OpenHealth Q&A

Get answered by medical professionals

Seeking Advice: Upper Body Discomfort

6/21/2025, 9:00:49 AMMale25-34

Hello Everyone, I’m a 28-year-old woman, standing at 5’3” and weighing 154 lbs, and I need some guidance. I've been experiencing nausea along with abdominal discomfort localized around my navel that extends to my back. There’s also an unsettling trembling in my upper body, though I don't feel chills. I often feel an inner jitteriness, and my upper body simply seems off, as if it’s battling some form of bacterial or inflammatory condition. At times, I break into cold sweats. These symptoms consistently affect only my upper half. It’s so severe that I struggle to sleep at night, repeatedly wishing for slumber to escape this ordeal. I feel a significant decline in my physical capabilities; my body feels weighty and intensely fatigued. What could be at the root of these issues? Would undergoing an abdominal MRI be worthwhile? What specific blood tests do you think I should consider, and should I also provide stool and urine samples? I have an appointment with my doctor on Monday. Unfortunately, heading to the emergency room isn’t an option for me, as I'm concerned they might trivialize my situation and suggest I return to my general practitioner, claiming it isn’t urgent. I assure you, the severity of my symptoms is quite concerning.

AgingFamily MedicineInternal Medicine

Answers (1)

Cony

6/21/2025, 9:01:16 AM

OpenHealth AI

It sounds like you are experiencing quite a few distressing symptoms that are affecting your daily life. While I can't diagnose your condition, I can offer some insights into what might be happening and how to approach your upcoming doctor’s appointment.

Main Points:

  • Your symptoms could stem from various causes, from digestive issues to stress or anxiety.
  • It's crucial to communicate all your symptoms clearly to your doctor.
  • Focus on managing your symptoms and gathering information before your appointment.

Explanation: The combination of nausea, abdominal discomfort, back pain, trembling, cold sweats, and fatigue can be linked to several conditions. These may range from gastrointestinal issues (like gastritis or acid reflux), to anxiety or stress reactions, or even infections. The lethargy and inner jitteriness you describe are important and should be discussed in detail.

Since these symptoms are quite multifaceted, it’s natural to feel concerned. However, it’s good that you're preparing to speak with your doctor as they are the best resource for diagnosing and managing your health.

Next Steps:

  1. Prepare for Your Appointment: Write down all of your symptoms, noting when they started, how severe they are, and any patterns you’ve noticed (like what seems to trigger them or relieve them). Also, mention how they impact your daily life, particularly your sleep.

  2. Discuss Diagnostic Tests: During your appointment, ask your doctor if blood tests (such as a complete blood count, liver function tests, or tests for inflammation) would be appropriate. If symptoms persist or worsen, an abdominal ultrasound or other diagnostic imaging may be considered too, but discuss this with your doctor.

  3. Symptom Management Prior to Your Appointment:

    • Focus on staying hydrated, as nausea can make it easy to become dehydrated.
    • Consider light, bland foods that are easier on the stomach, like toast or crackers, if you can eat.
    • Practice relaxation techniques such as deep breathing or gentle stretching to reduce anxiety and tension, which may help with trembling or jitteriness.
  4. Follow Up: After your appointment, make sure to follow any recommendations your healthcare provider gives you. If your symptoms worsen or you become non-functional, reach out again for further help, even if that means going to an urgent care center.

It’s commendable that you are seeking help and being proactive about your health. Ensuring you accurately convey your symptoms and experiences will be vital in helping your doctor assess your situation more effectively. Take care, and I hope you feel better soon.

Related Questions

Seeking Insights on My Unexplained Health Issues

I’m a 30-year-old Caucasian woman, approximately 6 feet 1 inch tall and weighing around 100 kilograms, residing in Australia. Here’s a summary of my medical history: - I have suffered from chronic migraines for the past fifteen years, which I currently manage with medication. - Two years ago, I underwent surgery for pelvic congestion syndrome, which provided relief. - My legs have varicose veins, necessitating two surgical procedures so far, with a third surgery required due to the growth of further incompetent veins. - I experienced a deep vein thrombosis (DVT) three months ago. - I have been diagnosed with idiopathic hypersomnia. - Persistent fatigue is a major issue for me. - I also struggle with depression and anxiety, for which I am receiving treatment. - My blood pressure is high, and I am on medication for that. - Despite no significant lifestyle changes, I have seen an increase in weight; I weighed 77 kilograms at the end of last year. - I have Hashimoto's disease but am not currently on medication since the condition isn't severe enough, and it’s unlikely to be influencing my weight gain at this point. I’m reaching out for your thoughts on any rare or unusual conditions that my doctor might explore further. We are genuinely at a loss here. Is it normal at my age to be dealing with such a range of health issues? Additionally, I have never had any children and have tested negative for Cushing syndrome. I am also undergoing follow-up tests for lupus, as the blood thinners I took for the DVT may have caused a false positive result initially. (I have shared this in another forum as well.)

AgingFamily MedicineInternal Medicine
Male25-34
19 minutes ago

Enlarged Seminal Vesicle Concerns?

A 38-year-old male without any noted allergies and currently taking paroxetine, Zepbound, naltrexone, and trazodone seeks advice. Recently, he has noticed a noticeable change near the tops of his testicles, where he feels a small tube that he presumes to be the seminal vesicles. The right side appears to be similar in size to a strand of spaghetti, while the left one has increased in size significantly, resembling a larger earthworm—approximately three times its normal diameter. Though there's no painful sensation, there is mild tenderness upon touch. The testicles maintain their usual position without any evident sagging; however, the left side's enlargement is evident. He has recently begun training in Muay Thai, which involves some movement but not direct contact or sparring. After four days without any improvement, he is seeking guidance as he is set to leave for a trip today. He wants to know if it's necessary to visit an emergency room or if it can wait until he returns for a follow-up. Additionally, it's worth mentioning he underwent a vasectomy two years ago, ruling out concerns regarding potency as an urgent issue. Should he search for an urgent care facility near his travel destination or make an appointment with his primary care physician upon his return?

AgingFamily MedicineInternal Medicine
Male25-34
19 minutes ago

I Need Some Guidance

I’m a 22-year-old male and underwent a comprehensive health evaluation in January 2025. The results indicated significant deficiencies in Vitamin B12 and Vitamin D, with levels recorded at less than 159 for B12 and under 7 for D. Currently, I am experiencing several concerning symptoms: 1. I have trouble fully emptying my bladder. 2. Occasionally, I feel discomfort while urinating. 3. After sitting for extended periods, I sometimes notice a mild pain in my buttocks. 4. There are moments when initiating urination becomes a challenge. During my health check-up in January, all my urinary parameters appeared normal, and my estimated glomerular filtration rate (eGFR) was 130, with only a slightly low urea level. I would appreciate any guidance or advice on this matter.

AgingSupplementsLifestyle Changes
Male25-34
19 minutes ago

Navigating Test Requests: A Patient's Perspective

Patient Profile: 40 years old, Female. Recently, I experienced some health issues and consulted my family physician, requesting several diagnostic tests. He was accommodating and agreed to proceed with my requests. However, the following day, I realized that I neglected to mention two additional tests pertinent to my condition. With my doctor currently on vacation, I'm considering reaching out to a walk-in clinic to see if they can facilitate those tests. This way, I can have all the results compiled for my doctor’s review upon his return. As a physician, would this situation be upsetting to you? Thank you for considering my query.

WellnessLifestyle ChangesFamily Medicine
Male25-34
29 minutes ago

Sudden Lip Swelling Overnight

Last night, I believed I had developed a canker sore, but when I awoke, I noticed an alarming swelling on the inside of my lip. This swelling is significant and has a white coating on its surface. I am eager to understand what might be causing this condition and how I can alleviate it.

WellnessFamily MedicineInternal Medicine
Male25-34
39 minutes ago