[32F] Experiencing widespread itching, body aches, and fatigue

Patient Description

A 32-year-old female presents with moderate, constant itching all over the body, chest aches, lower back pain, fatigue, and joint pain, all of which started today. The patient has a history of HPV diagnosed last week, fibromyalgia diagnosed 10 years ago, and high cholesterol diagnosed last year. She is currently taking Lyrica, Flexeril, Spironolactone, Hydroxyzine Pamoate, Ativan, Adderall XR, Trazodone, Trintellix, Reglan, and Aurovela. The patient reports no known drug allergies or adverse reactions to medications. No visible rash, shortness of breath, facial swelling, severe chest pain, or high fever accompany the symptoms.

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Arora's Assessment

What might be happening

Based on your symptoms of generalized itching, body aches, fatigue, joint pain, lower abdominal cramping, and a sore throat, several conditions could be considered:

  • Viral Infections: Many viral infections can cause a combination of body aches, fatigue, joint pain, and sore throat. Some viruses can also cause itching, even without a rash.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Drug Reactions: Some of the medications you are taking could potentially cause itching and other symptoms. For instance, Lyrica (pregabalin) can sometimes cause itching and body aches.

    • Treatment would involve discussing these symptoms with your doctor, who may adjust your medication regimen.
  • Fibromyalgia Flare: As you have a history of fibromyalgia, it's possible that your body aches, fatigue, and joint pain could be related to a flare of this condition. However, fibromyalgia wouldn't typically cause itching or a sore throat.

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

What you can do

While waiting for your appointment with your doctor, you can try the following:

  1. Over-the-counter antihistamines may help to relieve your itching.
  2. Rest and hydration are important, especially if a viral infection is causing your symptoms.
  3. Non-prescription pain relievers can help with body aches and joint pain.
  4. Warm compresses or a heating pad may help with your lower back pain.

What you should look out for

Please seek immediate medical attention if you experience:

  • Difficulty breathing or swallowing
  • Severe abdominal pain
  • High fever (over 100.4°F)
  • Symptoms that rapidly worsen or become severe

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 accurate information.

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11 mo ago

People Also Ask


Can viral infections cause itching without a rash?

Yes, some viral infections can cause itching even if there is no visible rash. This can be due to the body's immune response to the virus.


Could my medications be causing these symptoms?

Yes, certain medications, such as Lyrica, can cause side effects like itching and body aches. It's important to discuss any new or worsening symptoms with your doctor.


What are common symptoms of a fibromyalgia flare?

Common symptoms of a fibromyalgia flare include widespread body pain, fatigue, sleep disturbances, and cognitive difficulties. Itching and sore throat are not typical symptoms.


What over-the-counter remedies can help with these symptoms?

Over-the-counter antihistamines can help relieve itching, while non-prescription pain relievers like ibuprofen or acetaminophen can help with body aches and joint pain. Rest and hydration are also beneficial.


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