[41F] With abdominal pain, bloating, and neurological symptoms
Patient Description
A 41-year-old female has been experiencing sharp abdominal pain under the ribs in the upper stomach area for the past two days, rated 7 out of 10 in severity. The pain has been accompanied by bloating for the last four days and hard stools. The patient reports nausea without vomiting and denies fever, chills, or unintentional weight loss. Symptoms began following a recent cold or flu. The patient has been under increased stress due to financial, relationship, and partner's health issues, affecting sleep patterns. Additionally, there is moderate weakness in the body and a prickly pins and needles sensation in the hands and feet for six days. The patient uses methamphetamine daily, which may contribute to these symptoms, and reports feeling depressed but has not sought professional help.
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Arora's Assessment
What might be happening
Your symptoms could be related to several factors:
-
Abdominal Pain and Bloating:
- This could be due to gastrointestinal issues such as gastritis or peptic ulcers, especially given the sharp pain and bloating. Stress and diet can exacerbate these conditions.
- Methamphetamine use can also affect your digestive system, potentially leading to these symptoms.
-
Pins and Needles Sensation:
- This sensation in your hands and feet might be due to nerve irritation or damage, which can be associated with methamphetamine use.
- Stress and anxiety can also contribute to these sensations.
-
Weakness and Depression:
- The combination of stress, substance use, and recent illness could be contributing to your feelings of weakness and depression.
What you can do
Abdominal Pain and Bloating:
- Try to eat smaller, more frequent meals and avoid spicy or acidic foods.
- Stay hydrated and consider over-the-counter antacids for relief.
- Seek medical advice to rule out any serious conditions.
Pins and Needles:
- Ensure you maintain good posture and take breaks to move around if sitting for long periods.
- Consider reducing methamphetamine use, as it can affect your nervous system.
Weakness and Depression:
- Reach out to a healthcare provider or counselor for support with mental health and substance use.
- Practice stress-reducing activities like deep breathing or meditation.
General:
- 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:
- Severe or worsening abdominal pain.
- Persistent numbness or weakness.
- Any signs of withdrawal or increased depression.
Remember, it's important to consult with a healthcare professional for a proper diagnosis and treatment plan.
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2 mo ago