[53F] Experiencing exhaustion, inflammation, and burning tongue syndrome

Patient Description

A 53-year-old female reports chronic exhaustion for over a year, which is not relieved by sleep and is worsened by lack of sleep. The exhaustion is constant and affects her ability to perform daily activities. She also experiences aches, muscle tension, and has poor memory and concentration. Additionally, she has been diagnosed with burning tongue syndrome, which is triggered by spicy foods. Her medical history does not include any pre-existing conditions or chronic illnesses, and she reports no allergies to medications. Current medications include Concerta, Zoloft, estrogen, and progesterone.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Chronic Fatigue Syndrome (CFS): This condition is characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue worsens with physical or mental activity, but doesn't improve with rest. It often includes other symptoms such as memory problems, muscle or joint pain, and headaches. However, CFS is a diagnosis of exclusion, meaning it is only diagnosed after other potential causes have been ruled out.

  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It amplifies painful sensations by affecting the way your brain and spinal cord process painful and nonpainful signals.

  • Burning Mouth Syndrome (BMS): You've mentioned that you've already been diagnosed with this. It's a condition that causes a burning sensation in the tongue or mouth for no apparent reason.

  • Side effects of medication: Concerta and Zoloft, which you are taking, can sometimes cause fatigue and muscle tension as side effects.

What you can do

  1. Consult with your healthcare provider: They can provide a formal assessment and order relevant tests if necessary. They may also be able to adjust your medications if they believe these are contributing to your symptoms.

  2. Lifestyle modifications: Regular exercise, a healthy diet, and good sleep hygiene can sometimes help alleviate symptoms of fatigue.

  3. Mind-body techniques: Techniques such as meditation, yoga, and tai chi may help improve your symptoms.

What you should look out for

If you notice any of the following, you should seek medical attention immediately:

  • Severe increase in fatigue
  • New or worsening pain
  • New or worsening memory problems
  • Any other new or worsening symptoms

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment options.

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1 yr ago

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People Also Ask


What are the common symptoms of Chronic Fatigue Syndrome (CFS)?

Common symptoms of Chronic Fatigue Syndrome (CFS) include extreme fatigue that doesn't improve with rest, memory problems, muscle or joint pain, headaches, and sleep disturbances. The fatigue is often worsened by physical or mental activity.


How can fibromyalgia affect daily life?

Fibromyalgia can significantly affect daily life by causing widespread musculoskeletal pain, fatigue, sleep disturbances, and cognitive difficulties, often referred to as 'fibro fog.' These symptoms can make it challenging to perform everyday tasks and maintain a regular routine.


What are the potential side effects of taking Concerta and Zoloft?

Concerta and Zoloft can cause side effects such as fatigue, muscle tension, insomnia, nausea, and changes in appetite. It's important to discuss any side effects with a healthcare provider, as they may need to adjust the dosage or switch medications.


How can burning mouth syndrome be managed or treated?

Burning mouth syndrome can be managed by avoiding triggers such as spicy foods, using saliva substitutes, and possibly taking medications to relieve pain and discomfort. Consulting with a healthcare provider for a tailored treatment plan is recommended.


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