[48M] With severe, sharp, widespread pain and joint symptoms

Patient Description

A 48-year-old male reports experiencing severe, sharp pain all over the body for the past two days, rated as 10 out of 10 in severity. The pain began suddenly without any specific injury or accident. Similar episodes have occurred every 3-4 months. Accompanying symptoms include fatigue, morning stiffness, and joint swelling. There are no sleep disturbances, fevers, or unexplained weight loss. The patient has a family history of autoimmune diseases or arthritis. Current medication includes Metoprolol, 50 mg taken twice daily, with no other medications or supplements reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  1. Fibromyalgia: This condition can cause widespread pain, fatigue, and stiffness. It often occurs without a clear cause and can be triggered by stress or physical trauma. Diagnosis typically involves ruling out other conditions.

  2. Rheumatoid Arthritis: Given your family history and symptoms of joint swelling and stiffness, this autoimmune condition could be a possibility. It causes inflammation in the joints and can lead to pain and stiffness, especially in the morning. Blood tests and imaging can help diagnose it.

What you can do

For Pain and Fatigue:

  • Consult a Healthcare Provider: It's important to see a doctor for a proper diagnosis and treatment plan. They may recommend medications, physical therapy, or lifestyle changes.
  • Gentle Exercise: Activities like walking or swimming can help reduce pain and improve mood.
  • Stress Management: Techniques such as yoga or meditation can be beneficial.

For Joint Swelling and Stiffness:

  • Apply Heat or Cold: Use a warm towel or ice pack on affected areas to relieve pain and stiffness.
  • Stay Active: Regular movement can help maintain joint function.

Consider using MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Increased swelling or redness in joints
  • Fever or unexplained weight loss
  • Difficulty performing daily activities due to pain

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment plan.

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2 mo ago

People Also Ask


What are the common symptoms of fibromyalgia?

Common symptoms of fibromyalgia include widespread pain, fatigue, sleep disturbances, and cognitive difficulties. Patients may also experience morning stiffness and sensitivity to touch.


How is rheumatoid arthritis diagnosed?

Rheumatoid arthritis is diagnosed through a combination of patient history, physical examination, blood tests (such as rheumatoid factor and anti-CCP antibodies), and imaging studies like X-rays or MRIs to assess joint damage.


Can stress trigger fibromyalgia symptoms?

Yes, stress can trigger or exacerbate fibromyalgia symptoms. Stress management techniques such as yoga, meditation, and deep breathing exercises can help alleviate symptoms.


What lifestyle changes can help manage joint pain and stiffness?

Lifestyle changes that can help manage joint pain and stiffness include engaging in regular gentle exercise like walking or swimming, applying heat or cold to affected areas, maintaining a healthy weight, and practicing stress management techniques.


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