[28M] Experiencing chronic back pain, itching rash, and generalized pain

What might be happening

Based on the information you have provided, possible diagnoses include:

• Chronic Urticaria: This condition is characterized by the development of hives, itching, and redness. It can be triggered by certain substances or situations, such as heat, exercise, or pressure on the skin. It can also be a reaction to certain medications, including aspirin and certain blood pressure medications.

  • Treatment typically involves avoiding triggers and using antihistamines to control symptoms.

• Kidney Stones: Your back pain could be due to kidney stones, especially since the pain is located near your kidneys and is sharp and episodic. Kidney stones can cause severe pain in the back or side, blood in the urine, or frequent urination.

  • Treatment can include pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed if the stone is too large to pass on its own.

• Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It can be triggered by physical trauma, surgery, infection or significant psychological stress.

  • Treatment typically involves a combination of medications, exercise, stress-management measures and healthy lifestyle habits.

• Steroid Withdrawal Syndrome: Since you mentioned that your symptoms may have been triggered by previous high-dose steroid use that was not tapered off, it's possible that you're experiencing steroid withdrawal. Symptoms can include joint and muscle pain, fatigue, and difficulty sleeping.

  • Treatment involves slowly reducing the dose of steroids to allow the body to resume normal steroid production.

What you can do

1. Consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary.
2. Keep a symptom diary to track when your symptoms occur, how long they last, and any potential triggers. This can be helpful information for your doctor.
3. Stay hydrated and maintain a balanced diet to support your overall health.
4. Try over-the-counter antihistamines to help control your itching and rash. However, you should consult with a healthcare provider before starting any new medication.

What you should look out for

Reasons to seek immediate medical attention:

• If your back pain becomes severe or is accompanied by fever, nausea, or vomiting
• If your rash spreads or becomes painful
• If you develop new or worsening symptoms

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