[37F] Experiencing widespread pain and neurological symptoms

Patient Description

A 37-year-old female presents with a complex symptomatology that includes severe achy leg and dull hip pain, knee cramps, joint pain, and stiffness, with symptoms persisting for about a year. The patient also reports urinary incontinence, frequent urination, and difficulty emptying the bladder, which has been ongoing for 10 years. Additionally, she experiences bowel incontinence, bladder and bowel prolapse, and genital numbness. Blurry vision with occasional double vision and cobweb-like spots have been present for 3 years. The patient has a significant history of anxiety, which has been present for 16 years, leading to a reluctance to leave the house. The patient's medical history includes a diagnosis of Chiari malformation 4 years ago and Ehlers-Danlos syndrome diagnosed 1 year ago. Current medications include Paxil, Rexulti, Wellbutrin, and Oxycodone. No known drug allergies have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, your symptoms are quite wide-ranging and could potentially be related to several different conditions. Here are some possibilities:

  • Ehlers-Danlos Syndrome (EDS): This is a group of inherited disorders that affect your connective tissues, primarily your skin, joints, and blood vessel walls. People with EDS often have overly flexible joints and stretchy, fragile skin. This can lead to a variety of symptoms, including joint pain, muscle pain, and skin issues. The urinary and bowel issues you're experiencing could also be related to EDS, as the condition can sometimes affect the muscles and connective tissues in these areas.

    • There's no specific cure for EDS, but treatment typically involves managing symptoms and preventing complications. This might include physical therapy, pain management, and, in some cases, surgery.
  • Chiari Malformation: This is a condition in which brain tissue extends into your spinal canal. It occurs when part of your skull is abnormally small or misshaped, pressing on your brain and forcing it downward. Symptoms can include pain, especially in the neck and shoulders, numbness in your extremities, and balance problems. The vision issues you're experiencing could potentially be related to this condition.

    • Treatment for Chiari malformation can depend on the severity of the condition. It might involve monitoring the condition, medications to manage symptoms, or surgery.
  • Anxiety: You mentioned that you've been dealing with anxiety for 16 years. This could potentially be contributing to some of your symptoms, such as the muscle twitching and numbness. Anxiety can cause a wide range of physical symptoms and can often exacerbate symptoms of other conditions.

    • Treatment for anxiety often involves a combination of psychotherapy (counseling) and medication.

Please note that these are just possibilities based on the information you've provided. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Given the severity and range of your symptoms, it's important to seek medical attention. Here are some steps you can take:

  1. Schedule an appointment with your primary care doctor: They can perform a physical examination and may order tests to help determine the cause of your symptoms.

  2. Keep a symptom diary: This can help you track your symptoms and identify any patterns or triggers. This information can be helpful for your doctor.

  3. Stay hydrated and maintain a balanced diet: This can help manage some of your symptoms and improve your overall health.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe pain that isn't relieved by your current medication
  • Sudden worsening of any of your symptoms
  • New symptoms, such as difficulty breathing or severe headache

Remember, while I strive to provide accurate and helpful information, I'm an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of Ehlers-Danlos Syndrome?

Common symptoms of Ehlers-Danlos Syndrome include overly flexible joints, stretchy and fragile skin, joint pain, muscle pain, and sometimes issues with internal organs like the bladder and bowel due to affected connective tissues.


How does Chiari Malformation affect vision?

Chiari Malformation can affect vision by causing symptoms such as blurry vision, double vision, and visual disturbances like seeing spots, due to the pressure on the brain and spinal cord.


Can anxiety cause physical symptoms like muscle pain and numbness?

Yes, anxiety can cause a wide range of physical symptoms, including muscle pain, numbness, and tingling sensations. These symptoms can be exacerbated by stress and anxiety.


What are the treatment options for urinary incontinence related to Ehlers-Danlos Syndrome?

Treatment options for urinary incontinence related to Ehlers-Danlos Syndrome may include pelvic floor exercises, physical therapy, medications, and in some cases, surgical interventions to support the affected tissues.


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