[48F] With chronic joint pain, fatigue, and skin symptoms
Question
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:
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Hypermobility Spectrum Disorder (HSD): Given your history of hypermobility disorder and daily joint subluxations, it's possible that your joint pain, fatigue, and muscle aches are related to HSD. This condition can lead to joint instability, pain, and fatigue due to the extra effort required to stabilize your joints. Treatment often involves physical therapy to strengthen muscles around the joints and sometimes pain management strategies.
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Eosinophilia: Your high absolute eosinophil count could be related to an allergic reaction, infection, or an autoimmune condition. Eosinophils are a type of white blood cell that often increase in response to these conditions. The itchy rashes and skin sores might be related to this. Further testing and evaluation by a healthcare provider are necessary to determine the exact cause.
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Palpitations: The fluttering sensation in your chest could be palpitations, which are often benign but can sometimes indicate an underlying heart condition or be related to stress, anxiety, or other systemic issues. Monitoring your heart rhythm through an ECG or Holter monitor might be recommended by your doctor.
What you can do
Joint Pain and Hypermobility:
- Consider consulting a physical therapist who specializes in hypermobility disorders. They can guide you through exercises to strengthen your muscles and stabilize your joints.
- Continue using heat, ice, and compression as needed, but also explore other pain management techniques such as gentle stretching, yoga, or pilates.
- Keep a journal of your symptoms using MDandMe to track what activities exacerbate your pain and share this information with your healthcare provider.
Rashes and Eosinophilia:
- Avoid known allergens and irritants that might be contributing to your skin issues.
- Use gentle, fragrance-free skincare products to minimize irritation.
- Consult with a dermatologist or allergist for further evaluation and management of your skin symptoms and eosinophilia.
Chest Fluttering:
- Try to note any patterns or triggers for your chest fluttering, such as caffeine intake, stress, or specific activities.
- Practice relaxation techniques like deep breathing or meditation to help manage stress and anxiety, which can sometimes contribute to palpitations.
What you should look out for
- If you experience severe or worsening joint pain, significant swelling, or loss of function, seek medical attention.
- If your rashes become more widespread, painful, or are accompanied by other symptoms like fever, consult a healthcare provider.
- If the fluttering sensation in your chest is accompanied by dizziness, shortness of breath, or chest pain, seek immediate medical care.
Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.
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7 d ago