[27F] Experiencing right-sided rib pain and cognitive changes post-medication

Patient Description

A 27-year-old female with a history of left-sided hemiplegia since birth reports experiencing pain on the right side under the ribs for the past three months. The pain is rated as 5 out of 10 in severity, worsens when sitting without leaning, and improves when standing. Additionally, the patient experiences intermittent left-sided head pain following a go-kart accident, occurring on and off throughout the day. The patient also reports short-term memory issues that began approximately three months ago, following the birth of her second child, though these have not been significantly disruptive to daily life. The patient previously took Celexa (15 mg) and Buspirone (10 mg) for three months, along with a cognitive support herbal supplement three times a day, but has since discontinued these medications. After stopping the medications, the patient noticed increased sensation on the left side and reduced verbal communication. There is no known family history of neurological or psychiatric conditions, and the patient is not currently taking any medications.

Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations:

Post-Concussion Syndrome: Given your history of a go-kart accident and subsequent head pain, it's possible you could be experiencing post-concussion syndrome. This condition can cause headaches, memory issues, and changes in mood or behavior after a head injury.
Medication Withdrawal Effects: Stopping Celexa (an antidepressant) and Buspirone (an anti-anxiety medication) can sometimes lead to withdrawal symptoms, which might include increased sensitivity, changes in mood, and physical sensations.
Musculoskeletal Pain: The pain on your right side under the ribs that worsens when sitting could be related to musculoskeletal issues, possibly due to posture or muscle strain.
Neurological Concerns: Given your family history of multiple sclerosis (MS) and lupus, it's important to consider that some of your symptoms, like the sensation changes and memory issues, could be related to neurological conditions. However, these would require further evaluation by a healthcare professional.

What you can do

Head Pain and Memory Issues:

Consider seeing a healthcare provider to evaluate your head pain and memory concerns, especially given your history of a head injury. They may recommend imaging tests or a neurological evaluation.
Keep a journal of your symptoms, noting when they occur and any potential triggers. This can help your healthcare provider in diagnosing and managing your condition.

Right Side Pain:

Try to maintain good posture and consider ergonomic adjustments if you spend a lot of time sitting.
Gentle stretching and strengthening exercises may help alleviate musculoskeletal pain. A physical therapist can provide guidance tailored to your needs.

General Health:

Ensure you are getting adequate rest, nutrition, and hydration, as these can impact both physical and mental health.
Consider using MDandMe to track your symptoms and any changes over time. This can provide valuable insights and help you communicate effectively with your healthcare provider.

What you should look out for

If you experience worsening symptoms, such as severe headaches, confusion, or significant changes in sensation or movement, seek medical attention promptly.
Be aware of any new symptoms that could indicate a more serious condition, such as vision changes, severe fatigue, or unexplained weight loss.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.

1

Hugs

0

Comments

Save

2 mo ago

Top picked over-the-counter products for Tension Headache