[45M] Experiencing multisystem symptoms including bone pain and vomiting

Patient Description

A 45-year-old male has been experiencing a constellation of symptoms for approximately three weeks. The patient reports severe bone pain described as a 'huge bruise' that is tender and feels fragile to the touch, affecting the femur, pelvis, and rib cage. The bone pain started suddenly and has been worsening. Accompanying symptoms include increased tiredness, random bouts of dizziness, nausea, and vomiting that occur daily and are triggered by standing up, looking at, smelling, or attempting to eat food. The patient also describes experiencing diarrhea, sharp stabbing chest pains, night sweats, fever, and occasional numbness in parts of the body.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, several conditions could be causing your symptoms:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. Symptoms can include nausea, vomiting, diarrhea, and abdominal pain. However, this condition doesn't typically cause bone pain.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Food poisoning: This occurs when you eat contaminated food. Symptoms can include nausea, vomiting, diarrhea, and fever. However, this condition doesn't typically cause bone pain.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Influenza (Flu): This is a viral infection that attacks your respiratory system. Symptoms can include fever, aches, chills, fatigue, weakness, and vomiting. However, this condition doesn't typically cause bone pain.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Leukemia: This is a type of cancer of the body's blood-forming tissues, including the bone marrow and the lymphatic system. Symptoms can include fever, fatigue, frequent infections, weight loss, bone pain, and night sweats.

    • Treatment usually involves chemotherapy, radiation therapy, or stem cell transplant.
  • Multiple myeloma: This is a cancer that forms in a type of white blood cell called a plasma cell. Symptoms can include bone pain, nausea, constipation, loss of appetite, frequent infections, and weight loss.

    • Treatment usually involves chemotherapy, radiation therapy, or stem cell transplant.

Please note that this is not an exhaustive list of possibilities and these conditions range from common and less serious to rare and more serious.

What you can do

Given the severity and duration of your symptoms, it is important that you seek medical attention immediately. These symptoms could indicate a serious condition that needs immediate treatment.

What you should look out for

If you experience any of the following, seek immediate medical attention:

  • Severe chest pain
  • Difficulty breathing
  • Confusion or difficulty staying awake
  • Blood in your vomit or stool
  • Severe or worsening reaction to light or sound

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's really important to consult with a healthcare professional who can evaluate your condition.

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of leukemia?

Common symptoms of leukemia include fever, fatigue, frequent infections, weight loss, bone pain, and night sweats. It's important to consult a healthcare professional for a proper diagnosis.


How is multiple myeloma diagnosed?

Multiple myeloma is typically diagnosed through a combination of blood tests, urine tests, imaging tests (like X-rays or MRIs), and a bone marrow biopsy. These tests help determine the presence and extent of the disease.


What should I do if I experience severe chest pain and difficulty breathing?

If you experience severe chest pain and difficulty breathing, seek immediate medical attention as these could be signs of a serious condition such as a heart attack or pulmonary embolism.


Can gastroenteritis cause bone pain?

Gastroenteritis typically does not cause bone pain. It primarily affects the digestive tract, leading to symptoms like nausea, vomiting, diarrhea, and abdominal pain.


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