[44M] With fatigue, upper back pain, difficulty swallowing, heartburn, and tachycardia

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for what you might be experiencing:

Fatigue, Weakness, and Shortness of Breath

• Anemia: Given your sudden onset of fatigue and weakness, anemia could be a potential cause. Anemia can result from various factors, including nutritional deficiencies, chronic diseases, or blood loss.
• Heart Issues: Your symptoms of shortness of breath, fatigue, and occasional palpitations could indicate a heart condition, such as heart failure or arrhythmia. These conditions can cause your heart to work harder, leading to fatigue and weakness.

Upper Back Pain and Lung Concerns

• Respiratory Issues: Given your history of black mold exposure, it's possible that your upper back pain and the sensation of lung involvement could be related to respiratory issues, such as a chronic lung condition or infection.
• Musculoskeletal Pain: Upper back pain can also be due to musculoskeletal issues, such as muscle strain or poor posture, especially if you engage in heavy labor.

Difficulty Swallowing and Heartburn

• Gastroesophageal Reflux Disease (GERD): Your symptoms of difficulty swallowing, chest pain, and severe heartburn are consistent with GERD. This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach, causing irritation.
• Esophageal Stricture: The tightness and pain you feel when swallowing could be due to an esophageal stricture, which is a narrowing of the esophagus that can result from chronic acid reflux.

Bleeding During Bowel Movements

• Gastrointestinal Issues: Bleeding during bowel movements can be a sign of gastrointestinal issues, such as hemorrhoids, anal fissures, or more serious conditions like inflammatory bowel disease or colorectal cancer.

Unifying Diagnoses

• Chronic Inflammatory Response: Your history of Johnson syndrome and black mold exposure could contribute to a chronic inflammatory response in your body, potentially affecting multiple systems and causing symptoms like fatigue, weakness, and respiratory issues.
• Systemic Condition: A systemic condition, such as an autoimmune disorder or chronic infection, could explain the wide range of symptoms you're experiencing.

What you can do

Fatigue, Weakness, and Shortness of Breath

• See a Doctor: It's important to consult a healthcare provider to evaluate your symptoms and perform necessary tests, such as blood work and heart function tests.
• Stay Hydrated: Continue drinking plenty of water, especially when working in the sun. Avoid alcohol, as it can dehydrate you.
• Rest: Ensure you get adequate rest and avoid overexerting yourself.

Upper Back Pain

• Consult a Doctor: Seek medical advice to determine the cause of your upper back pain, especially given your history of black mold exposure.
• Pain Relief: Apply heat or cold packs to the affected area and consider over-the-counter pain relievers, such as ibuprofen, to manage pain.

Difficulty Swallowing and Heartburn

• Dietary Changes: Avoid foods and drinks that trigger heartburn, such as spicy foods, caffeine, and alcohol. Eat smaller, more frequent meals.
• Elevate Your Head: When sleeping, elevate the head of your bed to reduce acid reflux.
• See a Doctor: Consult a healthcare provider for a thorough evaluation and possible treatments, such as medications to reduce stomach acid.

Bleeding During Bowel Movements

• Consult a Doctor: It's important to get a medical evaluation to determine the cause of the bleeding and receive appropriate treatment.

General Tips

• Track Symptoms: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
• Healthy Lifestyle: Maintain a balanced diet, engage in regular physical activity, and avoid smoking and recreational substances.

What you should look out for

Given the severity and range of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe chest pain or difficulty breathing
• Fainting or severe dizziness
• Significant or persistent bleeding during bowel movements
• Rapid or irregular heartbeats

Remember, while I can provide guidance based on your symptoms, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment.