[32F] Experiencing severe pain, sensory disturbances, and appetite loss

Question

Why?

Patient Description

A 32-year-old female reports severe pain on her right side, described as a combination of stabbing, electric shocks, and extreme sensitivity to touch, likened to sunburn or being sliced open. These symptoms have been present for approximately 3 days, rendering her movement extremely painful. Additionally, she experiences random electric shock-like sensations affecting various parts of her body, including organs and bones, causing falls. The patient has had a decreased appetite for a month, leading to significant weight loss (from 186lb to 164lb within a month). Despite increased water intake, she remains thirsty and has developed an aversion to salt, which induces vomiting. Other symptoms include intermittent dizziness, headaches, chills, and night sweats. The patient has a history of epilepsy diagnosed at age 3 but is not currently on any medication. She reports an allergy to seafood. No recent fever, injuries, or accidents were reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, a few conditions could be considered:

  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It amplifies painful sensations by affecting the way your brain and spinal cord process painful and nonpainful signals. The electric shock sensations, skin sensitivity, and joint and muscle pain you're experiencing could be indicative of this condition.

    • Treatment typically involves a combination of medications, exercise, stress-reduction measures, and cognitive behavioral therapy.
  • Complex Regional Pain Syndrome (CRPS): This is a form of chronic pain that usually affects an arm or a leg. CRPS typically develops after an injury, surgery, stroke or heart attack, but the pain is out of proportion to the severity of the initial injury. The cause of CRPS isn't completely understood but may involve abnormal inflammation or nerve dysfunction.

    • Treatment is most effective when started early and often involves a combination of physical therapy, medications, and sometimes surgical interventions.
  • Neuropathic Pain: This is a type of pain caused by damage to the nerves. It can cause sensations of electric shock, burning, or stabbing. It can be associated with a number of different underlying conditions.

    • Treatment typically involves medications to control the pain and treating the underlying condition if one is found.
  • Malnutrition or Dehydration: Your significant weight loss, loss of appetite, and excessive thirst could be signs of malnutrition or dehydration.

    • Treatment involves addressing the underlying cause and ensuring adequate nutrition and hydration.

What you can do

  1. Seek immediate medical attention. The symptoms you are experiencing, especially the severe pain and significant weight loss, are concerning and should be evaluated by a healthcare professional as soon as possible.
  2. Keep a symptom diary. Note down when your symptoms occur, their severity, and any potential triggers. This can be helpful for your healthcare provider in diagnosing your condition.
  3. Stay hydrated and try to eat small, frequent meals even if you do not feel hungry. This can help to prevent further weight loss and dehydration.

What you should look out for

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

  • Your symptoms worsen or you develop new symptoms
  • You are unable to eat or drink
  • You experience confusion, difficulty breathing, or a rapid heart rate

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

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People Also Ask


What are the common symptoms of fibromyalgia?

Common symptoms of fibromyalgia include widespread musculoskeletal pain, fatigue, sleep disturbances, cognitive difficulties (often referred to as 'fibro fog'), and heightened sensitivity to pain. Some patients also experience headaches, irritable bowel syndrome, and mood disorders.


How is Complex Regional Pain Syndrome (CRPS) diagnosed?

CRPS is diagnosed primarily through clinical evaluation, as there is no specific test for it. Doctors may use a combination of medical history, physical examination, and tests to rule out other conditions. Imaging tests like bone scans, X-rays, or MRI may be used to assess changes in bone and tissue.


What are the potential causes of neuropathic pain?

Neuropathic pain can be caused by a variety of factors, including diabetes, shingles, multiple sclerosis, nerve injuries, chemotherapy, and certain infections. It results from damage or dysfunction in the nervous system, leading to abnormal pain signals.


How can significant weight loss and excessive thirst be related to malnutrition or dehydration?

Significant weight loss and excessive thirst can be signs of malnutrition or dehydration. Malnutrition occurs when the body doesn't get enough nutrients, leading to weight loss and other health issues. Dehydration happens when the body loses more fluids than it takes in, causing thirst and potentially leading to serious complications if not addressed.


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1 Comments


Leo#3962

10 mo ago

Have your symptoms improved? Were you able to see a doctor and get any tests done that might help narrow down the diagnosis?

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