[32M] Experiencing a range of symptoms including inability to eat and abdominal pain

Patient Description

A 32-year-old male presents with a constellation of symptoms persisting for 2 months, including constant ear ringing, occasional blurry vision, inability to eat, nausea, weakness, abdominal pain, high blood pressure, irritability, and leg cramping. The abdominal pain is described as a squeezing sensation, worsening postprandially, and is relieved somewhat by standing or hunching over. The patient has lost 10 pounds in the last 2 weeks and experiences increased bowel movements. Additionally, the patient suffers from extreme fatigue, night sweats, and dizziness upon positional changes. There is a history of Raynaud's disease diagnosed in 2014 and congenital fatty liver diagnosed in 2013. The patient is currently on naltrexone 50mg daily, with lorazepam 1mg and ondansetron 4mg sublingual as needed, and reports allergies to penicillin and Nortriptyline. No recent changes in medication or known family history of gastrointestinal, metabolic, or endocrine disorders have been reported. Social alcohol use is noted, and the patient has a history of multiple concussions.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gastrointestinal disorders: Your symptoms of abdominal pain, bloating, increased bowel movements, and inability to eat could suggest a gastrointestinal disorder such as gastritis, peptic ulcer disease, or gastroesophageal reflux disease (GERD). These conditions can cause discomfort and changes in eating habits.

    • Treatment typically involves lifestyle modifications, such as diet changes and stress management, as well as medications to reduce stomach acid and promote healing.
  • Tinnitus: The constant ringing in your ears is known as tinnitus. This can be caused by a number of factors, including exposure to loud noises, certain medications, and health conditions such as high blood pressure and age-related hearing loss.

    • Treatment for tinnitus depends on the underlying cause. It may involve medications, noise suppression techniques, or treating an underlying health condition.
  • Orthostatic Hypotension: Your symptoms of dizziness upon standing or lying down could suggest orthostatic hypotension, a form of low blood pressure that happens when you stand up from sitting or lying down.

    • Treatment typically involves lifestyle changes and medications to increase blood pressure.
  • Anxiety or Stress: Your symptoms of irritability, high blood pressure, and occasional headaches could be related to anxiety or stress.

    • Treatment typically involves lifestyle modifications, such as regular exercise, a healthy diet, and stress management techniques, as well as medications or therapy if necessary.

What you can do

  1. Try to identify any triggers for your symptoms and avoid them if possible. This could include certain foods, stress, or lack of sleep.
  2. Maintain a healthy diet and regular exercise routine. This can help manage symptoms of gastrointestinal disorders and high blood pressure.
  3. Stay hydrated and avoid alcohol, caffeine, and tobacco, which can worsen tinnitus and high blood pressure.
  4. Practice good sleep hygiene to help manage fatigue and stress. This includes maintaining a regular sleep schedule, creating a relaxing bedtime routine, and making your sleep environment comfortable.
  5. Consult with a healthcare professional for a formal diagnosis and treatment plan.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain or abdominal pain that doesn't improve
  • Sudden or severe changes in your vision
  • Severe or worsening headaches
  • Any new or worsening symptoms

Remember, while I strive to provide accurate information, I am not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment plan.

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10 mo ago

People Also Ask


What could be causing the constant ringing in my ears?

The constant ringing in your ears, known as tinnitus, can be caused by factors such as exposure to loud noises, certain medications, high blood pressure, or age-related hearing loss. Treatment depends on the underlying cause and may involve medications, noise suppression techniques, or addressing any related health conditions.


Why do I feel dizzy when I change positions?

Feeling dizzy when changing positions could be a sign of orthostatic hypotension, a condition where blood pressure drops significantly when you stand up from sitting or lying down. Treatment often involves lifestyle changes and medications to help stabilize blood pressure.


What might be causing my abdominal pain and increased bowel movements?

Your abdominal pain and increased bowel movements could be indicative of a gastrointestinal disorder such as gastritis, peptic ulcer disease, or gastroesophageal reflux disease (GERD). These conditions can cause discomfort and changes in eating habits, and treatment typically involves dietary changes, stress management, and medications to reduce stomach acid.


How can stress or anxiety affect my physical health?

Stress or anxiety can lead to physical symptoms such as irritability, high blood pressure, headaches, and gastrointestinal issues. Managing stress through lifestyle modifications, regular exercise, a healthy diet, and stress management techniques can help alleviate these symptoms. In some cases, therapy or medication may be necessary.


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