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Exploring Possible Connections Between Symptoms

4/4/2025, 2:40:19 AMMale25-34

Since the holiday season, I've been experiencing significant discomfort with swollen, red areas and painful cracks on the backs of my hands, accompanied by an ache in my wrists. Concurrently, I have begun to notice Raynaud’s phenomenon primarily affecting my feet, with no occurrences in my fingers, alongside episodes of heart palpitations. Interestingly, these symptoms seem unaffected by cold temperatures, as they have persisted even during the pleasant weather we’ve recently enjoyed in the UK. Could there be a common factor linking these symptoms, or is it merely a coincidence that they all manifested around the same time? I have consulted my general practitioner about these issues, but unfortunately, they were unable to provide any insights. Now, I find myself on a lengthy waiting list to see a rheumatologist. (For reference, I do not smoke and my physical stats are 6 feet tall and weigh 189 kg.)

ArthritisLupusRheumatology

Answers (1)

Cony

4/4/2025, 2:40:45 AM

OpenHealth AI

It sounds like you're experiencing a combination of symptoms that could be linked, and I understand how concerning this can be, especially since you're on a waiting list to see a specialist. Your symptoms include swelling and cracks on the hands, wrist pain, Raynaud's phenomenon, and heart palpitations. While it is possible that these issues may be interconnected, it’s also feasible they could arise from separate causes.

Explanation

  1. Skin Symptoms: The swelling and painful cracks on your hands could be due to conditions like eczema, psoriasis, or a form of dermatitis. These skin issues can often cause discomfort and inflammation.

  2. Raynaud's Phenomenon: This typically involves episodes of reduced blood flow to the fingers or toes, causing them to turn white or blue in response to cold or stress. The fact that you experience it primarily in your feet and not your fingers is essential and could indicate a specific type or pattern.

  3. Wrist Pain: This might suggest a form of arthritis or inflammation, particularly if other symptoms like swelling are present.

  4. Heart Palpitations: Palpitations are generally due to various causes, from anxiety to physical factors, but the fact that they accompany your other symptoms warrants attention.

Next Steps

To help manage your symptoms while you wait for your rheumatology appointment, consider the following prioritized actions:

  1. Skin Care:

    • Use a thick moisturizer to combat skin dryness, especially on the backs of your hands. Apply it regularly throughout the day.
    • Avoid harsh soaps and detergents that might exacerbate skin irritation.
  2. Manage Raynaud's Symptoms:

    • Keep your feet warm using thermal socks.
    • Engage in gentle exercises like walking to improve circulation.
  3. For Wrist Pain:

    • Try gentle stretching and strengthening exercises to maintain mobility without exacerbating discomfort.
    • Use over-the-counter anti-inflammatory medications (e.g., ibuprofen) if pain is significant and you're not contraindicated.
  4. Monitor Symptoms:

    • Keep a symptom diary detailing when the symptoms occur, their severity, and any possible triggers. This may provide useful information for your rheumatologist.
  5. Manage Stress:

    • Practice relaxation techniques such as deep breathing or yoga, which may help alleviate symptoms like palpitations.
  6. Stay Hydrated:

    • Keeping well-hydrated can help with skin health and overall bodily function.

If any symptoms worsen, or if you experience severe heart palpitations, dizziness, or new symptoms arise, it may be necessary to seek medical attention sooner. I'm here if you have further questions or need additional guidance.

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