[39M] With shoulder pain and swallowing difficulties

What might be happening

Based on the symptoms you've described, there are a few potential conditions that could be contributing to your discomfort:

1. Shoulder Pain: The dull, throbbing pain in your right shoulder that worsens in the afternoon or evening could be related to a condition such as bursitis or tendinitis, which are common causes of shoulder pain. These conditions can result from overuse or strain, even if you haven't had a specific injury. The tightness and tenderness you feel when rotating your shoulder might also suggest a rotator cuff issue.

2. Difficulty Swallowing and Gastrointestinal Symptoms: The sensation of food and drinks getting stuck, along with heartburn, nausea, and weight loss, could indicate a condition like gastroesophageal reflux disease (GERD) or esophageal stricture. These conditions can cause inflammation and narrowing of the esophagus, leading to swallowing difficulties. Given your history of diverticulosis and suspected Crohn's disease, it's also possible that these symptoms are related to an underlying gastrointestinal condition.

3. Joint Pain and Raynaud's Syndrome: The pain in your hip and ankles, along with your history of Raynaud's syndrome, could suggest an underlying autoimmune condition such as rheumatoid arthritis or lupus. These conditions can cause joint pain and are sometimes associated with Raynaud's phenomenon.

4. Alopecia: The patches of hair loss resembling alopecia that have grown back could be related to stress, autoimmune conditions, or other underlying health issues.

What you can do

Shoulder Pain:

• Consider seeing a healthcare provider for an evaluation of your shoulder pain. They may recommend imaging studies or physical therapy to help manage your symptoms.
• In the meantime, continue using over-the-counter pain relievers as needed, and try to avoid activities that exacerbate the pain.

Difficulty Swallowing and Gastrointestinal Symptoms:

• It's important to consult a healthcare provider about your swallowing difficulties and gastrointestinal symptoms. They may recommend tests such as an endoscopy to evaluate your esophagus and stomach.
• To help manage symptoms, try eating smaller, more frequent meals, and avoid foods and drinks that trigger heartburn.

Joint Pain and Raynaud's Syndrome:

• Consider discussing your joint pain and Raynaud's symptoms with a healthcare provider, who may recommend tests to evaluate for autoimmune conditions.
• Keep your hands warm to help manage Raynaud's symptoms, and consider using gloves in cold weather.

General Health:

• Since you smoke, consider seeking support to quit smoking, as it can exacerbate many health issues.
• Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or worsening pain in your shoulder, hip, or ankles
• Significant difficulty swallowing or unintentional weight loss
• New or worsening gastrointestinal symptoms, such as severe abdominal pain or blood in your stool
• Any new or concerning symptoms related to your Raynaud's syndrome or suspected Crohn's disease

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