[42M] Experiencing unexplained bruising and gastrointestinal symptoms

Patient Description

A 42-year-old male presents with unexpected bruising in the pelvic area, gradually appearing over a few months. The bruises are yellow and blue, covering the groin, hip, and bottom of the buttocks. The patient denies any recent injuries or trauma. Accompanying symptoms include lower back and upper leg pain associated with bowel movements, with pain severity ranging from 2 to 7 out of 10. The patient reports fatigue and changes in personality, as well as chest pain relieved by passing gas. Bowel movements are described as sometimes solid with mucus and sometimes loose with mucus. The patient experiences constant hunger but no weight changes. No unusual bleeding, lymph node swelling, fevers, or night sweats are reported. The patient has noticed red bumps on the skin. There have been no new medications, supplements, or direct contact with cats or raccoons, although exposure to these animals is noted. No recent travel or pre-existing conditions are reported, and the patient is not taking any medications or has known allergies.

Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing. It's important to consult with a healthcare professional for a formal diagnosis, but here are some possibilities:

Bruising and Fatigue: The unexpected bruising, along with fatigue and personality changes, could suggest a blood-related issue such as a clotting disorder or a condition affecting your blood cells. Conditions like anemia or platelet disorders can cause easy bruising and fatigue. Blood tests can help determine if there are any abnormalities in your blood counts or clotting factors.
Gastrointestinal Issues: The combination of lower back pain, upper leg pain associated with bowel movements, and changes in stool consistency with mucus could indicate a gastrointestinal condition such as irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD). These conditions can cause abdominal pain, changes in bowel habits, and mucus in the stool. A gastroenterologist can perform tests to evaluate your digestive health.
Skin Changes: The red bumps on your skin could be related to an allergic reaction or a dermatological condition. If you've been exposed to new environments or substances, such as cats or raccoons, this could be a factor. A dermatologist can assess your skin and provide appropriate treatment.

What you can do

Bruising and Fatigue:

Schedule an appointment with your primary care doctor to discuss your symptoms. They may recommend blood tests to check for any underlying issues.
Keep track of any new bruises, their size, and how long they last. This information can be helpful for your doctor.

Gastrointestinal Issues:

Consider keeping a food and symptom diary to identify any potential triggers for your bowel symptoms.
Stay hydrated and maintain a balanced diet rich in fiber to support digestive health.
Consult a gastroenterologist for further evaluation and management of your symptoms.

Skin Changes:

Avoid any known allergens or irritants that could be contributing to the skin changes.
Use gentle, fragrance-free skincare products to avoid further irritation.
If the red bumps persist or worsen, see a dermatologist for an evaluation.

General Health:

Ensure you are getting enough rest and managing stress, as these can impact your overall well-being.
Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.