[33F] With sudden burning sensations and joint pain

Patient Description

A 33-year-old female presents with sudden burning sensations in her knees, back, skin, ears, and tongue, accompanied by redness and pain. The burning sensation began suddenly in the knees and spread to other areas. She experiences neck and back muscle pain, rated 7/10, worsening when lying down, and sharp sensations throughout the body. She reports irregular light brown spotting for over a week, gritty and occurring primarily when urinating, a new symptom since her C-section and initiation of arm birth control about a year ago. Over the past few months, she has experienced frequent catches in her back, twitching under her ribs, joint stiffness, especially in the morning, swollen knees and possibly hands, unusual fatigue, and oily hair. She also reports abscesses in her mouth for a year, a constant need to clear her throat, restlessness, nausea, and abdominal pain around the belly button and deep in the pelvis. She has a history of multiple C-sections, bowel obstruction surgery, and gallbladder and appendix removal. No current medications or allergies. She has a junctional rhythm heart rate diagnosed in 2023. The patient is experiencing frequent loose stools after eating, a condition persisting for years.

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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:

  1. Inflammatory or Autoimmune Condition: The sudden burning sensations, joint stiffness, and swelling in your knees and hands could be indicative of an inflammatory or autoimmune condition, such as rheumatoid arthritis or gout. These conditions can cause joint pain, swelling, and systemic symptoms like fatigue and skin changes. Gout, in particular, can cause sudden and severe pain in the joints, often starting in the knees or feet.

  2. Hormonal or Gynecological Changes: The irregular spotting and pelvic pain could be related to hormonal changes, possibly influenced by your birth control method. Hormonal imbalances can also contribute to fatigue and changes in hair texture.

  3. Infection or Systemic Inflammation: The presence of abscesses in your mouth and the burning sensations could suggest an underlying infection or systemic inflammatory response. Chronic infections can lead to fatigue and widespread discomfort.

  4. Musculoskeletal Issues: The neck and back pain, along with the sensation of catching in your back, might be related to musculoskeletal issues, such as muscle strain or spinal problems. These can be exacerbated by stress and poor posture.

What you can do

For Joint Pain and Burning Sensations:

  • Consider over-the-counter anti-inflammatory medications, like ibuprofen, to help reduce pain and swelling. However, consult with a healthcare provider before starting any new medication.
  • Apply ice packs to the affected areas to help reduce inflammation and provide relief.
  • Gentle stretching and low-impact exercises, such as swimming or yoga, may help improve joint mobility and reduce stiffness.

For Irregular Spotting and Pelvic Pain:

  • Keep track of your menstrual cycle and any spotting using a journal or an app like MDandMe. This information can be helpful for your healthcare provider.
  • If the spotting persists or worsens, consider consulting with a gynecologist to evaluate your birth control method and rule out any underlying issues.

For Neck and Back Pain:

  • Practice good posture and ergonomic support, especially if you spend long periods sitting or working at a desk.
  • Consider physical therapy or chiropractic care to address any musculoskeletal imbalances.

For General Well-being:

  • Ensure you are staying hydrated and maintaining a balanced diet rich in fruits, vegetables, and lean proteins.
  • Manage stress through relaxation techniques, such as meditation or deep breathing exercises.

What you should look out for

Given the complexity of your symptoms, it's important to monitor for any changes or worsening of your condition. Seek medical attention if you experience:

  • Severe or persistent joint pain that does not improve with home care.
  • Significant changes in your menstrual cycle or pelvic pain.
  • Signs of infection, such as fever, increased redness, or swelling.
  • Any new or concerning symptoms, such as difficulty breathing or chest pain.

Remember, while I can provide guidance, it's crucial to consult with a healthcare professional for a formal diagnosis and personalized treatment plan. They can perform necessary tests and evaluations to better understand your condition.

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1 mo ago

People Also Ask


What could be causing the sudden burning sensations in various parts of my body?

The sudden burning sensations could be due to an inflammatory or autoimmune condition, such as rheumatoid arthritis or gout, which can cause joint pain, swelling, and systemic symptoms like skin changes.


How might my birth control method be affecting my menstrual cycle and pelvic pain?

Your birth control method, particularly hormonal ones like the arm implant, can influence your menstrual cycle and cause irregular spotting or pelvic pain due to hormonal changes.


What are some potential reasons for experiencing frequent loose stools after eating?

Frequent loose stools after eating could be related to gastrointestinal issues such as irritable bowel syndrome (IBS), food intolerances, or the aftereffects of previous surgeries like gallbladder removal.


Could the abscesses in my mouth be related to a larger health issue?

The abscesses in your mouth might indicate an underlying infection or systemic inflammatory response, which could be contributing to other symptoms like fatigue and discomfort.


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