Your Unexplained Physical Symptoms: A Guide for Patients

Occasional minor physical abnormalities?

Hello Doctor: Recently, I've been experiencing various health issues.
Since the end of May, I've had intermittent chest pain in the middle of my chest.
Sometimes it hurts when I move, and other times it hurts even when I'm at rest, but the pain is brief.
Up until today, I still occasionally experience sudden pain.
(The pain medication prescribed by the doctor hasn't helped much.) Last week, I had gastrointestinal issues and saw a doctor; after taking medication for a week, I started to feel better (I no longer feel nauseous or have diarrhea).
Then, after my menstrual period, I had breast pain again and saw a doctor; currently, there's only a little pain left.
(I had a breast ultrasound, and it showed no issues.) In the past few days, I've suddenly had lower back soreness, and taking over-the-counter anti-inflammatory medication hasn't improved it.
Additionally, I feel a strange sensation under the left side of my chest; it doesn't hurt, but it feels off.
My throat doesn't hurt either, but it feels a bit scratchy.
All these minor issues are making me quite anxious.
I never experienced anything like this while working before, and I'm wondering if it's related to staying home for two to three months, having an irregular schedule, and lacking exercise.
Could these symptoms indicate a deficiency in some nutrients, or could I actually have an illness? Or is it possible that frequent visits to clinics and hospitals have led to a diagnosis? I hope you can provide me with advice on how to improve my current health condition.
Thank you.

Li, 20~29 year old female. Ask Date: 2021/08/15

Dr. Liao Yaopan reply Family Medicine

Hello, based on your description, many psychosomatic symptoms may be difficult to explain with a single diagnosis.
If various functional abnormalities have been ruled out through examinations, internal and external stressors could also be a contributing factor to your physiological discomfort.
Maintaining a regular routine, along with ideal dietary and exercise habits, is hoped to bring about improvement.
Please note that online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2021/08/15

More Info

It sounds like you are experiencing a complex array of physical symptoms that have been causing you significant distress. Your symptoms, including chest pain, gastrointestinal issues, and feelings of discomfort in various parts of your body, can be quite concerning, especially when they seem to appear without a clear cause.
First, it's important to understand that unexplained physical symptoms can arise from a variety of factors, including physical health issues, psychological stress, and lifestyle changes. Given that you mentioned a period of inactivity due to being at home, it's possible that your body is reacting to a lack of regular physical activity, which can lead to muscle tension, discomfort, and even pain.

Potential Causes of Your Symptoms
1. Musculoskeletal Issues: Prolonged inactivity can lead to muscle stiffness and discomfort. If you have been less active, your muscles may be tense or strained, leading to pain in areas like your chest and back. This is especially true if you have a history of musculoskeletal issues or if you have been sitting for long periods without proper ergonomics.

2. Gastrointestinal Problems: You mentioned experiencing gastrointestinal issues, which can sometimes manifest as referred pain in the chest or abdomen. Stress and anxiety can exacerbate these symptoms, leading to a cycle of discomfort.

3. Anxiety and Stress: Psychological factors can significantly impact physical health. Anxiety can manifest as physical symptoms, including chest pain, gastrointestinal disturbances, and a general feeling of malaise. If you are feeling anxious about your health, this could be contributing to your symptoms.

4. Nutritional Deficiencies: A lack of certain nutrients can lead to various physical symptoms. For example, deficiencies in vitamins such as B12, D, or minerals like magnesium can cause muscle cramps, fatigue, and general discomfort. If your diet has been lacking during your time at home, this could be a contributing factor.

5. Hormonal Changes: If your symptoms are related to your menstrual cycle, hormonal fluctuations could be playing a role in your discomfort, particularly in the breast and abdominal areas.

Recommendations for Improvement
1. Consult a Healthcare Provider: Since you have already seen multiple doctors, it may be beneficial to seek a second opinion or consult a specialist, such as a neurologist or a rheumatologist, who can provide a more comprehensive evaluation of your symptoms.

2. Physical Activity: Gradually reintroducing physical activity into your routine can help alleviate muscle tension and improve overall well-being. Start with gentle exercises like walking, stretching, or yoga, which can help improve circulation and reduce discomfort.

3. Nutrition: Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Consider consulting a nutritionist to ensure you are meeting your nutritional needs, especially if you suspect deficiencies.

4. Stress Management: Incorporate stress-reducing techniques into your daily routine, such as mindfulness, meditation, or deep-breathing exercises. These practices can help manage anxiety and improve your overall sense of well-being.

5. Monitor Symptoms: Keep a journal of your symptoms, noting when they occur, their intensity, and any potential triggers. This information can be helpful for your healthcare provider in diagnosing and managing your condition.

6. Follow-Up Care: If your symptoms persist or worsen, ensure you follow up with your healthcare provider. They may recommend further testing or a referral to a specialist based on your ongoing symptoms.

Conclusion
Your symptoms are multifaceted and could be influenced by a combination of physical, psychological, and lifestyle factors. It’s essential to approach this situation holistically, considering both your physical health and mental well-being. By taking proactive steps to address your symptoms and seeking appropriate medical care, you can work towards improving your overall health and quality of life. Remember, you are not alone in this, and there are resources and support available to help you navigate these challenges.

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