[18F] Experiencing dissociation, sweating, and dizziness

Patient Description

An 18-year-old female reports experiencing hallucinations the night prior, along with persistent symptoms of dizziness, confusion, excessive sweating, and dissociation. The sweating is described as waking up drenched and feeling overheated, persisting throughout the day, and is exacerbated by standing. Additionally, the patient notes shaking associated with the dizziness, which has been occurring for two days. No further information on the duration or triggers for the other symptoms is provided.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, several conditions could be causing your symptoms:

  • Panic Disorder: This is a type of anxiety disorder characterized by recurrent unexpected panic attacks. Symptoms can include sweating, shaking, a feeling of unreality or detachment (dissociation), and other physical symptoms. Panic attacks often occur without a clear trigger.

    • Treatment usually involves a combination of therapy and medication.

  • Hyperthyroidism: This is a condition where your thyroid gland produces too much thyroid hormone. Symptoms can include excessive sweating, heat intolerance, nervousness, and tremors.

    • Treatment can involve medication, radioactive iodine, or surgery.

  • Orthostatic Hypotension: This is a form of low blood pressure that happens when you stand up from sitting or lying down. It can make you feel dizzy or lightheaded, and you may even faint.

    • Treatment usually involves lifestyle changes and drinking plenty of fluids.

Please note that these are just possibilities and not a definitive diagnosis.

What you can do

You should seek immediate medical attention given the severity and sudden onset of your symptoms. In the meantime, here are some steps you can take:

  1. Try to stay calm. If you're experiencing a panic attack, it can help to focus on your breathing and try to ground yourself in your surroundings.
  2. Stay hydrated and avoid standing up too quickly to help manage symptoms of orthostatic hypotension.
  3. Avoid caffeine and other stimulants which may exacerbate your symptoms.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen or do not improve
  • You experience fainting or loss of consciousness
  • You have a fever or other signs of infection

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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9 mo ago

People Also Ask

What are the common symptoms of panic disorder?

Common symptoms of panic disorder include sudden and repeated panic attacks, which can involve sweating, shaking, shortness of breath, a feeling of unreality or detachment, and a racing heart. These attacks often occur without a clear trigger.

How does hyperthyroidism affect the body?

Hyperthyroidism affects the body by increasing the production of thyroid hormones, which can lead to symptoms such as excessive sweating, heat intolerance, nervousness, tremors, weight loss, and an increased heart rate.

What is orthostatic hypotension and how can it be managed?

Orthostatic hypotension is a condition where blood pressure drops significantly when standing up from sitting or lying down, causing dizziness or lightheadedness. It can be managed by staying hydrated, rising slowly, and sometimes using compression stockings or medications as advised by a doctor.

When should someone seek medical attention for dizziness and confusion?

Medical attention should be sought for dizziness and confusion if the symptoms are severe, sudden, or persistent, especially if accompanied by fainting, loss of consciousness, or other concerning symptoms like a fever or signs of infection.

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