[52F] With chronic muscle spasms and gastrointestinal issues

What might be happening

Based on the information you've provided, it seems like your symptoms could be related to multiple underlying issues. Here are some possible explanations:

Muscle Spasms, Pain, and Stiffness

• Chronic Muscle Strain or Overuse: Given the lifelong nature of your muscle spasms, chronic muscle strain or overuse could be a factor. This can lead to persistent muscle spasms, pain, and stiffness, especially in areas like the neck, shoulders, back, and feet.
• Neurological Conditions: Conditions like Restless Leg Syndrome (RLS) and Periodic Limb Movement Disorder (PLMD) can cause muscle spasms and discomfort, particularly at night.

Gastric Issues

• Hiatal Hernia and Barrett's Esophagus: These conditions can cause significant gastric discomfort, including increased flatulence and bloating. Barrett's Esophagus is a complication of chronic acid reflux, which can also contribute to these symptoms.
• Irritable Bowel Syndrome (IBS): IBS can cause a range of gastrointestinal symptoms, including bloating, increased flatulence, and changes in bowel habits.

Unifying Diagnoses

• Chronic Pain Syndrome: This condition can encompass various symptoms, including muscle spasms, pain, and stiffness, and may be related to your history of sleep disorders and anxiety.
• Gastroesophageal Reflux Disease (GERD): Given your history of acid reflux, hiatal hernia, and Barrett's Esophagus, GERD could be a unifying diagnosis for your gastric issues.

What you can do

Muscle Spasms, Pain, and Stiffness

1. Consult a Healthcare Provider: It's important to see a doctor to discuss your chronic muscle spasms and pain. They may recommend physical therapy, medications, or other treatments.
2. Home Remedies:
   • Heat and Stretching: Continue using heat and stretching exercises to relieve muscle spasms.
   • Hydration: Ensure you are well-hydrated, as dehydration can contribute to muscle spasms.
   • Magnesium Supplements: Consider discussing magnesium supplements with your doctor, as they can sometimes help with muscle spasms.

Gastric Issues

1. Dietary Management: Since eliminating wheat has helped, continue to avoid it. You might also consider a low-FODMAP diet, which can help manage IBS symptoms.
2. Medications: Over-the-counter antacids or proton pump inhibitors (PPIs) may help manage acid reflux and related symptoms. Consult your doctor before starting any new medication.
3. Lifestyle Changes:
   • Eat Smaller, Frequent Meals: This can help reduce bloating and flatulence.
   • Avoid Trigger Foods: Identify and avoid foods that trigger your symptoms.

General Health

1. Regular Exercise: Engage in regular physical activity to help manage both muscle and gastric symptoms.
2. Mental Health Support: Given your history of anxiety and depression, consider seeking support from a mental health professional.

What you should look out for

Given the complexity of your symptoms, it's important to monitor for any changes or worsening of your condition. Seek medical attention if you experience:

• Severe or Sudden Pain: Especially if it is accompanied by other symptoms like shortness of breath or chest pain.
• Unexplained Weight Loss: This could be a sign of a more serious underlying condition.
• Changes in Bowel Habits: Such as persistent diarrhea or constipation that doesn't improve with dietary changes.
• New or Worsening Symptoms: Any new or worsening symptoms should be discussed with 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 personalized treatment plan. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.