[29F] With multiple infections, chronic cough, and gastrointestinal symptoms

What might be happening

It sounds like you are dealing with multiple infections and symptoms that could be interconnected. Here are some possible explanations:

Sinusitis and Cough

• Chronic Sinusitis: Your symptoms of a heavy, rattling cough with colored phlegm, along with sinus issues, suggest chronic sinusitis. This condition can cause post-nasal drip, leading to a persistent cough and phlegm production.
• Bronchitis or Pneumonia: The presence of colored phlegm (brown, red, green) and lung pain could indicate a lower respiratory tract infection like bronchitis or pneumonia. These conditions often require antibiotics and sometimes more intensive treatments.

Multiple Infections

• Weakened Immune System: The fact that you have multiple infections (sinusitis, UTI, BV, ear infection, and piercing infection) simultaneously suggests that your immune system might be compromised. This could be due to various factors, including chronic stress, poor nutrition, or an underlying health condition.
• Antibiotic Resistance: If you have been on antibiotics like Clindamycin, there is a possibility of developing antibiotic resistance, which can make infections harder to treat.

Gastrointestinal Issues

• Malabsorption or Liver Issues: Your symptoms of foul-smelling, bright yellow-orange diarrhea that burns could indicate malabsorption issues or liver problems. Conditions like celiac disease, chronic pancreatitis, or liver dysfunction can cause these symptoms.
• Irritable Bowel Syndrome (IBS): IBS can cause diarrhea, especially after eating, and can be associated with abdominal pain and burning sensations.

Menstrual Irregularities

• Hormonal Imbalance: Irregular periods with continuous bleeding and brown, sticky discharge could be due to hormonal imbalances, possibly exacerbated by your BV.
• Endometrial Issues: Conditions like endometriosis or polyps could also cause irregular bleeding and should be evaluated by a gynecologist.

What you can do

Sinusitis and Cough

• See a Doctor: Given the severity and duration of your symptoms, it's crucial to see a healthcare provider for a thorough evaluation. They may recommend imaging studies like a chest X-ray or CT scan and possibly a sputum culture to identify the cause of your cough.
• Home Care: Use a humidifier, stay hydrated, and consider over-the-counter expectorants to help clear mucus. Avoid smoking and marijuana use, as they can worsen respiratory symptoms.

Multiple Infections

• Consult a Specialist: You may need to see an infectious disease specialist to evaluate why you are experiencing multiple infections. They might recommend blood tests to check your immune function.
• Follow Medication Guidelines: Continue taking Clindamycin as prescribed, but consult your doctor if you don't see improvement.

Gastrointestinal Issues

• Dietary Changes: Avoid foods that trigger your symptoms. A low-fat, easily digestible diet may help. Consider keeping a food diary using MDandMe to track what you eat and how it affects your symptoms.
• Medical Evaluation: See a gastroenterologist for a thorough evaluation, including possible tests for malabsorption, liver function, and other gastrointestinal conditions.

Menstrual Irregularities

• Gynecological Consultation: Schedule an appointment with a gynecologist to discuss your irregular bleeding and other symptoms. They may recommend hormonal tests or imaging studies to identify the cause.

What you should look out for

Given the complexity and severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• High Fever or Severe Pain: If you develop a high fever, severe pain, or difficulty breathing, seek immediate medical attention.
• Worsening Symptoms: If your symptoms continue to worsen despite treatment, consult your healthcare provider.
• New Symptoms: Be alert for new symptoms like unexplained weight loss, severe fatigue, or changes in mental status, and report them to your doctor.

Remember, while I can provide guidance, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.