[30F] Experiencing severe neurological and gastrointestinal symptoms

Patient Description

A 30-year-old female is reporting a variety of concerning symptoms that have developed over the past 3 weeks. These include a sensation of clumps in her throat, which she describes as feeling like clots of pus, and severe hand spasms that occur throughout the day without a specific trigger. Additionally, she experiences numbness and a prickly sensation in her thumbs and fingertips. She has also noticed changes in her vision, describing it as going 'in and out,' and has had episodes of her hands and feet going numb or spasming. The patient mentioned passing something resembling a worm after taking a dewormer for dogs. She has a history of irregular periods, with the last menstrual cycle occurring approximately 2 months ago, and there is a possibility of pregnancy. She has been experiencing back pain and had a previous incident where a fiery knot formed in her ankle and moved up her legs, eventually settling in the middle of her back. The patient is currently taking Bactrim and has a known allergy to latex. No other medications or known drug allergies have been reported. No pre-existing conditions or chronic illnesses were mentioned.

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Arora's Assessment

What might be happening

Based on the information you've provided, it's difficult to pinpoint a single cause for all of your symptoms. However, here are some possibilities:

  • Neurological conditions: Your symptoms of vision changes, hand spasms, and numbness in your hands could be related to a neurological condition, such as multiple sclerosis or a peripheral neuropathy. These conditions can cause a wide range of symptoms, including changes in sensation, muscle spasms, and vision problems.

    • Testing for these conditions typically involves a neurological examination, blood tests, and possibly imaging studies or a nerve conduction study.
  • Hormonal imbalances: Your irregular periods and weight changes could be due to a hormonal imbalance, such as polycystic ovary syndrome (PCOS) or thyroid disease.

    • Testing for these conditions typically involves blood tests to check hormone levels.
  • Infections: Your sensation of clumps in your throat and the knot in your ankle could be related to an infection. Bacterial infections can cause abscesses (pockets of pus), which could potentially explain these symptoms.

    • Treatment for bacterial infections typically involves antibiotics, which you're currently taking (Bactrim).

What you can do

Given the range and severity of your symptoms, it's important to seek medical attention as soon as possible. A healthcare provider can perform a thorough examination and order the appropriate tests to determine the cause of your symptoms.

In the meantime, try to rest and stay hydrated. Avoid any activities that seem to worsen your symptoms.

What you should look out for

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

  • Severe pain
  • Difficulty breathing
  • Sudden worsening of your symptoms
  • New symptoms

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What could cause a sensation of clumps in the throat?

A sensation of clumps in the throat could be caused by infections leading to abscesses, allergies, or even anxiety. It's important to consult a healthcare provider for an accurate diagnosis.


What might be the reason for experiencing hand spasms and numbness?

Hand spasms and numbness can be caused by neurological conditions such as multiple sclerosis or peripheral neuropathy, electrolyte imbalances, or even stress. A thorough medical evaluation is necessary to determine the cause.


How can changes in vision be related to neurological conditions?

Changes in vision can be related to neurological conditions like multiple sclerosis, which can affect the optic nerve and lead to vision problems. A neurological examination and imaging studies can help diagnose such conditions.


What are the potential causes of irregular periods and could they indicate pregnancy?

Irregular periods can be caused by hormonal imbalances such as those seen in polycystic ovary syndrome (PCOS) or thyroid disorders. They can also be an early sign of pregnancy, so a pregnancy test and hormonal evaluation are recommended.


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