Unexplained chronic illness
Hello Dr.
Chen, two months ago, I started experiencing numbness in my right little finger and ring finger.
There is also significant pain on the inner side of my right elbow and in my right armpit.
Three days ago, I began to feel pain below my right clavicle.
A year ago, I had pneumonia, and I have had a persistent feeling of throat inflammation since then.
I have had my tonsils removed, but I still experience pain near the right tonsil area and on the right side of my trachea.
I have a long-standing issue with headaches in my forehead and above my eyebrows.
I constantly feel unwell.
Previously, a doctor prescribed antibiotics, but there was no improvement after taking them.
My lifestyle includes a regular schedule and eating three meals a day, but I often cannot exercise due to feeling unwell.
I am unsure if the pain in my right arm is related to the pneumonia.
Which specialist should I consult for appropriate treatment? Thank you.
Niming, 20~29 year old female. Ask Date: 2020/07/26
Dr. Chen Bozhang reply Family Medicine
Dear Mr.
Anonymous,
Regarding your letter mentioning the numbness in your right little finger and ring finger, from a neurological perspective, it may be due to compression or inflammation of the ulnar nerve.
Additionally, with the pain in the inner side of your right elbow and right axilla, I recommend that you visit a neurosurgery or rehabilitation clinic for evaluation and necessary examinations to confirm the diagnosis.
The pain in your right arm and fingers is not related to pneumonia, so there is no need for excessive concern.
For other long-term symptoms, you may seek a comprehensive evaluation and management at a family medicine clinic.
Reply Date: 2020/07/26
More Info
Hello, thank you for sharing your health concerns. Based on the symptoms you've described, it sounds like you're experiencing a complex array of issues that may require a multidisciplinary approach to diagnosis and treatment.
Your symptoms include numbness in the right hand, pain in the elbow and underarm, discomfort near the right tonsil and trachea, chronic headaches, and a general feeling of being unwell. These symptoms could potentially be linked to several underlying conditions, and it’s essential to approach this systematically.
Firstly, the numbness in your fingers and pain in your arm could suggest a neurological issue, possibly related to nerve compression or irritation. Conditions such as carpal tunnel syndrome, ulnar nerve entrapment, or even cervical radiculopathy (where nerves in the neck are compressed) could be contributing to these symptoms. Therefore, consulting a neurologist would be a good first step. They can perform nerve conduction studies or imaging to assess the integrity of your nerves and determine if there is any compression or damage.
The pain in your elbow and underarm, along with the discomfort near your tonsil and trachea, could indicate a musculoskeletal issue or even referred pain from another area. A visit to an orthopedic specialist might be beneficial, especially if there’s a concern about any structural issues in your shoulder or neck that could be causing pain radiating down your arm.
Additionally, since you mentioned a history of pneumonia and ongoing throat discomfort, it may be wise to consult an ear, nose, and throat (ENT) specialist. They can evaluate your throat and tonsil area to rule out any residual infection or other complications that might be causing your persistent pain.
Your chronic headaches could be a separate issue altogether. They might be tension-type headaches, migraines, or even cervicogenic headaches stemming from neck problems. A neurologist can also help evaluate this aspect, but if the headaches are related to muscle tension or posture, a physical therapist could provide valuable insights and treatment options.
Given the complexity of your symptoms, it may also be helpful to consult a primary care physician who can coordinate your care and refer you to the appropriate specialists. They can perform a comprehensive evaluation, including blood tests and imaging studies, to rule out systemic issues that could be contributing to your overall feeling of illness.
In summary, I recommend starting with a neurologist for your hand and arm symptoms, followed by an orthopedic specialist for any musculoskeletal concerns. An ENT specialist can address your throat pain, and a primary care physician can help manage your overall health and coordinate care among these specialists.
It’s crucial to communicate all your symptoms clearly to each specialist, as they may be interconnected. Keep track of any changes in your symptoms and how they affect your daily life, as this information will be invaluable in diagnosing and treating your condition effectively. Remember, seeking help is the first step towards relief, and with the right specialists, you can work towards finding the answers and treatment you need.
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