Skin pain caused by a cold?
Hello Dr.
Zhao,
I have a question regarding a cold: Over the past year, whenever I catch a cold, in addition to the usual symptoms of runny nose, nasal congestion, mild dizziness, excessive phlegm, and general discomfort, I have been experiencing "skin pain" in my abdomen and back (it seems to be a heightened sensitivity to touch, where even light contact feels painful).
What could be the reason for this? Could it be a temporary dysfunction of the nervous system? Thank you.
En Jiu, 20~29 year old female. Ask Date: 2005/07/08
Dr. Zhao Chongliang reply Internal Medicine
What you are referring to is abnormal sensation, which is known as paresthesia in English.
It can be caused by poor blood circulation throughout the body, atherosclerosis due to deposits of cholesterol or thrombosis, vitamin deficiencies, poor nutritional status, diabetes, hypothyroidism, rheumatoid arthritis, or carpal tunnel syndrome, which can lead to nerve irritation.
Additionally, nerve injuries can result from infections or trauma, central nervous system disorders such as transient ischemic attacks or brain tumors, motor neuron diseases, autoimmune diseases like multiple sclerosis or lupus, alcohol consumption, antiepileptic medications, heavy metal poisoning, and migraines can also cause paresthesia.
If the abnormal sensation occurs only after a cold, it may be due to significant vitamin loss caused by the illness, combined with the tendency for women to diet, leading to malnutrition or poor circulation (often referred to as "female cold syndrome"), which could result in paresthesia.
Generally, over-the-counter cold medications do not cause abnormal sensations.
Reply Date: 2005/07/08
More Info
Understanding skin pain associated with cold symptoms can be quite complex, as it involves various physiological and neurological factors. When you experience skin pain or heightened sensitivity during a cold, it may be related to several underlying mechanisms.
Firstly, during a cold, your body undergoes a series of immune responses that can affect your nervous system. The common cold is caused by viral infections, which trigger inflammation as your immune system works to fight off the virus. This inflammation can lead to the release of various cytokines and other inflammatory mediators that can sensitize nerve endings, resulting in a heightened sensitivity to touch or pressure. This phenomenon is known as allodynia, where normally non-painful stimuli (like light touch) become painful.
Additionally, the symptoms you describe, such as abdominal and back pain, may also be linked to referred pain. This occurs when pain is perceived in one area of the body but originates from another. For instance, the nerves that supply the skin in your abdomen and back are closely related to those that supply your respiratory system. Therefore, the discomfort from a cold could potentially manifest as skin pain in these areas due to shared nerve pathways.
Moreover, if you have a history of conditions that affect your nervous system, such as migraines or other types of neuropathic pain, your body may be more susceptible to experiencing these heightened sensations during a cold. The stress and fatigue associated with being ill can also exacerbate these symptoms, leading to a cycle of discomfort.
It's also worth noting that vitamin deficiencies, particularly vitamin B12 and vitamin D, can lead to neurological symptoms, including paresthesia (tingling or prickling sensations) and increased sensitivity to touch. If your diet has been lacking during your illness, this could contribute to your symptoms.
In terms of management, it is essential to address both the cold symptoms and the skin pain. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate discomfort. Additionally, ensuring adequate hydration and nutrition can support your immune system and overall recovery. If your symptoms persist or worsen, it would be advisable to consult a healthcare professional for a thorough evaluation. They may recommend further investigations, such as blood tests, to rule out any underlying conditions that could be contributing to your symptoms.
In conclusion, the skin pain you are experiencing during colds is likely multifactorial, involving immune responses, nerve sensitivity, and possibly nutritional deficiencies. Understanding these connections can help you manage your symptoms more effectively and seek appropriate medical advice when necessary.
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