[33F] Experiencing multiple symptoms including back pain and nipple discharge
Question
I forgot to mention shortness of breath anyone help
Patient Description
A 33-year-old female reports experiencing a variety of symptoms that have been persisting for several years. The patient describes a sharp pain in the upper middle back that worsens when sitting straight, with no relief found from any activities or treatments. Additionally, the patient has observed dark red bloody stool a couple of times a week for the past few months, a condition that only started within the last year. A non-healing wound that smells foul and drains pus and blood has also been present for years. The patient has an inverted left nipple with pus discharge, a symptom that has been ongoing for a few years. The patient experiences changes in bowel habits, alternating between constipation and diarrhea, alongside feelings of fatigue and irritation. The patient has been diagnosed with B12 deficiency anemia, which has been causing constant numbness and a pins and needles sensation in the hands, significantly impacting daily activities and quality of life. The patient is not currently on any medications and has no other pre-existing conditions or chronic illnesses reported.
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Arora's Assessment
What might be happening
Based on the information you've provided, here are some possible conditions that could be causing your symptoms:
- Vitamin B12 Deficiency Anemia: This condition can cause fatigue, numbness, and tingling in the hands and feet. It can also cause difficulty with balance and memory. Treatment typically involves B12 injections or high dose oral supplements.
- Breast Cancer: The inverted nipple and discharge could be symptoms of breast cancer. Other symptoms can include a lump in the breast or underarm, changes in the size or shape of the breast, and changes to the skin over the breast. It's important to get these symptoms checked out by a healthcare provider as soon as possible.
- Gastrointestinal Bleeding: Dark red blood in the stool can be a sign of bleeding in the gastrointestinal tract. This could be caused by a variety of conditions, including hemorrhoids, anal fissures, diverticulosis, or more serious conditions like colon cancer. It's important to see a healthcare provider for an evaluation.
- Chronic Wound Infection: A wound that hasn't healed in years and is draining pus and blood could be chronically infected. This should be evaluated by a healthcare provider. Treatment could involve antibiotics, wound care, and possibly surgery.
- Back Pain: There are many possible causes of back pain, including muscle or ligament strain, bulging or ruptured disks, arthritis, skeletal irregularities, or osteoporosis. Treatment can vary widely depending on the cause.
What you can do
- Schedule an appointment with your healthcare provider as soon as possible to discuss your symptoms. They may want to perform a physical examination and order some tests to help determine the cause of your symptoms.
- In the meantime, try to maintain a balanced diet and stay hydrated. This can help manage some of your symptoms.
- Try to get plenty of rest. This can help your body heal and may help with your fatigue.
What you should look out for
If you experience any of the following symptoms, seek medical attention immediately:
- Severe abdominal pain
- Vomiting blood or having black, tarry stools
- Sudden, severe headache
- Sudden, severe chest pain
- Difficulty breathing or shortness of breath
- Sudden weakness or numbness on one side of your body
- Sudden confusion, trouble speaking, or difficulty understanding speech
- Sudden trouble seeing in one or both eyes
- Sudden trouble walking, dizziness, or loss of balance or coordination
Please remember that while I strive to provide accurate and helpful information, I am not a doctor. Always seek the advice of a healthcare provider for any questions you may have regarding a medical condition.
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8 mo ago