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Pain & Discomfort Questions

Experiencing PVCs and Shortness of Breath During Workouts

As a 29-year-old male weighing 190lbs residing in the US, I typically engage in physical exercise around four to five days a week. Recently, however, I've slightly reduced my workout intensity due to the onset of uncomfortable premature ventricular contractions (PVCs), which I notice during my workouts and while resting between sets. These PVCs often feel like my heart is having a ‘hiccup’—it beats irregularly and feels off in some way. Sometimes, I also experience a strange fluttering sensation or an unsettling sinking feeling, almost as if my heart has skipped a beat. I consulted with my primary care physician and a cardiologist, both of whom assured me that these occurrences are common and likely attributed to anxiety or stress, although this phenomenon is quite unfamiliar to me. While a Holter monitor did detect these PVCs, curiously, I did not experience any during my stress test, nor did I feel any related symptoms at that time. Additionally, an echocardiogram conducted in 2021 yielded encouraging results, and my cardiologist opted not to repeat the procedure since it had been performed fairly recently. In an effort to manage the situation, I have decreased my caffeine consumption over the past few months and started taking magnesium glycinate, as well as buspirone in the morning to help with anxiety. Although these measures have shown some improvement, the PVCs persist, and I continue to experience anxiety surrounding them. I recently watched a video featuring a cardiologist who mentioned that experiencing these irregular beats during physical activity might warrant further investigation. Alongside the PVCs, I have also been experiencing fatigue and occasional chest tightness, coupled with a sensation of not being able to take a complete breath which contributes to my shortness of breath. While these symptoms tend to be situational, during exercise, I can almost always expect to encounter PVCs. For instance, following a set of weightlifting, I might notice one every 10 to 20 beats lasting for about 30 seconds. In summary, it’s the presence of ectopic beats combined with intermittent shortness of breath and chest tightness that raises concern for me, especially as an otherwise active individual.

NeurologyChest PainJoint Pain
Male25-34
8 minutes ago

Recurring Throat Discomfort and Mild Cold-Like Symptoms: All Tests Negative

Hello everyone, I’m a 30-year-old male who generally enjoys good health, with no chronic illnesses, no medications, and no recognized allergies. I maintain a balanced diet, engage in regular exercise, and usually fall ill just once a year. Additionally, I have received all COVID-19 vaccinations. Approximately six weeks ago, I awoke to sharp pain in my throat making swallowing difficult. This was accompanied by slight cold-like symptoms, significant nasal congestion, and some pressure in my sinuses. This episode lasted roughly three days before subsiding. Since that initial incident, I have been experiencing consistent occurrences: roughly every week or two, I find myself dealing with mild symptoms such as throat discomfort, nasal congestion, and sinus pressure. Each flare-up persists for one to two days before disappearing, only to return a week or two later. To date, this cycle has recurred about five times. I visited a clinic during one of these episodes and underwent testing for several conditions, all of which returned **negative** results: * COVID-19 * Strep throat * Mycoplasma pneumonia * Influenza A/B * RSV A/B * Rhinovirus * Enterovirus The healthcare providers speculated that it might be related to allergies and recommended **Cetirizine** and **Medrol**, although I have never experienced allergies in the past, and these medications have not provided any relief. What could be the underlying issue causing these recurring symptoms? Could it be viral, sinus-related, or possibly silent reflux? Or perhaps something entirely different? I would greatly appreciate any insights or shared experiences. Thank you!

HeadacheAbdominal PainMuscle Pain
Male25-34
39 minutes ago

Considering Reporting My Doctor: Seeking Guidance

I'm reaching out to gather some perspectives before taking any action regarding my recent medical experience. At 22 years old, I've been struggling with chronic eczema and IBS for around five years, and my primary care physician directed me to consult with a specialist in allergies and asthma. I hoped to explore potential food intolerances as well. **THE CONSULTATION:** During the visit, we discussed my medical history and other basic details. Initially, everything seemed fine until the doctor examined the eczema on my knee and downplayed its severity, suggesting I could simply learn to live with it since it wasn't harmful. However, he identified a fungal infection on my arms that required medication. He then dismissed the idea of undergoing allergy testing, calling it an unnecessary use of my time. While still processing this information, a nurse entered the room, requesting the doctor’s attention. I presumed it was something urgent since I had never witnessed this during previous visits. Upon his return, the discussion resumed. He insisted that tracking my diet through a food journal was the only reliable method to identify food intolerances, disregarding allergy tests as inaccurate. At this point, I felt a bit lost as his claims seemed inconsistent to me. Moments later, an alarm signaled that a test for another patient was completed. He told me he’d be back shortly, leaving me confused and frustrated as I had been eagerly anticipating this appointment for months. When he returned and I expressed my helplessness about my condition, emphasizing my desire to seek natural solutions rather than medication that merely masked symptoms, he reverted to suggesting medication items I had already tried without success. This conversation brought me to tears, feeling frustrated and unheard—a rare occurrence for me in a clinical setting. Upon seeing me upset, the doctor mentioned he could proceed with testing. I felt compelled to remind him of his earlier stance on its futility, questioning the value of pursuing pointless procedures. I then sought direction, asking whether I should consult an immunologist instead, wanting clarity on the next steps. Just as I began to elaborate, the nurse interrupted, indicating they had another patient waiting, which added to my frustration over the apparent rushed nature of the consultation. After some time, the doctor returned, shook my hand, and abruptly stated, “We’re not doing testing; it was nice meeting you, have a great day.” I found myself at a loss for words, leaving the office feeling disheartened. Was my experience overly dramatic, or did it reflect a lack of professionalism? I've never encountered a physician who so frequently left the room during my appointment or advised me to simply tolerate my eczema. I’m feeling quite lost and genuinely question whether allergy tests commonly fail to provide insights for cases like mine involving eczema and IBS. I'm toying with the idea of reporting this doctor; however, I am uncertain if my grievance is substantial enough. I've noticed other patients have voiced similar concerns in their reviews. What are your thoughts? What should my next step be? Thank you for your advice!

Joint PainAbdominal PainChronic Pain
Male25-34
1 hour ago

Struggling with Food Intolerance and Unexplained Weight Loss

**Note:** Please feel free to ask any questions; I’m open to sharing everything I know about my condition. I’m feeling anxious and desperate for assistance. If my situation worsens, I'll seek private medical support, but right now, I just need to grasp what might be wrong with me. **Background:** Since the moment I was born, I've had extreme food allergies that led to anaphylactic reactions, especially to dairy. My body rejected virtually all foods — no eggs, yeast, or most fruits. This resulted in an Allergy Cascade, where any new food introduced would cause allergic reactions. Around the age of 10 or 11, I unexpectedly outgrew these allergies seemingly overnight. I could consume dairy products like milk without any adverse effects, a state that lasted until I was about 16 or 17 years old. At that point, I had to remove dairy from my diet again due to severe responses, including unbearable cramps and pain that made it impossible to sit or stand comfortably. Once dairy was eliminated, I felt relief. I soon had to do the same with other foods like pasta, tomatoes, garlic, and onions. Each time I faced a severe reaction, I simply removed the culprit from my diet and adapted. **Recent Events:** In February, I decided to embark on a weight loss journey. Weighing approximately 70 kg at a height of 5'4”, I revamped my diet. I focused on healthy portions, lean proteins, and plenty of salmon and fish, alongside vegetables and hummus, all while maintaining a low carb intake. Initially, I felt great. However, I soon developed constipation, followed by bloating and gas issues. I eliminated tofu, which alleviated some discomfort temporarily, but soon after I began to experience similar issues again even without it. Ultimately, around early April, things worsened. To alleviate constipation, I began taking magnesium citrate and occasionally alternating with Senna for relief; I want to emphasize that I didn't rely heavily on Senna. I eventually removed all high-FODMAP foods from my diet, which certainly helped at first. However, even the most basic meals, like plain steamed chicken or fish, caused bloating, in addition to alternating episodes of severe diarrhea or constipation, leading to frustrating cycles of feeling either unbearably heavy or having to rush to the bathroom. **Current State:** I now find myself at 62.5 kg, continuing to lose weight steadily. While my current weight is within a safe range, I’m concerned about where this trend might lead — to 60 kg, then 55 kg, and so forth. I have undergone screenings for bowel cancer and Crohn's disease, both of which returned negative results. A blood test is also scheduled to check for potential allergies, but the wait for a Gastroenterologist is lengthy—over a year unless I opt for private treatment, which is costly within the NHS framework in the UK. My last round of blood tests showed normal results, but I was not privy to specific test outcomes. At present, my diet seems restricted to jasmine rice, a bit of tuna mixed with plain yoghurt and seasonings, steamed chicken, and ginger-lemon tea to soothe any digestive issues. I occasionally attempt to eat salmon, though it often doesn’t sit well with me. I rarely feel the natural urge to have a bowel movement—this issue has persisted for most of my life due to chronic constipation. If I consume a trigger food, it can take days to feel normal again. The only times I experience relief are when I’ve ingested laxatives and have not eaten. I typically don’t feel hungry until noon and usually have a small dinner. My meals vary; sometimes lunch serves as my main meal, other times dinner does. I’ve started drinking apple cider vinegar in hopes it aids in digestion, which has provided slight improvements. We are even pondering whether low stomach acid could be a factor. Daily, I struggle to consume enough calories to maintain basic bodily functions, averaging between 1100 to 1400 calories, often on the lower side. My energy levels are plummeting, and while I’ve been told that stress or sudden dietary changes could contribute to my situation, I’m not experiencing stress. My body initially responded favorably to these dietary changes, so it’s frustrating to be suggested to reintroduce foods that definitely derailed my progress. This doesn’t feel normal; I was managing fine before all of this. I’m genuinely afraid that without intervention, I could slip into starvation mode. I’m striving to stay active and maintain a balanced diet, but it’s challenging to find the energy to support any rigorous exercise. I long for the ability to eat without the fear of adverse reactions, to enjoy family meals without the constant worry of having to abstain while others dine. Could these symptoms stem from an autoimmune disorder, a resurgence of my allergies, SIBO, or perhaps leaky gut? Any insights or advice would be greatly appreciated, thank you!

FibromyalgiaJoint PainAbdominal Pain
Male25-34
3 hours ago

Concerns Regarding Elevated Blood Pressure

Hey there! I wanted to share something that has been weighing on my mind lately. Here’s a brief overview of what’s been happening: About a week ago, I (25M) began to feel unwell. I experienced intermittent pressure in my head, which would come and go after a minute or two. There were also moments when my skin felt oddly tense, almost as if it were stretching, accompanied by an unusual sensation of pressure radiating through my body. Curious about my health, I decided to monitor my blood pressure. To my surprise, it was elevated. Each time I noticed the discomfort in my head or skin, my readings showed systolic levels exceeding 160. Although these spikes didn’t persist for long—just a minute at most—the sensation was quite intense. Typically, when I’m at rest, my blood pressure hovers around 130/90, whereas I’ve generally been accustomed to 120/80. I consulted an urgent care facility, where a physician’s assistant suggested that my symptoms were likely due to stress, particularly since I recently started a new job. Just yesterday, I was driving when I felt my blood pressure rise dramatically; my vision blurred briefly, leaving me momentarily disoriented about what I was doing. This experience has left me a bit anxious, especially since I have no prior history of hypertension. I have an appointment with my primary care physician scheduled for Friday, but I’m uncertain about when I should consider heading to the emergency room for immediate assistance. Any advice would be greatly appreciated!

HeadacheNeck PainJoint Pain
Male25-34
6 hours ago

Severe Discomfort in Thighs and Shins

At 15 years old, I had a medical appointment on July 28, my birthday, and it went smoothly overall. They conducted some blood tests, and most of the results were positive. However, the following day, July 29, I visited the sports medicine clinic, which offers a fitness program. They evaluated my mobility and running performance, where I performed quite well in most areas. We ended up signing an agreement for me to participate in the program. By the conclusion of the session, they presented me with a new challenge. They were aware that I could complete 60 squats thanks to my previous max, but they advised me to aim for 50 squats three times a week for a month. I questioned whether that was advisable, given that my peak was 60 and I wasn’t sure about pushing myself to such limits so frequently. I felt 20 might be a more reasonable target, yet they insisted on 50. So, I went ahead and completed 50 squats that same day. Later that evening, after just a few hours of sleep, I woke up in excruciating pain. Both my thighs and shins were aching intensely. Sitting became uncomfortable, and descending stairs turned into a nightmare. I found myself unable to perform any squats at all. I have scheduled sessions every Tuesday and Thursday from 6-7 PM EST, which includes today’s appointment. The rapid shift from being completely pain-free to experiencing such severe discomfort has me alarmed. How can I maintain an active lifestyle under these circumstances?

Joint PainMuscle PainChronic Pain
Male25-34
6 hours ago