[28F] Experiencing chronic sensitivity to touch and fatigue

Patient Description

A 28-year-old female has been experiencing intense sensitivity to touch for approximately two years, with symptoms gradually worsening over the past six months. The sensitivity is present throughout the body, with pain disproportionately high to injuries and pleasurable sensations significantly amplified. The patient reports that overstimulation exacerbates the sensitivity, although it is consistently present. Additionally, the patient experiences fatigue, low blood pressure, excessive thirst, widespread pain, muscle tenderness, sleep disturbances with frequent awakenings, and cognitive difficulties described as 'brain fog.' There is a family history of autoimmune diseases. The patient has a history of gastric bypass and an allergy to morphine.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Fibromyalgia: This is a condition characterized by widespread pain, sensitivity to touch, fatigue, sleep disturbances, and cognitive difficulties often referred to as "fibro fog." Your symptoms, such as intense sensitivity to touch and fatigue, align with fibromyalgia. It's a chronic condition that can be managed with a combination of medications, lifestyle changes, and therapies.

  • Central Sensitization Syndrome: This condition involves the nervous system becoming sensitized, leading to an increased response to stimuli. It can cause symptoms like heightened sensitivity to touch and pain, fatigue, and cognitive issues. This condition often overlaps with fibromyalgia and other chronic pain conditions.

  • Post-Gastric Bypass Complications: Given your history of gastric bypass surgery, some of your symptoms, like fatigue and low blood pressure, could be related to nutritional deficiencies or other complications from the surgery.

It's important to consult with a healthcare professional for a proper diagnosis and to discuss your symptoms in detail. They can provide guidance on managing your symptoms and improving your quality of life.

What you can do

While you wait to see a healthcare professional, here are some steps you can take to help manage your symptoms:

  1. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and get insights. This information can be valuable for your healthcare provider.

  2. Manage Stress: Stress can exacerbate symptoms, so consider incorporating stress-reducing activities like meditation, yoga, or deep breathing exercises into your routine.

  3. Prioritize Sleep: Establish a regular sleep schedule and create a calming bedtime routine to improve sleep quality.

  4. Stay Active: Gentle exercises, such as walking or swimming, can help manage pain and improve overall well-being.

  5. Balanced Diet: Ensure you're getting a balanced diet rich in essential nutrients. Consider speaking with a nutritionist, especially given your history of gastric bypass surgery.

What you should look out for

Be mindful of the following and seek medical attention if you experience:

  • A significant increase in pain or sensitivity
  • New or worsening symptoms
  • Any signs of nutritional deficiencies, such as unexplained weight loss or changes in hair and skin

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. If you have any more questions or need further assistance, feel free to ask!

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1 mo ago

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People Also Ask


What is fibromyalgia and how is it diagnosed?

Fibromyalgia is a chronic condition characterized by widespread pain, sensitivity to touch, fatigue, sleep disturbances, and cognitive difficulties. Diagnosis is typically based on a combination of patient history, symptom assessment, and ruling out other conditions, as there is no specific test for fibromyalgia.


How does central sensitization syndrome differ from fibromyalgia?

Central sensitization syndrome involves the nervous system becoming overly sensitive, leading to heightened responses to stimuli, including pain. While it shares symptoms with fibromyalgia, such as increased sensitivity and cognitive issues, central sensitization can be a broader condition that overlaps with various chronic pain disorders.


What are common complications after gastric bypass surgery?

Common complications after gastric bypass surgery include nutritional deficiencies, such as vitamin B12, iron, and calcium deficiencies, as well as issues like low blood pressure, dumping syndrome, and changes in digestion. Regular follow-up with a healthcare provider is important to monitor and manage these potential complications.


How can I manage symptoms of fatigue and brain fog?

Managing fatigue and brain fog can involve several strategies, such as maintaining a regular sleep schedule, engaging in gentle physical activity, managing stress through relaxation techniques, and ensuring a balanced diet. Consulting with a healthcare provider can also help tailor a management plan specific to your needs.


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