[28M] Experiencing widespread body aches, neck and shoulder pain, and other symptoms

Patient Description

A 28-year-old male has been experiencing sharp body aches rated 8/10 in severity, constant aching neck pain around the outer lymph nodes, and shoulder pain, all persisting for 3-4 weeks. Additionally, the patient reports a blood clot on toenails, particularly significant on the right big toe, accompanied by a burning sensation. Vomiting occurs multiple times, typically at night, and has been ongoing for 2 weeks. The patient also reports a loss of appetite that began around 4 weeks ago, potentially stress-related, and has lost 15 pounds since. The patient has a history of asthma since birth and a cardiac arrest 6-7 years ago. There is a noted allergy to all nuts except peanuts and beans. The patient uses a tobacco vape and has an EpiPen for emergencies. No other medications were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are several possibilities:

  • Viral Infection: Given the body aches, vomiting, and loss of appetite, a viral infection could be a possible cause. However, the duration of your symptoms is quite long for a typical viral infection.

    • Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Stress or Anxiety: The death of a family member and other overwhelming stress could potentially cause physical symptoms such as body aches, loss of appetite, and vomiting.

    • Treatment often involves counseling or therapy, stress management techniques, and sometimes medication.
  • Autoimmune Disease: Conditions such as lupus or rheumatoid arthritis can cause widespread body aches and other symptoms. However, these conditions typically also involve joint swelling, which you did not report.

    • Treatment typically involves medications to manage symptoms and slow disease progression.
  • Blood Clot: Given the blood clot on your toe and your history of cardiac arrest, it's possible that you could have a clotting disorder. However, this would not explain all of your symptoms.

    • Treatment typically involves anticoagulant medications.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible.

In the meantime, try to stay hydrated and eat small, frequent meals to help manage your loss of appetite. Over-the-counter pain relievers may help with the body aches, but given that ibuprofen didn't help, it's important to see a doctor for further evaluation and treatment.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe pain
  • Difficulty breathing
  • Chest pain
  • Symptoms that worsen or do not improve

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What could be causing sharp body aches and neck pain around the lymph nodes?

Sharp body aches and neck pain around the lymph nodes could be caused by a viral infection, stress, or an autoimmune condition. It's important to consult a healthcare professional for a proper diagnosis.


How can stress or anxiety lead to physical symptoms like vomiting and loss of appetite?

Stress or anxiety can lead to physical symptoms due to the body's response to stress, which can include nausea, vomiting, and loss of appetite. Managing stress through therapy or relaxation techniques can help alleviate these symptoms.


What are the potential risks of having a blood clot on the toenail?

A blood clot on the toenail could indicate a clotting disorder, especially given the patient's history of cardiac arrest. It's important to seek medical evaluation to prevent potential complications such as further clotting or circulation issues.


How does a history of asthma and cardiac arrest affect current health conditions?

A history of asthma can affect respiratory health, and a past cardiac arrest may indicate underlying cardiovascular issues. Both conditions can influence how the body responds to stress and illness, making it crucial to monitor symptoms closely and seek medical advice.


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