Unexplained Chronic Morbidity
I am 31 unmarried, completed my MSC computers, and I used to work as examination branch incharge in degree college with decent salary. Now due to my chronic illness I left my job for 2 years.. all my money got used up for investigations and treatment of my illness but I never felt better.. I lost all my friends, my happiness and all.. I am feeling worthless. If I were alright I would have married by now.. my wedding got delayed because of this illness..
What happened to u?
3 yrs back one day while I was lying on my bed I had sudden sensation of something got cut inside my body over the sternal region and when I got up next day in the morning my abdomen has distended and by afternoon my legs and hands are swollen (pitting type of edema) I think my face is not swollen, I got so weak that I was unable to do routine activities, unable to comb my hair, I couldn't even lift small weights, so I went to hospital the next day where I was sent for x-ray chest and ECG.. every investigation turned out to be normal, they just gave me some multivitamins and sent me.
Later after 3 days I had chicken meat and lamb meat after which I developed joint pains (wrists,elbows,shoulders,his,knees,ankles) picking type of pain.. no tenderness, no swelling, no restriction of movements, and generalized weakness for which I used medication for 1week after which my pain was subsided but not my weakness.. my abdominal distension and pedal edema got slowly resolved.
As I was developing frequent abdominal distension I used homeopathy for 1 year.
2 years back, I noticed that I was developing iching in the hands & legs after eating meat when I rub them the skin used to peel off followed by development of some papule kind of thing which used to subside by leaving black pigmentation over my skin in the hands and legs. It's not just one time I noticed, but every time I take meat. So I gave up my favourite foods and I restricted myself to vegetables. I was alright for quite some period of time.. later even with vegetables I used to develop same skin lesions. I could not tolerate the itching and lesions so I gave up every food.. I stopped eating veggies, fruits, everything. Now since 6 months I was taking only white rice with water.. nothing else except these two and I observed no skin lesions are appearing newly since 6months.. so I was continuing with the same diet.. but I am feeling hungry more than before in such a way that, I eat 7 to 8 times a day, just that white rice. All these 2 years I used to have vomitings and diarrhoea. Vomitings 3 to 4 episodes/day more or less daily. Diarrhoea 3 to 4 episodes/day (sometimes normal volume, some times loose stools)
And I was also having itching over genital area since 2 yrs. In this span of 2 years, intermittently I used have severe pain in my legs, a/w tingling and burning sensation in feet, I couldn't tolerate the pain so I used to tie my legs with ropes or clothes tightly.
I have sinus problem since 4 yrs which aggravates with weather changes. I also have some photosensitivity since 2yrs I think.
My Menstrual history is normal
I used multiple drugs but all gone in vain. I just want to get rid of this illness..please help me
General examination: pallor + edema of legs grade-1 and multiple hyper pigmented patches over hands and legs
systemic examination is more or less normal
Dermatology referral was done in view of skin lesions: O/E no active lesions are seen
Multiple hyperpigmented macules seen over arms, forearms and legs.
O/E of oral mucosa white lacy pattern is seen.
Nails are normal (no flattening noticed)
Vaginal examination showed Curdy white discharge adherent to the vaginal walls s/o Vaginal Candidiasis.
Psychiatry referral was done i/v/o depression but she denied any depression.
Discussion:
what does she actually mean by sensation of something got cut......? is it reliable? Does it have something to do with the symptoms of our pt?
what is the reason for her long history of diarrhea and vomitings?
Is she right in saying that she is allergic to all kinds of food? Are those skin lesions really have something to do with the skin lesions?
is she psychologically depressed? Did we take correct decision in sending her to Psychiatry? Does she require some more sessions in Psychiatry?
She is so weak that she gave up her job (due to this chronic morbidity). How can we help her and give her life back?
What happened to u?
3 yrs back one day while I was lying on my bed I had sudden sensation of something got cut inside my body over the sternal region and when I got up next day in the morning my abdomen has distended and by afternoon my legs and hands are swollen (pitting type of edema) I think my face is not swollen, I got so weak that I was unable to do routine activities, unable to comb my hair, I couldn't even lift small weights, so I went to hospital the next day where I was sent for x-ray chest and ECG.. every investigation turned out to be normal, they just gave me some multivitamins and sent me.
Later after 3 days I had chicken meat and lamb meat after which I developed joint pains (wrists,elbows,shoulders,his,knees,ankles) picking type of pain.. no tenderness, no swelling, no restriction of movements, and generalized weakness for which I used medication for 1week after which my pain was subsided but not my weakness.. my abdominal distension and pedal edema got slowly resolved.
As I was developing frequent abdominal distension I used homeopathy for 1 year.
2 years back, I noticed that I was developing iching in the hands & legs after eating meat when I rub them the skin used to peel off followed by development of some papule kind of thing which used to subside by leaving black pigmentation over my skin in the hands and legs. It's not just one time I noticed, but every time I take meat. So I gave up my favourite foods and I restricted myself to vegetables. I was alright for quite some period of time.. later even with vegetables I used to develop same skin lesions. I could not tolerate the itching and lesions so I gave up every food.. I stopped eating veggies, fruits, everything. Now since 6 months I was taking only white rice with water.. nothing else except these two and I observed no skin lesions are appearing newly since 6months.. so I was continuing with the same diet.. but I am feeling hungry more than before in such a way that, I eat 7 to 8 times a day, just that white rice. All these 2 years I used to have vomitings and diarrhoea. Vomitings 3 to 4 episodes/day more or less daily. Diarrhoea 3 to 4 episodes/day (sometimes normal volume, some times loose stools)
And I was also having itching over genital area since 2 yrs. In this span of 2 years, intermittently I used have severe pain in my legs, a/w tingling and burning sensation in feet, I couldn't tolerate the pain so I used to tie my legs with ropes or clothes tightly.
I have sinus problem since 4 yrs which aggravates with weather changes. I also have some photosensitivity since 2yrs I think.
My Menstrual history is normal
I used multiple drugs but all gone in vain. I just want to get rid of this illness..please help me
General examination: pallor + edema of legs grade-1 and multiple hyper pigmented patches over hands and legs
systemic examination is more or less normal
Dermatology referral was done in view of skin lesions: O/E no active lesions are seen
Multiple hyperpigmented macules seen over arms, forearms and legs.
O/E of oral mucosa white lacy pattern is seen.
Nails are normal (no flattening noticed)
Vaginal examination showed Curdy white discharge adherent to the vaginal walls s/o Vaginal Candidiasis.
Psychiatry referral was done i/v/o depression but she denied any depression.
Discussion:
what does she actually mean by sensation of something got cut......? is it reliable? Does it have something to do with the symptoms of our pt?
what is the reason for her long history of diarrhea and vomitings?
Is she right in saying that she is allergic to all kinds of food? Are those skin lesions really have something to do with the skin lesions?
is she psychologically depressed? Did we take correct decision in sending her to Psychiatry? Does she require some more sessions in Psychiatry?
She is so weak that she gave up her job (due to this chronic morbidity). How can we help her and give her life back?
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