[48F] With severe fatigue, joint pain, and shortness of breath

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for your condition:

Severe Fatigue, Joint Pain, and Shortness of Breath

1. Anemia: Your lab results indicate low red blood cells, hemoglobin, and hematocrit, which are consistent with anemia. Anemia can cause severe fatigue, shortness of breath, and cold extremities. The high white blood cell count suggests an underlying inflammatory or infectious process.

   • Typical Treatments: Iron supplements, dietary changes, or treatment of the underlying cause (e.g., chronic disease, infection).

2. Chronic Inflammatory or Autoimmune Condition: Given your history of Graves' disease and Raynaud's, it's possible that an autoimmune condition could be contributing to your symptoms. Autoimmune diseases can cause joint pain, fatigue, and other systemic symptoms.

   • Typical Treatments: Anti-inflammatory medications, immunosuppressants, and lifestyle modifications.

Distended Abdomen and Minor Ankle Swelling

1. Non-Alcoholic Fatty Liver Disease (NAFLD): Your history of NAFLD could be contributing to abdominal distension and swelling. Liver dysfunction can lead to fluid accumulation in the abdomen (ascites) and peripheral edema.

   • Typical Treatments: Lifestyle changes, weight loss, and medications to manage liver health.

2. Heart Failure: The presence of atherosclerotic plaque in your abdominal aorta and vessels, along with minor ankle swelling, could suggest heart failure. Heart failure can cause fluid retention, leading to swelling and abdominal distension.

   • Typical Treatments: Medications to manage heart function, lifestyle changes, and monitoring fluid intake.

Fever and Night Sweats

1. Infection or Inflammatory Process: The recent fever and night sweats could indicate an underlying infection or inflammatory condition. This could also explain the elevated white blood cell count.
   • Typical Treatments: Antibiotics or other medications to treat the infection, and further investigation to identify the source.

What you can do

Severe Fatigue, Joint Pain, and Shortness of Breath

• See a Doctor: Given the severity and duration of your symptoms, it's important to consult a healthcare provider as soon as possible. They may perform additional tests to determine the cause of your anemia and other symptoms.
• Rest and Hydration: Ensure you get adequate rest and stay hydrated. Avoid strenuous activities that exacerbate your symptoms.
• Diet: Continue eating a balanced diet rich in iron and nutrients. Consider discussing with a nutritionist for personalized advice.

Distended Abdomen and Minor Ankle Swelling

• Monitor Symptoms: Keep track of your abdominal distension and swelling. Note any changes or worsening of symptoms.
• Elevate Legs: Elevate your legs when sitting or lying down to help reduce swelling.
• Compression Stockings: Consider wearing compression stockings to help manage ankle swelling.

Fever and Night Sweats

• Monitor Temperature: Keep a record of your temperature and any episodes of night sweats. This information can be helpful for your healthcare provider.
• Stay Cool: Use lightweight bedding and keep your bedroom cool to help manage night sweats.

What you should look out for

Given the complexity and severity of your symptoms, it's important to seek medical care promptly. Reasons to seek care even more urgently include:

• Severe Shortness of Breath: If you experience severe shortness of breath or difficulty breathing, seek immediate medical attention.
• Chest Pain: Any new or worsening chest pain should be evaluated by a healthcare provider.
• Severe Swelling: If you notice significant swelling in your legs, abdomen, or other areas, contact your doctor.
• Unexplained Bruising or Bleeding: Any unusual bruising or bleeding should be reported to your healthcare provider.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.