[33F] Experiencing blurred vision, bladder urgency, and joint pain

Patient Description

A 33-year-old female reports experiencing slightly blurred vision, frequent and intense bladder urgency, and constant joint pain. The bladder urgency has been present for approximately six months, with the patient feeling the need to urinate every one to two hours, despite testing negative for a urinary tract infection and having no new sexual partners. The blurred vision, described as trouble focusing with both eyes open and slight double vision, has been ongoing for a few weeks. The patient's vision issues persist even with the use of prescription lenses. There is no past medical history of similar symptoms, no known allergies or adverse reactions to medications, and no pre-existing conditions or chronic illnesses. The only medication currently being taken is Lexapro. No improvement measures for the blurred vision have been noted, and there is no report of fever or chills accompanying the symptoms.

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Arora's Assessment

What might be happening

Based on the information provided, here are some possible explanations for your symptoms:

  • Multiple Sclerosis (MS): This is a disease of the central nervous system that disrupts the flow of information within the brain, and between the brain and body. Symptoms can include blurred or double vision, fatigue, and problems with coordination and balance. It can also cause bladder problems, including a frequent need to urinate. This condition is more common in women and typically presents between the ages of 20 and 40.

    • Diagnostic tests for MS typically include a neurological exam, MRI, and sometimes a spinal fluid analysis. Treatment typically involves managing symptoms and slowing the progression of the disease with medication.
  • Overactive Bladder (OAB): This is a condition where the bladder can't hold urine normally, which causes a frequent and sudden urge to urinate that may be difficult to control. You mentioned that you've been experiencing this for about six months. However, this doesn't explain your joint pain or blurred vision.

    • Treatment for OAB can include lifestyle strategies (such as bladder training, double voiding, and scheduled toilet trips), physical therapy, medications, or even surgery in severe cases.
  • Rheumatoid Arthritis (RA): This is a chronic inflammatory disorder that can cause joint pain and damage throughout your body. The joint damage usually occurs on both sides of your body, so if you have it in one arm, you'll likely have it in the other. However, this doesn't explain your bladder urgency or blurred vision.

    • Treatment for RA typically involves medications, physical therapy, and sometimes surgery.

Please note that these are just possibilities and not a definitive diagnosis. You should see a healthcare professional who can evaluate your symptoms and medical history more thoroughly.

What you can do

  1. Schedule an appointment with your primary care doctor: They can conduct a physical examination and order appropriate tests based on your symptoms and medical history.
  2. Keep a symptom diary: This can help your doctor understand your symptoms better. Note down when you experience each symptom, how long it lasts, and any potential triggers you can identify.
  3. Stay hydrated and maintain a balanced diet: This can help manage your symptoms and overall health.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Sudden worsening of symptoms
  • Difficulty walking or moving
  • Severe pain
  • Any new or unexplained symptoms

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 appropriate examination, testing, and care recommendations.

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1 yr ago

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People Also Ask


What are the common symptoms of Multiple Sclerosis (MS)?

Common symptoms of Multiple Sclerosis (MS) include blurred or double vision, fatigue, numbness or tingling in the limbs, muscle weakness, problems with coordination and balance, and bladder issues such as frequent urination. Diagnosis typically involves a neurological exam, MRI, and sometimes a spinal fluid analysis.


How is Overactive Bladder (OAB) diagnosed and treated?

Overactive Bladder (OAB) is diagnosed based on symptoms and may involve tests like a urinalysis, bladder diary, or urodynamic testing. Treatment can include lifestyle changes, bladder training, medications, and in severe cases, surgery.


What are the typical symptoms and treatments for Rheumatoid Arthritis (RA)?

Rheumatoid Arthritis (RA) typically presents with joint pain, swelling, and stiffness, often affecting both sides of the body. Treatment usually involves medications to reduce inflammation and pain, physical therapy, and sometimes surgery to repair joint damage.


Can Lexapro cause blurred vision or bladder urgency as side effects?

Lexapro, an antidepressant, can cause side effects such as blurred vision, but bladder urgency is not commonly associated with it. If you experience these symptoms, it's important to discuss them with your healthcare provider.


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