[36F] With electric shock sensation, back pain, shortness of breath, and headaches

What might be happening

Based on the symptoms you've described, there are a few potential diagnoses to consider:

1. Multiple Myeloma:

   • Rationale: Multiple myeloma is a type of blood cancer that affects plasma cells in the bone marrow. Symptoms can include bone pain (which could explain your lower back pain), fatigue, frequent infections, easy bruising, and unexplained weight loss or difficulty gaining weight. The electric shock sensation and weakness in your legs could be related to nerve damage caused by the disease.
   • Typical Testing: Blood tests (including serum protein electrophoresis), urine tests, imaging studies (like X-rays, MRI, or CT scans), and a bone marrow biopsy are commonly used to diagnose multiple myeloma.

2. Peripheral Neuropathy:

   • Rationale: Peripheral neuropathy involves damage to the peripheral nerves and can cause sensations like electric shocks, burning pain, and weakness. This condition can be caused by various factors, including diabetes, infections, and certain medications.
   • Typical Testing: Blood tests, nerve conduction studies, and electromyography (EMG) are used to diagnose peripheral neuropathy.

3. Chronic Fatigue Syndrome (CFS):

   • Rationale: CFS is characterized by extreme fatigue that doesn't improve with rest, along with other symptoms like muscle pain, headaches, and difficulty concentrating. The constant tiredness and weakness in your legs could be related to this condition.
   • Typical Testing: There is no specific test for CFS; it is diagnosed based on symptoms and by ruling out other conditions.

What you can do

Electric Shock Sensation and Pain:

• See a doctor: Given the severity and persistence of your symptoms, it's important to consult a healthcare provider as soon as possible. They may refer you to a specialist, such as a neurologist or hematologist, for further evaluation.
• At home: Keep a journal of your symptoms, noting when they occur, their severity, and any potential triggers. This can help your doctor in diagnosing your condition.

Headaches:

• See a doctor: Frequent headaches should be evaluated by a healthcare provider to determine their cause and appropriate treatment.
• At home: Over-the-counter pain relievers like ibuprofen or acetaminophen may help alleviate headache pain. Ensure you stay hydrated and get adequate rest.

Lower Back Pain:

• See a doctor: Chronic lower back pain should be evaluated to determine its cause and appropriate treatment.
• At home: Apply heat or cold packs to the affected area, practice gentle stretching exercises, and maintain good posture.

Shortness of Breath:

• See a doctor: Moderate shortness of breath, especially if it is new or worsening, should be evaluated by a healthcare provider.
• At home: Continue to use fresh air and sitting down to help ease your symptoms. Avoid strenuous activities that may worsen your shortness of breath.

Bruising and Fatigue:

• See a doctor: Easy bruising and persistent fatigue should be evaluated to rule out underlying conditions like blood disorders or nutritional deficiencies.
• At home: Ensure you are eating a balanced diet rich in vitamins and minerals, and get plenty of rest.

General Tips:

• Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Given the severity of your symptoms and the possibility of serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe or worsening shortness of breath
• New or worsening pain, especially if it is severe or unrelenting
• Unexplained weight loss or difficulty gaining weight
• Persistent or worsening fatigue and weakness
• Any new or unusual symptoms that concern you

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.