[37M] With sores, rash, and arm pain

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Herpes Simplex Virus (HSV) Infection: The sores on your tongue and genital area, along with swollen lymph nodes, could be indicative of a herpes infection. HSV can cause painful sores in these areas and may also lead to swollen lymph nodes as your body responds to the infection. Testing and antiviral medications are typical treatments.

2. Oral Thrush: The round sores on your tongue could be due to a yeast infection in the mouth, known as oral thrush. This is more common in individuals with weakened immune systems, such as those with HIV. Antifungal medications are typically used for treatment.

3. Musculoskeletal Pain: The sharp, sometimes throbbing pain in your left arm and upper chest could be related to a musculoskeletal issue, possibly involving a nerve or muscle strain. This is especially likely if certain positions or movements exacerbate the pain. Physical therapy or pain management strategies may be recommended.

4. Lymphadenopathy: The swollen lymph nodes in your throat could be due to a variety of infections or conditions, including viral infections other than herpes, or even a reaction to a recent infection or inflammation in the body.

5. Gastroesophageal Reflux Disease (GERD): The chest pain and nausea might be related to acid reflux, where stomach acid irritates the esophagus, causing discomfort and nausea. Lifestyle changes and medications can help manage this condition.

What you can do

For the sores and swollen lymph nodes:

• Consult a healthcare professional for a thorough evaluation and appropriate testing. They can provide a definitive diagnosis and guide you on the best course of treatment.
• Maintain good oral hygiene and avoid spicy or acidic foods that may irritate mouth sores.
• Consider using over-the-counter topical treatments to alleviate pain from sores.

For the arm and chest pain:

• Avoid positions or activities that exacerbate the pain.
• Apply a warm compress to the affected area to help relieve discomfort.
• Over-the-counter pain relievers, such as ibuprofen, may help reduce pain and inflammation.

For nausea:

• Eat small, frequent meals and avoid foods that trigger nausea.
• Stay hydrated by sipping on clear fluids.
• Ginger or peppermint tea may help soothe nausea.

General advice:

• Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
• Schedule an appointment with your healthcare provider to discuss your symptoms and receive a formal diagnosis and treatment plan.

What you should look out for

Seek medical attention if you experience any of the following:

• Worsening chest pain or difficulty breathing
• Severe or persistent pain in your arm or chest
• New or worsening sores or rashes
• Any signs of infection, such as fever or chills

Remember, it's important to consult with a healthcare professional to explore these possibilities further. They can perform necessary tests and evaluations to determine the exact cause of your symptoms and provide appropriate treatment. If you have any questions or need guidance on what to do next, feel free to ask!