[60F] Experiencing gastrointestinal, dermatological, and neurological symptoms

Patient Description

A 60-year-old female presents with a complex of symptoms including uncontrollable watery/loose diarrhea persisting for several weeks, chest palpitations noticed more at night over the past 6 months, hand tremors occurring every few days, and a stabbing pain in the left side with soreness extending down through the hip. The patient also reports dry eyes described as feeling like sand is in them, along with a quarter-sized, slightly pink/red, raised rash on the right arm just below the elbow, which appeared approximately 10 days ago and does not itch. Additionally, the patient has experienced two eye styes this week. The patient has been feeling anxiety without an identifiable cause and has a history of high blood pressure for which she takes Losartan, as well as an unnamed daily medication for depression. No known allergies, recent travel, or exposure to others with similar symptoms were reported.

Arora's Assessment

What might be happening

Based on the information you provided, possible diagnoses include:

Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause symptoms like diarrhea, abdominal pain, and bloating. Stress and certain foods can trigger symptoms.
- Treatment typically involves lifestyle changes, such as changes in diet and regular physical activity. Medications may also be recommended by a doctor.
Hyperthyroidism: This condition is caused by an overactive thyroid gland, producing too much thyroid hormone. It can cause symptoms like hand tremors, rapid heart rate, diarrhea, and fatigue.
- Treatment typically involves medications to slow down the production of thyroid hormones, or in some cases, surgery.
Dry Eye Syndrome: This is a common condition that occurs when your tears aren't able to provide adequate lubrication for your eyes. It can cause symptoms like a sandy or gritty feeling in the eyes.
- Treatment typically involves over-the-counter eye drops or prescription medications to stimulate tear production.
Dermatitis: This is a general term that describes inflammation of the skin. It can cause a rash that is red, itchy, and inflamed.
- Treatment typically involves identifying and avoiding any triggers that cause inflammation. Topical creams and ointments can also help to relieve symptoms.

What you can do

Keep a symptom diary: This can help you identify any triggers for your symptoms, such as certain foods or stress. This will also be useful information for your doctor.
Stay hydrated: This is especially important if you're experiencing diarrhea, as it can cause you to lose fluids quickly.
Rest and take care of yourself: Make sure you're getting enough sleep and eating a healthy diet. This can help your body to recover.

What you should look out for

If your symptoms worsen or you develop new symptoms, you should seek medical attention. Specifically, you should seek immediate medical attention if you experience:

Severe abdominal pain
Blood in your stool
Unintentional weight loss
Chest pain or difficulty breathing

Remember, while this advice provides a starting point for understanding your symptoms, it's important to consult with a healthcare provider for a complete evaluation.

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11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines