[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

People Also Ask


What are the common symptoms of a parasitic infection?

Common symptoms of a parasitic infection include abdominal pain, nausea, vomiting, diarrhea, fatigue, weight loss, and skin rashes. Some people may also experience a sensation of movement under the skin or see worms in their stool or vomit.


How can sinus cysts affect my health?

Sinus cysts can cause symptoms such as facial pain, pressure, nasal congestion, and sometimes blurry vision. They may also lead to fatigue due to chronic discomfort or infection. Treatment may involve medication or surgery, depending on the severity.


What should I do if I suspect I have a parasitic infection?

If you suspect a parasitic infection, it's important to seek medical attention promptly. A healthcare provider can perform tests to diagnose the infection and prescribe appropriate antiparasitic medications. Maintaining good hygiene and avoiding self-treatment with unproven remedies is also advised.


How do chronic conditions like heart failure and kidney disease contribute to fatigue?

Chronic conditions like heart failure and kidney disease can lead to fatigue due to decreased oxygen delivery to tissues, fluid retention, and the body's increased energy demands to manage these conditions. Proper management of these conditions is crucial to reduce fatigue and improve overall health.


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