Chronic Health Issues: A Guide for Patients Seeking Answers

Physical illnesses

Hello Doctor, I am 27 years old, and I have always had poor health.
My condition varies each year, and despite frequent check-ups, no specific issues have been identified.
I have been told I have autonomic nervous system dysfunction, gastroesophageal reflux disease, peptic ulcers, and irritable bowel syndrome.
My menstrual cycle is often irregular, sometimes normal and then chaotic, with periods lasting over ten days.
This has led me to frequently take progesterone to regulate my cycle, which has caused weight gain (I used to weigh less than 50 kg, but after turning 25, I gained weight to 52 kg).

In recent years, I have occasionally developed rashes; a few years ago, they appeared under my armpits but resolved on their own without examination.
These rashes typically last only a day and seem to occur during stressful times.
Currently, I also experience unexplained bruising that appears and disappears (though not very noticeable), and sometimes I have swelling and pain in certain areas without any trauma, resembling bruises that do not last long but can suddenly hurt.
Recently, I have been feeling fatigued, experiencing headaches, body aches, and joint pain, along with dizziness, chest tightness, and chest pain.
Sometimes, I wake up feeling alternately hot and cold, sweating and feeling my clothes damp, or experiencing discomfort and pain in the upper right abdomen or stomach.
I have a tight throat, excessive phlegm, and occasional nausea, with fluctuating appetite.
My grandfather had diabetes, heart disease, and hypertension, and my father and uncle passed away from liver cancer.
I have been in poor health since childhood and have heard my mother say that I was a premature baby.
I have researched my symptoms online and suspect I might have lupus erythematosus because a few years ago, my company conducted a simple blood test that suggested follow-up due to abnormal neutrophil levels and urea nitrogen.
Should I go directly to a family medicine clinic for examination? What is the likelihood of having lupus with these symptoms? I don’t have many symptoms typical of SLE, and I am unsure if I should tell the doctor about my suspicions.
However, there is no family history of such diseases.
I am concerned about going to a large hospital where many tests might not yield results, possibly indicating autonomic nervous system dysfunction.
Additionally, I have noticed that many doctors today lack patience and do not thoroughly examine patients, leaving me with few options.

Thank you for your patience in reading this.
I have a history of depression, and I struggle with social interactions and expression, which often makes me anxious about seeking medical help.
I live in New Taipei; do you have any recommendations for family medicine clinics?

Yun, 20~29 year old female. Ask Date: 2023/05/07

Dr. Ye Qianyu reply Family Medicine

Hello! Based on your description, you are experiencing weight gain, unexplained rashes, gastrointestinal issues, and menstrual irregularities.
The abnormalities found in your blood tests during the health check are non-specific.
If you have concerns, it would be advisable to follow up.
I recommend visiting a nearby medical facility for evaluation.
Additionally, increasing your core muscle training may also help with your symptoms!

Reply Date: 2023/05/07

More Info

Hello! Thank you for sharing your concerns and experiences regarding your health. It sounds like you've been through a lot, and it's understandable to feel overwhelmed by the various symptoms and health issues you've been facing. Let's break down your situation and explore some potential steps you can take to address your health concerns.

Firstly, it’s important to recognize that chronic health issues can often be complex and multifaceted. Your symptoms, including gastrointestinal problems, menstrual irregularities, fatigue, joint pain, and skin issues, could be interconnected and may stem from a variety of underlying causes. Conditions like autonomic nervous system dysfunction, gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), and hormonal imbalances can contribute to a range of symptoms that you are experiencing.

Given your family history of chronic illnesses such as diabetes, heart disease, and cancer, it’s understandable to be concerned about your health. However, it’s crucial to approach these concerns with a balanced perspective. While it’s good to be vigilant about your health, excessive worry can lead to increased anxiety and stress, which may exacerbate your symptoms.

You mentioned the possibility of lupus (Systemic Lupus Erythematosus, SLE) due to some of your symptoms and previous lab results. While some symptoms you described, such as fatigue, joint pain, and skin rashes, can be associated with lupus, a definitive diagnosis requires specific laboratory tests and a thorough clinical evaluation by a healthcare professional. It’s essential to communicate your concerns with your doctor, including your suspicion of lupus, so they can conduct the appropriate tests and assessments.

When seeking medical care, it’s important to find a healthcare provider who listens to your concerns and takes the time to understand your symptoms. If you feel that your current healthcare providers are not being attentive, consider seeking a second opinion or looking for a family physician or internist who specializes in chronic health issues. You can ask for recommendations from friends, family, or online community forums in your area.

In addition to seeking medical advice, consider implementing some lifestyle changes that may help alleviate your symptoms. Regular physical activity, a balanced diet, adequate hydration, and stress management techniques such as mindfulness or yoga can positively impact your overall well-being. Since you mentioned experiencing anxiety and a history of depression, it may also be beneficial to engage in therapy or counseling to address these mental health concerns.

If you find yourself feeling overwhelmed by your symptoms or anxious about your health, it may be helpful to keep a symptom diary. Documenting when your symptoms occur, their severity, and any potential triggers can provide valuable information for your healthcare provider and help you identify patterns in your health.

Lastly, regarding your concerns about finding a family doctor in New Taipei, I recommend checking local health directories or hospital websites for family medicine departments. You can also look for clinics that specialize in chronic illness management or have a good reputation for patient care.

In summary, while it’s natural to feel anxious about your health, it’s important to take proactive steps to address your concerns. Seek a healthcare provider who listens to you, consider lifestyle changes, and don’t hesitate to reach out for mental health support. Remember, you are not alone in this journey, and with the right support and care, you can work towards better health and well-being.

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