[59F] Experiencing waves of abdominal pain radiating to arms and legs

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Gastrointestinal Issues:

   • Irritable Bowel Syndrome (IBS): IBS can cause cramping, abdominal pain, bloating, and changes in bowel habits. Stress and certain foods can trigger symptoms.
   • Gastric Bypass Complications: Given your history of gastric bypass surgery, complications such as adhesions, internal hernias, or nutritional deficiencies could be contributing to your symptoms.

2. Musculoskeletal Pain:

   • Fibromyalgia: This condition can cause widespread musculoskeletal pain, including in the arms and legs, along with fatigue and other symptoms.
   • Peripheral Neuropathy: This condition can cause pain, tingling, and muscle cramps in the extremities and may be related to nutritional deficiencies or other underlying conditions.

3. Systemic Conditions:

   • Congestive Heart Failure (CHF): Given your family history, it's important to consider CHF, which can cause symptoms like bloating, pain, and fatigue.
   • CNS Lymphoma: While less common, your family history of CNS lymphoma warrants consideration, especially if you have systemic symptoms like fever and chills.

What you can do

Abdominal Pain and Cramping:

• Dietary Adjustments: Avoid foods and drinks that trigger your symptoms. Consider a low-FODMAP diet, which can help manage IBS symptoms.
• Hydration: Drink plenty of water to help with constipation and overall digestive health.
• Stress Management: Practice relaxation techniques such as deep breathing, meditation, or yoga to help manage anxiety and stress, which can exacerbate symptoms.

Musculoskeletal Pain:

• Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain. Be sure to follow the recommended dosage.
• Physical Activity: Gentle exercises, such as stretching and low-impact activities like walking or swimming, can help alleviate pain and improve overall well-being.
• Heat and Cold Therapy: Applying heat or cold packs to painful areas can provide relief.

General Health:

• Follow-Up with Your Doctor: Given the severity and duration of your symptoms, it's important to follow up with your healthcare provider for further evaluation and to discuss the results of your recent biopsies.
• Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your provider. This can help in identifying patterns and triggers.

What you should look out for

Given the complexity and severity of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care more urgently include:

• Severe or worsening pain: If your pain becomes unbearable or significantly worsens.
• Signs of infection: Fever, chills, or any signs of infection should be addressed promptly.
• Changes in bowel habits: Persistent constipation, diarrhea, or blood in your stool should be evaluated by a healthcare provider.
• Unexplained weight loss: If you experience significant weight loss without trying.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.