[32M] Experiencing burning sensation, armpit and abdominal pain

Patient Description

A 32-year-old male has been experiencing a range of symptoms for 6-9 months, including a burning sensation all over his body, significant armpit pain without any visible lumps, and sharp stabbing abdominal pain located just below the sternum. The armpit pain is described as a constant burning and stinging sensation, while the abdominal pain is rated as moderate in severity. Additionally, the patient reports a general feeling of malaise and weakness, despite having the energy to move. The skin around his face feels tight, with similar sensations on parts of his chest and back, though no visible changes are noted. Bowel movements are reported as normal, with no fever, chills, or significant weight loss. The patient smokes but does not use recreational drugs, alcohol, or any over-the-counter medications regularly, except for Vitamin D supplements. Past medical history includes asthma and allergies, with no known drug allergies or family history of autoimmune or musculoskeletal disorders. The patient's concerns about his health and the urgency of his symptoms are noted, despite negative tests for autoimmune disorders and normal ultrasound results for the pancreas and gallbladder.

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Arora's Assessment

What might be happening

Based on the information you provided, possible conditions include:

  • Fibromyalgia: This is a chronic condition characterized by widespread pain in the muscles and bones, areas of tenderness, and general fatigue. Symptoms like the burning sensation you're experiencing, the feeling of weakness, and the general malaise could be related to this condition.

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

  • Chronic Fatigue Syndrome (CFS): This condition causes extreme fatigue that can't be explained by any underlying medical condition. The fatigue worsens with physical or mental activity but doesn't improve with rest. Your general feeling of malaise and weakness could be related to this condition.

    • Treatment focuses on symptom relief.

  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backward flow (acid reflux) can irritate the lining of your esophagus and cause heartburn. Your abdominal pain could be related to this condition.

    • Treatment typically involves lifestyle changes and over-the-counter medications.

  • Gallstones: These are hardened deposits in the gallbladder that can cause abdominal pain. However, you mentioned that your doctor thought it could be a pancreas or gallbladder problem, but an ultrasound was fine.

  • Anxiety: Anxiety can cause physical symptoms like the ones you're experiencing. However, it's important to rule out physical causes before attributing these symptoms to anxiety.

What you can do

  1. Consult a healthcare provider: It's important to consult a healthcare provider for a formal assessment. They can order relevant tests if necessary and provide appropriate treatment.

  2. Keep a symptom diary: Note down when your symptoms occur, their severity, and any potential triggers. This can help your healthcare provider identify patterns and determine the best course of treatment.

  3. Lifestyle changes: Regular exercise, a healthy diet, and good sleep hygiene can help manage symptoms of conditions like fibromyalgia and CFS. Avoiding foods that trigger heartburn can help manage GERD symptoms.

  4. Stress management: Techniques like meditation, deep breathing, and yoga can help manage stress, which can exacerbate many of the conditions mentioned above.

What you should look out for

  • If your symptoms worsen or you develop new symptoms, seek medical attention immediately.
  • If you experience severe abdominal pain, vomiting, or blood in your stool, seek immediate medical attention.

Please remember that while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare provider for a formal diagnosis and treatment.

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8 mo ago

People Also Ask

What are the common symptoms of fibromyalgia?

Common symptoms of fibromyalgia include widespread pain, fatigue, sleep disturbances, cognitive difficulties (often referred to as 'fibro fog'), and sometimes mood issues. Patients may also experience headaches, irritable bowel syndrome, and sensitivity to noise, light, or temperature.

How is Chronic Fatigue Syndrome diagnosed?

Chronic Fatigue Syndrome is diagnosed primarily based on symptoms, as there is no specific test for it. A healthcare provider will rule out other conditions with similar symptoms and may use criteria such as persistent fatigue lasting more than six months, along with other symptoms like sore throat, muscle pain, joint pain, and unrefreshing sleep.

What lifestyle changes can help manage GERD symptoms?

Lifestyle changes to manage GERD symptoms include avoiding foods and drinks that trigger reflux (such as spicy foods, alcohol, and caffeine), eating smaller meals, not lying down immediately after eating, maintaining a healthy weight, and elevating the head of the bed.

Can anxiety cause physical symptoms like burning sensations and pain?

Yes, anxiety can cause a range of physical symptoms, including burning sensations, pain, and muscle tension. It can also lead to symptoms like heart palpitations, sweating, and gastrointestinal issues. It's important to rule out physical causes before attributing symptoms to anxiety.

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Leo#17

7 mo ago

Did you receive any test results or information from a doctor?

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