[30M] With chronic post-food poisoning symptoms and autoimmune disorder

Patient Description

A 30-year-old male presents with a history of various symptoms that began approximately 8 years ago following an incident of food poisoning. The patient experiences stiffness and inflammation, particularly in the neck, back, and shoulders, which can last for days or up to a week. Symptoms are exacerbated by certain foods and drinks and are somewhat alleviated by anti-inflammatories, diet modifications, and occasionally steroids. The patient also reports new food intolerances, tail bone pain, spinal inflammation, and recent episodes of bleeding in stools. A family history of autoimmune and inflammatory disorders is noted, including fibromyalgia and inflammatory bowel disease. The patient is currently taking Duloxetine 30mg daily and Meloxicam 15mg as needed, with intermittent courses of Prednisone. A colonoscopy and endoscopy are scheduled to further investigate gastrointestinal symptoms. The patient has a past medical history of significant injury from an assault at age 20, which led to chronic rib pain managed with anti-inflammatories for several years.

Show More

Arora's Assessment

What might be happening

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

  • Autoimmune Disorders: Given your family history of fibromyalgia and inflammatory bowel disease, as well as your own history of reactive arthritis, it's possible that you might have an autoimmune disorder. These conditions occur when your immune system mistakenly attacks your own body. Symptoms can include inflammation, pain, and stiffness in various parts of the body.

    • Treatment typically involves managing symptoms and preventing complications. This can include medication, physical therapy, and lifestyle changes such as diet and exercise.
  • Inflammatory Bowel Disease (IBD): Given your family history and your symptoms of occasional diarrhea and recent blood in your stool, you might have a form of IBD, such as Crohn's disease or ulcerative colitis. These conditions cause chronic inflammation in your digestive tract, which can lead to a variety of symptoms.

    • Treatment typically involves medication to reduce inflammation and control symptoms. In severe cases, surgery might be necessary.
  • Food Intolerances or Allergies: Your symptoms of inflammation and discomfort after consuming certain foods and drinks suggest that you might have a food intolerance or allergy. These conditions occur when your immune system reacts to certain foods.

    • Treatment typically involves avoiding the foods that cause symptoms. In some cases, medication might be necessary.
  • Fibromyalgia: Given your family history and your symptoms of chronic pain and stiffness, you might have fibromyalgia. This condition is characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues.

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

Please note that these are only possibilities based on the information you provided. It's important to see a healthcare professional for a formal diagnosis and treatment plan.

What you can do

  1. Continue to avoid foods and drinks that seem to trigger your symptoms.
  2. Try to maintain a balanced diet and stay hydrated.
  3. Regular physical activity can help manage symptoms of stiffness and pain.
  4. Over-the-counter pain relievers can help manage pain, but should be used sparingly and under the guidance of a healthcare professional.
  5. Keep your upcoming appointments for a colonoscopy and endoscopy. These tests can provide valuable information about your digestive health.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Persistent or worsening blood in your stool
  • Unexplained weight loss
  • Severe or worsening pain

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.

Show More

1
 Hugs
0
 Comments

Save

10 mo ago

People Also Ask


What are the common symptoms of autoimmune disorders?

Common symptoms of autoimmune disorders include fatigue, joint pain and swelling, skin problems, abdominal pain or digestive issues, and recurring fever. Symptoms can vary widely depending on the specific disorder.


How can inflammatory bowel disease be diagnosed?

Inflammatory bowel disease can be diagnosed through a combination of medical history, physical examination, laboratory tests, imaging studies, and endoscopic procedures like colonoscopy and endoscopy to directly visualize the digestive tract.


What is the difference between food intolerance and food allergy?

Food intolerance involves difficulty digesting certain foods and can cause symptoms like bloating, gas, and abdominal pain. Food allergies involve the immune system and can cause more severe reactions, including hives, swelling, and anaphylaxis.


What are the treatment options for fibromyalgia?

Treatment options for fibromyalgia include medications such as pain relievers, antidepressants, and anti-seizure drugs, as well as lifestyle changes like regular exercise, stress management techniques, and cognitive behavioral therapy.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback