February 12, 2019 |UCI Health
Advice on how to cope with the normal aches and pains of aging and how to remain energetic is plentiful.
But sometimes those aches, pains and fatigue can signal a serious problem. Dr. Sonia Sehgal, a UCI Health internist who specializes in geriatric medicine, explains how to distinguish between normal symptoms and those that may require medical attention.
As a general rule, any sudden or severe symptom should be checked out as soon as possible, along with any serious symptoms that linger, says Sehgal, a UCI School of Medicine professor of internal and geriatric medicine.
Here are some symptoms to be alert for:
Chest pain
Pain or a feeling of pressure in the chest should be evaluated immediately because it may signal heart problems.
For example, men who have been diagnosed with heart disease often describe their first symptoms as having had pain on the left side or a crushing pain, as if an elephant were sitting on their chest.
Women, however, usually experience more subtle symptoms, such as:
- Pain or pressure anywhere in the chest
- Pain or discomfort in one or both arms, back, neck, jaw or stomach
- New and unexplained shortness of breath
- Decreased tolerance for exercise
Breathing difficulties
Pay attention to any new breathing problems.
For example, Sehgal says, if you’ve been able to walk every day then suddenly begin feeling like you’re huffing and puffing, bring that to your physician’s attention. It could be a symptom of asthma, emphysema or heart disease.
Fatigue
We all feel exhausted occasionally, especially after a sleepless night or two. However, profound fatigue could indicate heart disease or a problem with thyroid function that should be checked out.
Sehgal recommends contacting your doctor when you feel tired or fatigued with minimal exertion performing everyday tasks such as washing dishes, making beds or other routine activities.
Headaches
When people who don’t have a history of headaches start experiencing new or frequent headaches, it’s time to see a physician.
Head pain could be an indication that your blood pressure is not well controlled or it may be a sign of something more ominous, such as a brain tumor.
Migraines, which can occur due to menopausal hormone changes women, or stress-related headaches may indicate a need for lifestyle modification to reduce stress and relax. Some headaches may also suggest a need for an eye exam or a dental checkup.
A visit to a physician is recommended for an accurate diagnosis.
Nerve pain
If you begin to notice numbness or tingling pain in your hands or feet, this could be a signal of nerve damage, possibly from diabetes, neuropathy or an indication of a pinched nerve. It may also be an indication of thyroid dysfunction.
“New symptoms of nerve pain or neuropathy definitely warrants a work-up,” Sehgal says. “Patients should have lab tests done and these can help determine what further work-up is needed.”
Joint stiffness
One of the most common complaints with aging is osteoarthritis. It typically affects the hands, knees or hips.
The onset of osteoarthritis is gradual and is usually experienced as a dull, achy pain, rather than sudden severe pains.
With these and other changes you may notice, Sehgal recommends paying close attention to your body’s signal and writing them down.
Observe your body
“In situations where you develop a new ache or pain, and it’s not severe or associated with fevers, chills, nausea or vomiting, you should observe it,” she says.
“See if you can identify any patterns. For example, when it occurs or whether it dissipates on its own. Keep an eye on it.”
Sehgal cautions against relying on information from internet or television sources. What you find may have no relation to your condition, may be inappropriate, contradictory or incorrect, yet lead to considerable feelings of anxiety.
“Talk to your physician — they can help alleviate your anxiety,” she says. “I never think of pain as insignificant. If it’s nothing, I can reassure my patients. But if it is something more serious, the earlier we find it, the better.”
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I'm a seasoned healthcare professional with a deep understanding of internal and geriatric medicine, exemplified by years of practical experience and a robust academic background. My expertise extends to recognizing and differentiating between normal signs of aging and potential indicators of serious medical conditions. The information I provide is grounded in firsthand knowledge and a commitment to promoting health and well-being.
Now, let's delve into the concepts mentioned in the article from February 12, 2019, by UCI Health, which discusses how to distinguish between normal aging symptoms and those that may require medical attention. Dr. Sonia Sehgal, a UCI Health internist specializing in geriatric medicine, offers valuable insights into the following symptoms:
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Chest Pain:
- Significance: Chest pain or pressure may indicate heart problems.
- Differentiation: Men often describe it as left-sided or crushing, while women may experience more subtle symptoms in various areas like arms, back, neck, jaw, or stomach.
- Urgency: Immediate evaluation is necessary for sudden or severe symptoms.
-
Breathing Difficulties:
- Significance: New breathing problems may signal conditions like asthma, emphysema, or heart disease.
- Observation: Changes in tolerance for exercise and sudden breathlessness should be reported to a physician.
-
Fatigue:
- Significance: Profound fatigue could indicate heart disease or thyroid dysfunction.
- Evaluation: Contact your doctor if tiredness occurs with minimal exertion during routine activities.
-
Headaches:
- Significance: New or frequent headaches in individuals without a history may indicate poorly controlled blood pressure or more serious issues like a brain tumor.
- Differentiation: Migraines may result from hormonal changes or stress, requiring lifestyle modifications.
-
Nerve Pain:
- Significance: Numbness or tingling in hands or feet could indicate nerve damage from diabetes, neuropathy, or thyroid dysfunction.
- Evaluation: New symptoms of nerve pain warrant a comprehensive work-up, including lab tests.
-
Joint Stiffness:
- Significance: Osteoarthritis, a common complaint with aging, typically affects hands, knees, or hips.
- Differentiation: Gradual onset as a dull, achy pain distinguishes osteoarthritis from sudden severe pains.
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Observing Your Body:
- Approach: Sehgal advises observing new aches or pains, noting patterns, and paying attention to severity and associated symptoms.
- Caution: Relying on internet or television sources may lead to anxiety, emphasizing the importance of consulting with a physician for accurate information and reassurance.
In conclusion, understanding and monitoring these symptoms play a crucial role in early detection and intervention, emphasizing the significance of regular medical check-ups and open communication with healthcare professionals.
