[38F] Experiencing chronic pain, numbness, and neurological symptoms

Patient Description

A 38-year-old female presents with a range of symptoms including sudden severe headaches, sometimes accompanied by blurry vision, and numbness in the fingers and toes. She reports chronic pain in her feet, difficulty walking, and severe intermittent abdominal pain located on the upper left side. The abdominal pain is described as a dull ache that can escalate to a severe level. Additionally, she experiences sharp, intense neck pain that radiates to the base of her skull, exacerbated by certain movements and positions such as sleeping, turning her head quickly, looking down for prolonged periods, driving for a long time, and laughing hard. The neck pain tends to worsen before bed or after significant activity. The patient also reports low mood and a lack of motivation. She has been experiencing these symptoms for an extended period, with the neck pain intensifying over the past 6 months. No fever or chills are reported. There is no history of recent neck injury. The patient's bowel movements have been abnormal, with only very soft, diarrhea-like stools. There is no indication that the abdominal pain is related to food intake or specific eating habits.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are several possibilities:

  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It is often associated with tension headaches, temporomandibular joint (TMJ) disorders, irritable bowel syndrome, anxiety and depression.

    • Treatment often involves a combination of medications, exercise, stress management measures, and healthy lifestyle habits.
  • Chronic Fatigue Syndrome: This is a complicated disorder characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue may worsen with physical or mental activity, but doesn't improve with rest.

    • Treatment focuses on symptom relief.
  • Multiple Sclerosis (MS): This is a potentially disabling disease of the brain and spinal cord (central nervous system). It can cause a variety of symptoms, which may include fatigue, difficulty walking, numbness or tingling, muscle weakness, and problems with coordination and balance.

    • Treatment typically involves medications to manage symptoms and slow the progression of the disease.
  • Peripheral Neuropathy: This results from damage to the peripheral nerves and causes weakness, numbness and pain, usually in your hands and feet. It can also affect other areas of your body.

    • Treatment involves managing the condition causing the neuropathy and relieving symptoms.
  • Gastrointestinal disorders: Your abdominal pain could be due to a variety of gastrointestinal conditions, such as gastritis, peptic ulcer disease, or gallstones. These conditions can cause pain in the upper abdomen, along with other symptoms like nausea, vomiting, and changes in bowel movements.

    • Treatment typically involves lifestyle changes, medications, and in some cases, surgery.

Please note that these are possibilities and not a definitive diagnosis. You should seek care from a healthcare professional to receive a formal diagnosis and treatment.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms in detail. They may refer you to a specialist, such as a neurologist or gastroenterologist, for further evaluation.
  2. Keep a symptom diary, noting when each symptom occurs, its severity, and any potential triggers. This can help your healthcare provider in diagnosing your condition.
  3. Try to maintain a healthy lifestyle. Regular exercise, a balanced diet, and adequate sleep can help manage many of the symptoms you're experiencing.
  4. Practice stress management techniques, such as deep breathing, meditation, and yoga. These can help reduce pain and improve sleep.

What you should look out for

Seek immediate medical attention if you experience:

  • Sudden, severe pain in your abdomen or chest
  • Difficulty breathing or shortness of breath
  • Sudden, severe headache
  • Sudden weakness or numbness on one side of your body
  • Changes in vision or difficulty speaking
  • Any other symptoms that are severe or concerning to you.

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10 mo ago

People Also Ask


What are the common symptoms of fibromyalgia?

Common symptoms of fibromyalgia include widespread musculoskeletal pain, fatigue, sleep disturbances, memory issues, and mood disorders. It may also be associated with tension headaches, TMJ disorders, irritable bowel syndrome, anxiety, and depression.


How is multiple sclerosis diagnosed?

Multiple sclerosis is diagnosed through a combination of medical history, neurological exams, MRI scans, and sometimes a spinal tap. These tests help identify lesions or damage in the central nervous system that are characteristic of MS.


What lifestyle changes can help manage peripheral neuropathy?

Lifestyle changes that can help manage peripheral neuropathy include maintaining a healthy diet, regular exercise, avoiding alcohol, quitting smoking, and managing blood sugar levels if diabetic. Physical therapy and pain management techniques can also be beneficial.


What are the potential causes of upper left abdominal pain?

Potential causes of upper left abdominal pain include gastritis, peptic ulcer disease, pancreatitis, kidney stones, or issues with the spleen. It is important to consult a healthcare provider for an accurate diagnosis and appropriate treatment.


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1 Comments


Anonymous#24703

7 mo ago

You absolutely need to be checked for Chiari Malformation!!! I have had 2 brain surgeries from this exact condition. The things you mentioned at the base of your neck is word for word what I had going on! Please look up Chiari Malformation and Dr Luciano

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