilage connecting a rib to the breastbone. This condition can cause tenderness and pain in the chest area.

  3. Hormonal Changes: Given your history of PCOS and recent irregular menstrual cycle, hormonal fluctuations could be contributing to your breast tenderness and abdominal heaviness.

  4. Muscle Strain: The body aches, particularly in your back and shoulders, could be related to muscle strain from lifting your baby frequently. This can lead to fatigue and discomfort, especially if you're not getting adequate rest.

What you can do

Gastrointestinal Symptoms:

  • Stay hydrated by drinking plenty of fluids, such as water or oral rehydration solutions, to prevent dehydration from diarrhea.
  • Consider a bland diet, including foods like bananas, rice, applesauce, and toast (the BRAT diet), which can be easier on your digestive system.
  • Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

Chest Pain:

  • Apply a warm compress to the affected area to help alleviate discomfort.
  • Avoid activities that exacerbate the pain, and consider over-the-counter pain relief like ibuprofen, if appropriate and after consulting with a healthcare professional.

Body Aches and Fatigue:

  • Ensure you are getting adequate rest and try to take breaks when lifting or carrying your baby.
  • Gentle stretching exercises may help relieve muscle tension in your back and shoulders.

Abdominal Heaviness:

  • Monitor your symptoms and consider consulting a healthcare provider if the heaviness persists or worsens.

What you should look out for

While your symptoms are concerning, they do not appear to be immediately life-threatening. However, you should seek medical attention if you experience any of the following:

  • Severe or worsening chest pain, especially if it spreads to your arms, neck, or jaw.
  • Signs of dehydration, such as dizziness, dry mouth, or decreased urination.
  • Blood in your stool or black, tarry stools.
  • Persistent or severe abdominal pain.

Remember, it's important 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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2 mo ago

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People Also Ask


What could be causing my persistent diarrhea and bloating?

Persistent diarrhea and bloating could be due to a gastrointestinal infection or irritation, possibly from a viral or bacterial source. It can also be related to dietary changes or stress. Staying hydrated and following a bland diet may help alleviate symptoms.


Why do I have a bruise-like chest pain that worsens when touched?

The bruise-like chest pain that worsens when touched could be due to costochondritis, which is inflammation of the cartilage connecting a rib to the breastbone. Applying a warm compress and avoiding activities that exacerbate the pain may help.


How can I manage body aches and fatigue while caring for a baby?

To manage body aches and fatigue, ensure you are getting adequate rest and take breaks when lifting or carrying your baby. Gentle stretching exercises can help relieve muscle tension in your back and shoulders.


When should I seek medical attention for my symptoms?

Seek medical attention if you experience severe or worsening chest pain, signs of dehydration, blood in your stool, or persistent severe abdominal pain. These could indicate more serious conditions that require prompt medical evaluation.


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