[45F] Experiencing a range of symptoms including pain and night sweats

Patient Description

A 45-year-old female reports suffering from neck, feet, hand, hip, and back pain, accompanied by exhaustion, blurry vision, heat flashes, and night sweats. The night sweats have been occurring for 5 years and have intensified in the past 3 months, causing her to wake up drenched nightly. The neck pain began approximately three months ago and is described as a sore ache that fluctuates in intensity and affects breathing when severe. Hip pain has been present for a few years but has worsened in the past 6-8 months, particularly when jogging, and radiates into the lower back. The patient experiences aching in both the lower and upper back, with the upper back pain impacting breathing. Blurry vision has been a concern for the past 3 months, with vision appearing distorted and affecting the ability to read small print. The patient has also been dealing with foot cramps for 10 years, which have worsened to the point of being unable to point her toes, with pain located at the bottom of the feet near the toes. Hand and wrist pain described as a dull ache has been present for 1 year, making it difficult to push. Heat flashes have been occurring for 6 months, with a recent increase in severity over the past month, described as sudden and intense. The patient feels pressure in the back near the shoulder blades when attempting to take a deep breath, rating the difficulty breathing as a 3 out of 10 in severity. The patient is not currently pregnant, has no known drug allergies, and is not on any medications. There is no mention of any significant past medical history or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information provided, you are experiencing a range of symptoms that could be related to various conditions. Here are some possibilities:

  • Menopause: As a 45-year-old woman, you may be entering perimenopause, the transition period before menopause. Symptoms can include hot flashes, night sweats, and changes in menstrual cycle. However, you mentioned that your menstrual cycle has not changed.

  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas. Your symptoms of aching pain in the neck, back, hips, hands, and feet, along with fatigue, could be indicative of this condition.

  • Vision changes: The blurring and distortion of your vision could be due to a number of conditions, including presbyopia (a normal aging change in the eye's focusing ability), cataracts, or a more serious condition like macular degeneration.

  • Breathing difficulties: The pressure you feel in your back when taking a deep breath could be related to your musculoskeletal pain, but it could also be a symptom of a respiratory condition.

What you can do

  1. Consult a healthcare professional: Given the range and severity of your symptoms, it would be best to consult a healthcare professional who can provide a thorough evaluation and appropriate tests.

  2. Keep a symptom diary: This can help you track the frequency and severity of your symptoms, which can be useful information for your healthcare provider.

  3. Maintain a healthy lifestyle: Regular exercise, a balanced diet, and adequate sleep can help manage symptoms of many conditions.

What you should look out for

  • Worsening of symptoms: If your symptoms become more severe or frequent, seek medical attention immediately.
  • New symptoms: If you experience new symptoms, such as chest pain, difficulty breathing, or sudden vision loss, seek immediate medical attention.

Please remember that this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What are common symptoms of perimenopause and how can they be managed?

Common symptoms of perimenopause include hot flashes, night sweats, mood changes, and irregular periods. Management can involve lifestyle changes like regular exercise, a healthy diet, and stress reduction. Hormone therapy and other medications may also be recommended by a healthcare provider.


What is fibromyalgia and what are its typical symptoms?

Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and tender points on the body. It can also cause cognitive difficulties, often referred to as 'fibro fog.' Treatment typically involves a combination of medication, physical therapy, and lifestyle changes.


What could cause blurry vision in someone around the age of 45?

Blurry vision in someone around the age of 45 could be due to presbyopia, which is a normal age-related change in the eye's ability to focus on close objects. Other causes could include cataracts or more serious conditions like macular degeneration. An eye examination by an optometrist or ophthalmologist is recommended for proper diagnosis.


How can musculoskeletal pain affect breathing and what can be done about it?

Musculoskeletal pain, especially in the back and neck, can affect breathing by causing discomfort or pressure when taking deep breaths. This can be managed through physical therapy, exercises to improve posture and strengthen muscles, and pain management strategies. Consulting a healthcare provider for a tailored approach is advisable.


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