[27F] With chronic pain, cognitive changes, and gastrointestinal symptoms

Patient Description

A 27-year-old female presents with chronic lower back pain radiating into the leg, described as sharp and constant, exacerbated by sleeping and bending over. Temporary relief is achieved with stretches and warm baths. Neck pain, described as dull and achy, began four years ago and sometimes extends to the back of the head, rated 8/10 on its worst days. Cognitive decline has been noted over the past few years, with recent intensification, affecting reading and word recall. Persistent headaches for two years are described as a dull ache behind the eyes or at the back of the head, occasionally requiring rest. The patient reports tingling and twitching in the hands for over five years. Abdominal pain and gas have been present for over five years, with increased diarrhea and bloating in the past year. Hair loss is noted, potentially linked to postpartum hormones. Occasional leg weakness and coordination difficulties are reported. Family history includes ALS. The patient takes 20 mg of Prozac daily and occasionally uses naproxen or Tylenol for pain, with no known drug allergies.

Show More

Arora's Assessment

What might be happening

Your symptoms may be related to several conditions:

  1. Lower Back Pain and Leg Pain:

    • Sciatica: This occurs when a herniated disc or bone spur compresses part of the nerve, causing sharp pain that radiates down the leg. Treatment often includes physical therapy, pain relief medications, and sometimes surgery.
    • Bulging Disc: As you mentioned a past diagnosis, this could still be contributing to your symptoms.
  2. Neck Pain and Headaches:

    • Cervicogenic Headache: This type of headache can arise from neck issues and may cause pain that radiates to the head. Treatment may involve physical therapy, medications, or lifestyle changes.
  3. Cognitive Changes:

    • Stress or Hormonal Changes: Postpartum hormonal shifts and stress can affect cognitive function. It's important to discuss these symptoms with a healthcare provider.
  4. Abdominal Pain and Gas:

    • Irritable Bowel Syndrome (IBS): This condition can cause bloating, gas, and changes in bowel habits. Dietary changes, stress management, and medications can help manage symptoms.
  5. Hair Loss:

    • Postpartum Hair Loss: This is common after childbirth due to hormonal changes and usually resolves over time.
  6. Hand Tingling:

    • Carpal Tunnel Syndrome: This can cause tingling and numbness in the hands. Wrist splints, exercises, and sometimes surgery are treatment options.

What you can do

Back and Leg Pain:

  • Consider physical therapy to strengthen your back and improve flexibility.
  • Use heat or ice packs to manage pain.
  • Over-the-counter pain relievers like naproxen can help, but consult your doctor for long-term use.

Neck Pain and Headaches:

  • Practice good posture and ergonomic adjustments at work.
  • Gentle neck stretches and relaxation techniques may provide relief.

Cognitive Changes:

  • Keep a journal of your symptoms using MDandMe to track patterns and discuss with your doctor.
  • Ensure adequate rest and manage stress through mindfulness or yoga.

Abdominal Pain and Gas:

  • Try a low-FODMAP diet to identify food triggers.
  • Regular exercise and staying hydrated can help manage IBS symptoms.

Hair Loss:

  • Be gentle with your hair and avoid tight hairstyles.
  • Consider discussing supplements or treatments with your healthcare provider.

Hand Tingling:

  • Use wrist splints, especially at night, to relieve pressure.
  • Avoid repetitive hand movements that may worsen symptoms.

What you should look out for

  • Seek medical attention if you experience severe or worsening pain, weakness, or numbness.
  • If cognitive changes significantly impact your daily life, consult a healthcare provider.
  • Monitor any new or worsening symptoms and discuss them with your doctor.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.

Show More

1
 Hugs
0
 Comments

Save

3 mo ago

Top picked over-the-counter products for Lower Back Pain: 3 Lines of Treatment

People Also Ask


What could be causing my chronic lower back pain that radiates into my leg?

Chronic lower back pain radiating into the leg could be caused by conditions like sciatica or a bulging disc, where a nerve is compressed. Treatment options include physical therapy, pain relief medications, and sometimes surgery.


How can I manage my neck pain and associated headaches?

Neck pain and associated headaches, such as cervicogenic headaches, can be managed with good posture, ergonomic adjustments, physical therapy, and relaxation techniques. Over-the-counter pain relievers may also help.


What might be contributing to my cognitive decline and memory issues?

Cognitive decline and memory issues can be influenced by stress, hormonal changes, or other underlying conditions. It's important to discuss these symptoms with a healthcare provider for a thorough evaluation.


What are some effective ways to manage abdominal pain and gas associated with IBS?

Managing abdominal pain and gas associated with IBS can involve dietary changes like a low-FODMAP diet, stress management, regular exercise, and staying hydrated. Medications may also be prescribed to help manage symptoms.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback