[43F] With sensation of worms in body and multiple symptoms
Patient Description
A 43-year-old female reports a sensation of worms moving throughout her body, including her face, head, neck, arms, legs, and chest. This movement has become painful and is affecting her ability to sleep. She has seen worms in her stool and vomit over the past few weeks. Additionally, she has been diagnosed with two cysts in her sinuses and has noticed odd tissue in the back of her throat. The patient experiences great fatigue, blurry vision, constipation, abdominal pain, nausea, vomiting, increased appetite, weight loss, and frequent skin rashes and itching. She has not had any fever or chills. Her past medical history includes seizure disorder, congestive heart failure, high blood pressure, heart attack, and hereditary polycystic kidney disease stage 4 with a current GFR rate of 23%. She is currently taking Atorvastatin 80 mg once daily, Farxiga 10 mg once daily, Entresto 24 mg twice daily, Brilinta 90 mg twice daily, Carvedilol, aspirin, and levetiracetam as prescribed. She has an allergy to codeine. The patient has not traveled to or lived in areas where parasitic infections are common and has not consumed any undercooked or raw meat, fish, or unwashed fruits and vegetables recently. There is no known family history of parasitic infections or other significant illnesses.
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Arora's Assessment
What might be happening
Based on the symptoms and history you've provided, here are some possible explanations for your condition:
Parasitic Infection
- Parasitic infections can cause symptoms like the sensation of worms moving in your body, visible worms in stool and vomit, abdominal pain, nausea, vomiting, and skin rashes. Common parasites include roundworms, tapeworms, and flukes. Diagnosis typically involves stool tests, blood tests, and imaging studies. Treatment often includes antiparasitic medications.
Sinus Cysts
- Sinus cysts can cause facial pain, pressure, and odd tissue appearance in the throat. They may also contribute to your blurry vision and fatigue. Treatment may involve medications to reduce inflammation or surgery to remove the cysts.
Chronic Conditions
- Your chronic conditions (seizure disorder, congestive heart failure, high blood pressure, hereditary polycystic kidney disease) can contribute to fatigue, abdominal pain, and other symptoms. Managing these conditions is crucial to improving your overall health.
What you can do
Parasitic Infection
- Seek medical attention immediately: Given the severity of your symptoms and the presence of worms in your stool and vomit, it's crucial to see a healthcare provider as soon as possible. They can perform the necessary tests to diagnose and treat the infection.
- Maintain good hygiene: Wash your hands thoroughly with soap and water, especially after using the bathroom and before eating.
- Avoid self-treatment: While remedies like pumpkin seeds and diatomaceous earth are sometimes suggested, they are not a substitute for professional medical treatment.
Sinus Cysts
- Consult an ENT specialist: An ear, nose, and throat (ENT) specialist can evaluate your sinus cysts and recommend appropriate treatment.
- Use saline nasal sprays: These can help keep your nasal passages moist and reduce discomfort.
Chronic Conditions
- Follow your medication regimen: Continue taking your prescribed medications for your chronic conditions as directed by your healthcare provider.
- Monitor your symptoms: Keep track of any changes in your symptoms, including fatigue, abdominal pain, and skin rashes. Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
- Stay hydrated: Drink plenty of water to help manage constipation and overall health.
What you should look out for
Given the complexity and severity of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:
- Severe abdominal pain or cramping
- Persistent vomiting or inability to keep fluids down
- Severe skin rashes or itching that spreads or worsens
- Shortness of breath or chest pain
- Fainting or severe dizziness
Remember, while I can provide information and suggestions, I am not a doctor. It's essential to consult with a healthcare professional to receive a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to continue the conversation.
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6 mo ago
