[18F] Experiencing excessive sweating and sinus issues
Patient Description
An 18-year-old female has been experiencing excessive sweating for the past two weeks, occurring at least three times a day and lasting for 5-10 minutes each time. The sweating episodes happen suddenly and can occur at any time of the day, even when sitting still. There are no specific triggers or changes in environment, lifestyle, or stress levels contributing to the sweating. Additionally, the patient has started to lose appetite and has been dealing with sinus issues for the past two days, without finding any relief. The patient has been waking up in the middle of the night more often recently. There was an episode of shivering while outside in 90-degree weather, but no known fever. The patient has not traveled recently, started any new medications or supplements, and uses weed every night without noticing any changes in symptoms. Family history includes cancer and schizophrenia. Menstrual periods are usually a few days late and can last from four days to a week. No pre-existing conditions or chronic illnesses reported. No current medications.
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Arora's Assessment
What might be happening
Based on the symptoms you've described, here are some possible explanations:
Excessive Sweating and Shivering
- Hyperhidrosis: This condition causes excessive sweating and can occur without any specific triggers. It can be localized or generalized.
- Infection: Given your sinus issues, it's possible that an underlying infection could be causing both the sweating and shivering. Infections can sometimes lead to systemic symptoms like these.
- Hormonal Imbalance: Conditions like hyperthyroidism can cause excessive sweating, changes in appetite, and sleep disturbances.
Loss of Appetite and Sinus Issues
- Upper Respiratory Infection: Sinus issues often accompany upper respiratory infections, which can also lead to a loss of appetite.
- Allergies: Allergic reactions can cause sinus congestion and may also affect your appetite.
Waking Up in the Middle of the Night
- Sleep Disorders: Conditions like sleep apnea or insomnia could be causing you to wake up frequently during the night.
- Anxiety or Stress: Even if you haven't noticed increased stress, it can sometimes manifest in physical symptoms like disrupted sleep.
Family History
- Cancer: Given your family history, it's important to rule out any serious conditions. However, your symptoms are not specific to cancer.
- Schizophrenia: While your symptoms don't directly suggest schizophrenia, it's always good to be aware of your family history.
What you can do
Excessive Sweating and Shivering
- See a Doctor: It's important to consult a healthcare provider to rule out serious conditions like infections or hormonal imbalances. They may recommend blood tests or other diagnostic procedures.
- Stay Hydrated: Drink plenty of water to stay hydrated, especially if you're sweating a lot.
- Wear Breathable Clothing: Opt for loose, breathable fabrics to help manage sweating.
Loss of Appetite and Sinus Issues
- Over-the-Counter Medications: Consider using over-the-counter decongestants or antihistamines to relieve sinus congestion.
- Stay Hydrated: Drinking fluids can help thin mucus and relieve sinus pressure.
- Consult a Doctor: If your sinus issues persist, see a healthcare provider for a more thorough evaluation.
Waking Up in the Middle of the Night
- Sleep Hygiene: Maintain a regular sleep schedule, avoid screens before bedtime, and create a comfortable sleep environment.
- Consult a Doctor: If sleep disturbances continue, a healthcare provider can help identify any underlying issues.
General Advice
- Track Symptoms: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
- Healthy Lifestyle: Maintain a balanced diet and regular exercise to support overall health.
What you should look out for
Given the severity and sudden onset of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:
- High Fever: If you develop a high fever, seek medical attention immediately.
- Severe Pain: Any severe or worsening pain should be evaluated by a healthcare provider.
- Difficulty Breathing: If you experience shortness of breath or difficulty breathing, seek emergency care.
Remember, while I can provide information and suggestions, it's crucial to consult a healthcare professional for a formal diagnosis and treatment plan.
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5 mo ago
