[53F] With throat pain and watery stools, history of lupus and fibromyalgia
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, here are some possible explanations:
Swollen Thyroid and Sore Throat
- Thyroiditis: Inflammation of the thyroid gland can cause swelling and pain in the throat. This could be related to an autoimmune condition, especially given your history of lupus.
- Infection: A viral or bacterial infection could cause throat pain and swelling. This is less likely given the absence of fever or other typical infection symptoms, but it is still a possibility.
Watery Farts
- Gastrointestinal Disturbance: Stress and autoimmune conditions like lupus can sometimes cause gastrointestinal symptoms, including watery stools or gas.
- Dietary Factors: Although you haven't identified any new foods, sometimes even familiar foods can cause issues if your digestive system is sensitive.
Unifying Diagnosis
- Autoimmune Flare-Up: Given your history of lupus and fibromyalgia, it's possible that your symptoms are part of a broader autoimmune flare-up. Stress can exacerbate these conditions, leading to a variety of symptoms, including gastrointestinal issues and throat pain.
What you can do
For Swollen Thyroid and Sore Throat
- See a Doctor: It's important to consult with a healthcare provider to rule out thyroiditis or other serious conditions. They may recommend blood tests or imaging studies.
- Stay Hydrated: Drink plenty of fluids to keep your throat moist and reduce discomfort.
- Over-the-Counter Pain Relief: You can use over-the-counter pain relievers like acetaminophen or ibuprofen to help manage the pain.
For Watery Farts
- Monitor Your Diet: Keep a food diary to track what you eat and any symptoms that follow. This can help identify any potential triggers.
- Stay Hydrated: Drink plenty of water to stay hydrated, especially if you are experiencing watery stools.
- Probiotics: Consider taking a probiotic supplement to help balance your gut flora.
General Advice
- Manage Stress: Stress can exacerbate autoimmune conditions. Techniques like deep breathing, meditation, and gentle exercise can help manage stress levels.
- Track Symptoms: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider. This can be very helpful for your healthcare provider to understand your condition better.
What you should look out for
Given the complexity of your symptoms and your history of autoimmune conditions, it's important to seek medical care if you experience any of the following:
- Difficulty Breathing or Swallowing: This could indicate a more serious issue with your throat or thyroid.
- Severe Abdominal Pain: This could be a sign of a more serious gastrointestinal issue.
- High Fever or Chills: These could indicate an infection that needs prompt medical attention.
- Sudden Weight Loss or Gain: This could be a sign of a thyroid issue or other underlying condition.
Remember, while I can provide some guidance, it's crucial to consult with a healthcare professional for a formal diagnosis and treatment plan.
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6 mo ago