[33F] Experiencing mood swings, PMS, acne, joint soreness, and depression

Patient Description

A 33-year-old female reports suffering from mood swings that negatively impact family relationships, exacerbated by stress or sugar, and somewhat alleviated by better sleep. These mood swings have been ongoing for approximately 7 years and are unpredictable, with a tendency to worsen mid-day or at night. They appear to be related to premenstrual syndrome (PMS). The patient also experiences acne breakouts before her menstrual period, with the current breakout lasting longer than usual, affecting the forehead with over 50 blemishes. She has been feeling a general low mood intermittently for the past 15 years. Additionally, for about a year, the patient has been experiencing a dull ache in her knee and pinky finger knuckles, occasionally accompanied by slight swelling, but without any preceding injury. She notes an easy tendency to lose weight but does not have any known chronic illnesses or conditions. The patient is not currently on any medications and has no known drug allergies, although she has had an adverse reaction to Morphine in the past.

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Arora's Assessment

What might be happening

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

  • Premenstrual Syndrome (PMS): This is a common condition that can cause a variety of physical and emotional symptoms in the days leading up to menstruation. These symptoms can include mood swings, acne, and joint pain. The fact that your symptoms seem to be related to your menstrual cycle suggests that PMS could be a factor.

    • Treatment for PMS can involve lifestyle changes, such as regular exercise and a healthy diet, as well as over-the-counter medications for pain. In some cases, hormonal contraceptives or antidepressants may be recommended.
  • Depression: You've mentioned feeling a generally low mood for the past 15 years. Depression is a common mental health condition that can cause persistent feelings of sadness, loss of interest in activities, and a variety of physical symptoms. It's important to speak with a healthcare provider if you're experiencing symptoms of depression.

    • Treatment for depression can involve psychotherapy (talk therapy), medications, or a combination of both.
  • Joint Pain: There are many possible causes of joint pain, from injuries to chronic conditions like arthritis. If your joint pain is persistent or causing you significant discomfort, it would be a good idea to speak with a healthcare provider.

    • Treatment for joint pain can depend on the underlying cause, but may involve physical therapy, medications, or in some cases, surgery.

What you can do

  1. Consult with a healthcare provider: Given the range and duration of your symptoms, it would be a good idea to speak with a healthcare provider. They can provide a more accurate diagnosis and recommend appropriate treatments.

  2. Lifestyle changes: Regular exercise, a healthy diet, and good sleep hygiene can help manage many of the symptoms you've described.

  3. Mental health support: If you're feeling depressed, it's important to reach out to a mental health professional. They can provide support and discuss treatment options with you.

What you should look out for

If your symptoms worsen or you start to experience new symptoms, it's important to seek medical attention. This is especially true if you start to experience severe joint pain, significant weight loss without trying, or feelings of hopelessness or thoughts of self-harm associated with depression.

Please remember that this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for accurate information.

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11 mo ago

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People Also Ask


What are common symptoms of premenstrual syndrome (PMS) and how can they be managed?

Common symptoms of PMS include mood swings, irritability, depression, anxiety, bloating, breast tenderness, and acne. Management can involve lifestyle changes like regular exercise, a balanced diet, and stress reduction techniques. Over-the-counter pain relievers and, in some cases, hormonal contraceptives or antidepressants may also be recommended.


How can mood swings related to PMS be distinguished from depression?

Mood swings related to PMS typically occur in the luteal phase of the menstrual cycle and resolve with the onset of menstruation, whereas depression is characterized by a persistent low mood and loss of interest in activities over a longer period. A healthcare provider can help differentiate between the two and suggest appropriate treatments.


What are potential causes of joint pain without a preceding injury?

Joint pain without a preceding injury can be caused by conditions such as arthritis, bursitis, or tendinitis. It can also be related to hormonal changes, as seen in PMS, or autoimmune conditions. A healthcare provider can help determine the underlying cause through a physical examination and possibly imaging or blood tests.


How can lifestyle changes help in managing symptoms of PMS and depression?

Lifestyle changes such as regular physical activity, a nutritious diet, adequate sleep, and stress management can help alleviate symptoms of PMS and depression. Exercise releases endorphins, which can improve mood, while a healthy diet and good sleep hygiene support overall well-being. These changes can complement medical treatments and improve quality of life.


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