[31F] Experiencing chronic pain and neurological symptoms

Patient Description

A 31-year-old female presents with a 2-year history of hand and foot tingling and cramping, exacerbated by pressure. She reports hip pain, back pain, muscle aches, and spasms, as well as stomach cramps described as severe waves of pain, sometimes alleviated by anti-gas medication. These symptoms have been present on and off for approximately 5 years. Her medical history includes ADHD, interstitial cystitis, scoliosis, ovarian teratoma, and neuropathy, with diagnoses dating back to 2006 or earlier. She is currently taking Baclofen, Levsin, Flexeril, Clonidine, Gabapentin, and Prednisone. She reports no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, several conditions could be contributing to your symptoms:

  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It's often associated with symptoms like you described, including muscle aches, spasms, and tingling in the hands and feet.

    • Treatment typically involves a combination of medications, exercise, stress-management measures, and healthy lifestyle habits.
  • Peripheral Neuropathy: This results from damage to the peripheral nerves, often causing weakness, numbness, and pain, usually in your hands and feet. It can also cause muscle spasms and cramping.

    • Treatment usually focuses on managing the condition causing your neuropathy and relieving symptoms. Some potential treatments include pain relievers, anti-seizure medications, and therapies such as physical therapy or transcutaneous electrical nerve stimulation.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation.

    • Treatment typically involves long-term management of diet, lifestyle changes, and stress.

Please note that these are potential explanations for your symptoms based on the information you've provided, but they are not definitive diagnoses. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Consult with a healthcare provider: They can provide a formal diagnosis and appropriate treatment options.

  2. Lifestyle changes: Regular exercise, a healthy diet, and adequate sleep can help manage symptoms of many chronic conditions.

  3. Stress management: Techniques such as deep breathing, meditation, yoga, and tai chi may help reduce symptoms associated with stress, which can exacerbate many of the conditions mentioned above.

  4. Over-the-counter remedies: For temporary relief of minor aches and pains, over-the-counter pain relievers may be helpful. For stomach cramps, over-the-counter antacids or gas relief medications may provide some relief.

What you should look out for

If your symptoms worsen or if you experience any of the following, seek medical attention immediately:

  • Severe pain that doesn't improve with rest or over-the-counter medications
  • Difficulty walking or moving your arms or legs
  • Loss of bowel or bladder control
  • Unexplained weight loss
  • Fever, chills, or signs of infection

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate treatment.

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11 mo ago

People Also Ask


What are the common symptoms of fibromyalgia?

Common symptoms of fibromyalgia include widespread musculoskeletal pain, fatigue, sleep disturbances, and cognitive difficulties. Patients may also experience tingling in the hands and feet, muscle spasms, and mood issues.


How is peripheral neuropathy typically treated?

Peripheral neuropathy is typically treated by addressing the underlying cause, if known, and managing symptoms. Treatments may include pain relievers, anti-seizure medications, physical therapy, and sometimes transcutaneous electrical nerve stimulation.


What lifestyle changes can help manage irritable bowel syndrome (IBS)?

Lifestyle changes that can help manage IBS include maintaining a balanced diet, regular exercise, stress management techniques like yoga or meditation, and ensuring adequate sleep. Keeping a food diary to identify and avoid trigger foods can also be beneficial.


When should I seek medical attention for my symptoms?

You should seek medical attention if you experience severe pain that doesn't improve with rest or over-the-counter medications, difficulty walking or moving your arms or legs, loss of bowel or bladder control, unexplained weight loss, or signs of infection such as fever or chills.


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