[53F] With severe hand pain, regurgitation, and burning feet

What might be happening

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

Severe Pain in Left Hand and Loss of Use

• Severe Carpal Tunnel Syndrome: This condition occurs when the median nerve is compressed as it travels through the wrist. Symptoms include severe pain, tingling, and numbness in the hand, which can lead to loss of function. The constant swelling and throbbing pain you describe are consistent with advanced carpal tunnel syndrome. Diagnostic tests like nerve conduction studies or electromyography (EMG) can confirm this diagnosis. Treatment may include wrist splints, corticosteroid injections, or even surgery in severe cases.

Burning Sensation in Feet

• Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can cause burning, tingling, and pins-and-needles sensations. It can be caused by diabetes, vitamin deficiencies, or other underlying conditions. Blood tests and nerve conduction studies can help diagnose this condition. Treatment often involves managing the underlying cause, pain relief medications, and lifestyle changes.

Choking and Regurgitation

• Gastroesophageal Reflux Disease (GERD): GERD can cause symptoms like choking, hiccups, and regurgitation of food. This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). Diagnostic tests like an upper endoscopy or pH monitoring can confirm GERD. Treatment may include lifestyle changes, medications to reduce stomach acid, and in severe cases, surgery.

Lines in Fingernails

• Beau's Lines: These are horizontal lines that can appear on the nails due to a temporary interruption in nail growth. They can be caused by severe illness, malnutrition, or other underlying conditions. Identifying and treating the underlying cause is essential.

What you can do

Severe Pain in Left Hand

• Seek Medical Attention: Given the severity and duration of your symptoms, it's crucial to consult a healthcare provider for a thorough evaluation and possible diagnostic tests like nerve conduction studies or EMG.
• At Home: Use wrist splints to keep your wrist in a neutral position, especially at night. Avoid activities that worsen the pain. Over-the-counter pain relievers like ibuprofen may provide temporary relief.

Burning Sensation in Feet

• Consult a Doctor: A healthcare provider can help diagnose the underlying cause of your peripheral neuropathy and recommend appropriate treatments.
• At Home: Ensure good foot care, including moisturizing your feet and wearing comfortable shoes. Over-the-counter pain relievers and topical creams may help alleviate symptoms.

Choking and Regurgitation

• See a Gastroenterologist: A specialist can perform diagnostic tests to confirm GERD and recommend appropriate treatments.
• At Home: Avoid foods and drinks that trigger your symptoms, eat smaller meals, and avoid lying down immediately after eating. Elevate the head of your bed to reduce nighttime symptoms.

General Tips

• Track Symptoms: Use MDandMe to journal your symptoms, track progress, and get insights. This can help you and your healthcare provider understand your condition better and make informed decisions.
• Healthy Lifestyle: Maintain a balanced diet, stay hydrated, and engage in regular physical activity as tolerated.

What you should look out for

Given the severity of your symptoms and the possibility of life-threatening causes, you should seek medical care as soon as you can. Reasons to seek care even more urgently include:

• Severe Pain or Swelling: If the pain or swelling in your hand worsens or you lose complete function, seek immediate medical attention.
• Difficulty Breathing: If you experience shortness of breath or chest pain, seek emergency care.
• Severe Regurgitation or Vomiting: If you cannot keep any food or liquids down, seek medical attention.

Remember, while I can provide information and suggestions, it's essential to consult with a healthcare provider for a formal diagnosis and treatment plan.