[18F] Experiencing fatigue, rapid heart rate, polyphagia, polydipsia, and weight loss

Patient Description

An 18-year-old female presents with a 2-month history of fatigue, rapid heart rate, increased hunger and thirst, sudden weight loss, and blurry vision. The patient reports that fatigue is constant, worsens after consuming sugary snacks, and does not improve with rest. The patient's resting heart rate is elevated, ranging from 120 to 140 bpm, occasionally reaching 200 bpm. The patient drinks about 60 ounces of water per hour and up to 180 ounces during physical activities, yet experiences persistent dry mouth. The patient feels hungry most of the day, even after consuming large meals. There is no history of fever or chills, but the patient experiences shortness of breath and chest pain multiple times a day, which is suspected to be related to a pre-existing diagnosed condition. Additionally, the patient reports slightly worse circulation, exacerbating a pre-existing issue. The patient has a family history of thyroid problems. No recent changes in sexual activity, no known drug allergies, and no other medications reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible conditions:

  • Type 1 Diabetes: This is a condition where your body doesn't produce enough insulin, a hormone that regulates the amount of sugar in your blood. Symptoms can include increased thirst and hunger, frequent urination, unexplained weight loss, fatigue, and blurred vision. This condition is often diagnosed in children and young adults, so your age fits with this possibility.

    • To confirm this diagnosis, a doctor would need to perform blood tests to measure your blood sugar levels and possibly your insulin levels. If you do have Type 1 Diabetes, you would need to take insulin injections and monitor your blood sugar levels regularly.
  • Hyperthyroidism: This is a condition where your thyroid gland produces too much thyroid hormone. Symptoms can include rapid heart rate, weight loss, increased appetite, and fatigue. You mentioned a family history of thyroid problems, which can increase your risk of developing this condition.

    • To confirm this diagnosis, a doctor would need to perform blood tests to measure your levels of thyroid hormones. If you do have Hyperthyroidism, treatment options include medication, radioactive iodine, and surgery.

What you can do

You should seek medical attention as soon as possible. These conditions can be serious if left untreated, but they can be managed effectively with the right treatment. In the meantime, try to maintain a balanced diet and stay hydrated.

What you should look out for

If you experience any of the following symptoms, you should seek medical attention immediately:

  • Difficulty breathing
  • Chest pain
  • Confusion or difficulty concentrating
  • A sudden, severe headache
  • Seizures

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. You should consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

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People Also Ask


What are the common symptoms of Type 1 Diabetes?

Common symptoms of Type 1 Diabetes include increased thirst and hunger, frequent urination, unexplained weight loss, fatigue, and blurred vision. These symptoms occur because the body is unable to properly use glucose for energy.


How is Hyperthyroidism diagnosed and treated?

Hyperthyroidism is diagnosed through blood tests that measure levels of thyroid hormones (T3 and T4) and thyroid-stimulating hormone (TSH). Treatment options include antithyroid medications, radioactive iodine therapy, and sometimes surgery to remove part or all of the thyroid gland.


Why might someone with Type 1 Diabetes experience blurry vision?

Blurry vision in someone with Type 1 Diabetes can occur due to high blood sugar levels, which can cause the lens of the eye to swell and change shape, affecting the ability to focus. Managing blood sugar levels can help alleviate this symptom.


What are the potential risks of having a rapid heart rate?

A rapid heart rate, or tachycardia, can lead to complications such as heart palpitations, dizziness, shortness of breath, and in severe cases, heart failure or stroke. It is important to identify and treat the underlying cause to prevent these risks.


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