[33F] Experiencing widespread burning sensation and irregular spotting

Patient Description

A 33-year-old female presents with a sudden onset of burning sensation in the knees, which has spread to the back, ears, tongue, and skin overall. The skin appears flushed and slightly rash-like in some areas. The patient also reports aching and burning in the neck and back muscles, with neck pain rated as 7 out of 10 in severity. Additionally, there is light, irregular vaginal bleeding for over a week, described as dark brown and gritty, occurring mainly when pushing to urinate. This is the first instance of such bleeding since a C-section and initiation of arm birth control about a year ago. The patient has experienced muscle twitching under the ribs, back pain exacerbated by lying down, knee pain, and joint stiffness, particularly in the morning. Swelling is noted in the knees and possibly the hands. The patient reports unusual fatigue and changes in hair texture, with increased oiliness but no hair loss. Medical history includes five C-sections, surgeries for gallbladder and appendix removal, and a bowel obstruction surgery. The patient has a junctional rhythm heart rate, diagnosed last year, with a heart rate in the 30s when asleep. There are no chronic conditions such as high blood pressure, diabetes, or asthma, and no current medications or known allergies. There is no personal or family history of autoimmune diseases, and no recent travel or exposure to new substances or environments.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing. It's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

  1. Burning Sensations and Skin Changes: The sudden burning sensations in your knees, back, skin, ears, and tongue, along with redness and pain, could be related to a neurological condition or an inflammatory response. Conditions such as fibromyalgia or peripheral neuropathy can cause widespread pain and burning sensations. An allergic reaction or a form of dermatitis could also cause skin changes and discomfort.

  2. Irregular Spotting and Pelvic Pain: The irregular spotting and pelvic pain could be related to hormonal changes or side effects from your arm birth control. Hormonal contraceptives can sometimes cause irregular bleeding and spotting, especially if there have been changes in your routine or stress levels. It's also possible that there could be an underlying gynecological issue that needs to be addressed.

  3. Muscle Pain and Twitching: The muscle pain, twitching under your ribs, and back pain could be related to muscle strain, stress, or a condition affecting your musculoskeletal system. Conditions like myofascial pain syndrome or even stress-related muscle tension could contribute to these symptoms.

What you can do

Burning Sensations and Skin Changes:

  • Avoid any known irritants or allergens that might be contributing to your symptoms.
  • Keep your skin moisturized and avoid hot showers, which can exacerbate skin irritation.
  • Consider using over-the-counter antihistamines if you suspect an allergic reaction, but consult with a healthcare provider first.

Irregular Spotting and Pelvic Pain:

  • Track your menstrual cycle and any irregular bleeding using a journal or an app like MDandMe to provide detailed information to your healthcare provider.
  • Schedule an appointment with your gynecologist to discuss the irregular spotting and pelvic pain, especially since these symptoms are new and persistent.

Muscle Pain and Twitching:

  • Practice gentle stretching exercises to relieve muscle tension and improve flexibility.
  • Apply heat or cold packs to the affected areas to alleviate pain and discomfort.
  • Ensure you are getting adequate rest and managing stress, as these can impact muscle health.

What you should look out for

While your symptoms are concerning, they may not be immediately life-threatening. However, you should seek medical attention if you experience any of the following:

  • Severe or worsening pain that does not improve with home care.
  • New or worsening symptoms, such as difficulty breathing, chest pain, or significant changes in your heart rate.
  • Signs of infection, such as fever, chills, or pus-like discharge from any rashes.

Remember, it's important to consult with a healthcare professional to receive a proper diagnosis and treatment plan. They can provide personalized advice and conduct any necessary tests to determine the underlying cause of your symptoms.

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3 mo ago

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People Also Ask


What could cause a sudden burning sensation in various parts of the body?

A sudden burning sensation in various parts of the body could be due to a neurological condition like fibromyalgia or peripheral neuropathy, an inflammatory response, or an allergic reaction. It's important to consult a healthcare professional for an accurate diagnosis.


Is it normal to experience irregular vaginal bleeding after starting arm birth control?

Irregular vaginal bleeding can be a side effect of hormonal birth control, including arm implants. It can also be influenced by stress or changes in routine. If the bleeding is persistent or concerning, it's advisable to consult a gynecologist.


What might cause muscle twitching and pain in the back and neck?

Muscle twitching and pain in the back and neck could be related to muscle strain, stress, or conditions like myofascial pain syndrome. Stress-related muscle tension can also contribute to these symptoms. Gentle stretching and stress management may help alleviate discomfort.


How can changes in hair texture and increased oiliness be explained?

Changes in hair texture and increased oiliness can be due to hormonal changes, stress, or changes in hair care products. If these changes are sudden or accompanied by other symptoms, it may be worth discussing with a healthcare provider.


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