[34F] Experiencing spinal itching, hair loss, and weight loss amid high stress

Patient Description

A 34-year-old female is experiencing significant itching on her spine for about a week, with no relief from any measures. This is the first occurrence of such itching, which began suddenly. She has not been in contact with anyone with similar symptoms, nor has she changed skincare products or started new medications recently. Additionally, she is experiencing hair loss, thinning from the root, and has lost approximately 50 pounds. These changes coincide with very high stress levels due to a recent divorce and work-related stress, leading her to take FMLA. She reports difficulty sleeping and a reduced appetite due to stress, potentially affecting her nutrition. Her medical history includes asthma from childhood, panic disorder, and complex PTSD diagnosed about two years ago, and ADHD. She is currently taking Clonazepam three times daily for panic disorder and Vyvanse 60 mg once a day for ADHD. She reports no known allergies or adverse reactions to medications.

Arora's Assessment

What might be happening

Based on the symptoms you've described, several possibilities could explain what you're experiencing:

Stress-Related Symptoms: High stress, such as from a divorce and work pressures, can lead to physical symptoms like itching, hair loss, and weight loss. Stress can trigger or exacerbate conditions like telogen effluvium, where stress causes more hair follicles to enter the shedding phase. It can also affect your appetite and sleep, contributing to weight loss.
Nutritional Deficiencies: Reduced appetite and weight loss can lead to nutritional deficiencies, which might contribute to hair loss and skin changes, including itching. Ensuring a balanced diet is crucial for maintaining overall health.
Thyroid Issues: Although you haven't been diagnosed with a thyroid disorder, symptoms like hair loss, weight changes, and skin issues can sometimes be related to thyroid imbalances. It might be worth discussing this with a healthcare provider.
Medication Side Effects: While Clonazepam and Vyvanse are generally well-tolerated, they can have side effects, including changes in appetite, weight, and sleep patterns. It's important to review these with your doctor.

What you can do

Consult a Healthcare Provider: It's important to discuss these symptoms with a healthcare provider who can evaluate your overall health, consider potential causes, and recommend appropriate tests or treatments.
Manage Stress: Consider stress-reduction techniques such as mindfulness, meditation, or therapy, which can help manage stress and its physical manifestations.
Maintain a Balanced Diet: Try to eat a balanced diet rich in essential nutrients. If you're struggling with appetite, consider speaking with a nutritionist for guidance.
Track Symptoms: Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider. This can help identify patterns or triggers.

What you should look out for

Worsening Symptoms: If your symptoms worsen or you notice new symptoms, seek medical attention promptly.
Severe Hair Loss or Skin Changes: If hair loss becomes severe or you notice significant skin changes, consult a dermatologist.
Emotional Well-being: Given the stress you're under, it's important to monitor your mental health. If you feel overwhelmed, consider reaching out to a mental health professional.

Remember, while I can provide information, it's important to seek care from real health professionals for a formal diagnosis and treatment.

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2 mo ago

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