[18F] Experiencing chronic fatigue, dizziness, and hot flashes

Patient Description

An 18-year-old female reports experiencing extreme fatigue, shortness of breath, dizziness, and hot flashes for the past 7 months. The fatigue is severe enough to impact daily functioning, causing her to miss work and sleep excessively when not working. She experiences daily episodes of fatigue. The patient has gained approximately 10 pounds during this period and reports sleeping longer than usual. Dizziness is described as a combination of spinning and lightheadedness, accompanied by blurry vision upon standing and a sensation of coldness. The dizziness is moderate in severity. She also experiences chest pressure when short of breath and has noticed palpitations or irregular heartbeats. Headaches occur when standing up or after physical exertion, primarily affecting the back of the head and forehead. There is no family history of heart disease or thyroid disorders, and the hot flashes are a new symptom for her.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

  1. Chronic Fatigue Syndrome (CFS): Your persistent fatigue, which doesn't improve with rest, along with dizziness and headaches, could be indicative of CFS. This condition is characterized by extreme fatigue that can't be explained by any underlying medical condition. Diagnosis often involves ruling out other potential causes.

  2. Anemia: Given your symptoms of fatigue, dizziness, and shortness of breath, anemia could be a possibility. Anemia occurs when you don't have enough healthy red blood cells to carry adequate oxygen to your body's tissues, which can lead to fatigue and weakness. A simple blood test can help diagnose this condition.

  3. Postural Orthostatic Tachycardia Syndrome (POTS): Your dizziness and blurred vision upon standing, along with fatigue, could suggest POTS, a condition that affects circulation (blood flow). It involves the nervous system and is characterized by the body's inability to properly regulate blood flow and blood pressure, leading to lightheadedness and fainting.

  4. Hormonal Imbalances: The new onset of hot flashes and weight gain could suggest a hormonal imbalance, such as thyroid dysfunction. Thyroid hormones regulate metabolism, and imbalances can lead to symptoms like fatigue, weight changes, and temperature sensitivity.

What you can do

Fatigue and Dizziness:

  • It's important to consult with a healthcare provider to explore these symptoms further. They may recommend blood tests to check for anemia or thyroid function.
  • Stay hydrated and try to rise slowly from sitting or lying positions to help manage dizziness.
  • Consider keeping a symptom journal using MDandMe to track your fatigue levels, dizziness episodes, and any potential triggers.

Shortness of Breath and Chest Pressure:

  • Seek medical attention to rule out any serious conditions, especially given the chest pressure. Your doctor may perform tests like an ECG or chest X-ray.
  • Practice deep breathing exercises to help manage shortness of breath.

Hot Flashes and Weight Gain:

  • Discuss these symptoms with your healthcare provider, as they may suggest checking your hormone levels.
  • Maintain a balanced diet and regular physical activity to help manage weight.

Headaches:

  • Ensure you are staying hydrated and consider over-the-counter pain relief if needed, but consult with a healthcare provider for persistent headaches.
  • Note any patterns or triggers for your headaches in your MDandMe journal.

What you should look out for

While your symptoms are concerning, they may not be immediately life-threatening. However, you should seek medical care if you experience:

  • Severe shortness of breath or chest pain
  • Fainting or severe dizziness
  • Rapid or irregular heartbeat
  • Any new or worsening symptoms

Remember, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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People Also Ask


What could be causing my extreme fatigue and how can it be managed?

Extreme fatigue can be caused by conditions like Chronic Fatigue Syndrome (CFS) or anemia. It's important to consult a healthcare provider for a proper diagnosis. Managing fatigue may involve lifestyle changes, such as maintaining a balanced diet, regular exercise, and ensuring adequate sleep.


Why do I feel dizzy and have blurry vision when I stand up?

Dizziness and blurry vision upon standing could be symptoms of Postural Orthostatic Tachycardia Syndrome (POTS), which affects blood flow and pressure regulation. Staying hydrated and rising slowly from sitting or lying positions can help manage these symptoms.


What might be the reason for my sudden weight gain and hot flashes?

Sudden weight gain and hot flashes could indicate a hormonal imbalance, such as thyroid dysfunction. It's advisable to discuss these symptoms with a healthcare provider, who may recommend hormone level tests.


Should I be concerned about my shortness of breath and chest pressure?

Shortness of breath and chest pressure can be concerning and should be evaluated by a healthcare professional to rule out serious conditions. Tests like an ECG or chest X-ray may be necessary. Practicing deep breathing exercises can help manage these symptoms in the meantime.


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