[18F] Experiencing hair loss, abdominal cramping, and sleep disturbances

Patient Description

An 18-year-old female has been experiencing significant hair thinning, primarily at the top of the scalp, for approximately 5 months. She reports her hair is falling out in large amounts, noticeable on her pillow, during brushing, and in the shower. Additionally, she has been suffering from random stabbing pains in the left lumbar region for about 3 months, which have been progressively worsening. The pain occurs sporadically throughout the day without a clear trigger. She also reports difficulty sleeping, only managing 6-7 hours per night and still feeling exhausted, along with random weight fluctuations and a lack of appetite. She has not found relief with a heating pad for the abdominal cramps and does not take over-the-counter pain medication. There is no reported relation of the cramps to her menstrual cycle or bowel movements.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible conditions:

  • Polycystic Ovary Syndrome (PCOS): This is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. The ovaries may develop numerous small collections of fluid (follicles) and fail to regularly release eggs. Symptoms can include hair loss, weight fluctuation, and abdominal pain.

    • Treatment typically involves lifestyle changes like a healthy diet and regular exercise. Medication may also be prescribed to manage symptoms and regulate the menstrual cycle.
  • Thyroid Disorders: The thyroid gland produces hormones that regulate the body's metabolic rate, heart and digestive function, muscle control, brain development, mood, and bone maintenance. Its correct functioning depends on having a good supply of iodine from the diet. Conditions such as hypothyroidism (underactive thyroid) or hyperthyroidism (overactive thyroid) can cause symptoms like hair loss, weight changes, and sleep disturbances.

    • Treatment typically involves medication to regulate the thyroid hormone levels in your body.
  • Stress or Anxiety: High levels of stress or anxiety can cause a variety of physical symptoms, including hair loss, changes in appetite, weight fluctuations, sleep disturbances, and even abdominal pain.

    • Treatment typically involves stress management techniques and, in some cases, medication or therapy.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may want to conduct some tests to determine the cause of your symptoms.
  2. Try to maintain a balanced diet and regular exercise routine. This can help manage your weight and may improve your sleep.
  3. Try to manage your stress levels. This could involve relaxation techniques such as deep breathing, meditation, or yoga.

What you should look out for

  • If your symptoms worsen or if you develop new symptoms, seek medical attention immediately.
  • If you notice any changes in your menstrual cycle, such as missed periods or unusually heavy or light periods, contact your healthcare provider.
  • If you experience sudden or severe abdominal pain, seek medical attention immediately.

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

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1 yr ago

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People Also Ask


What are the common symptoms of Polycystic Ovary Syndrome (PCOS)?

Common symptoms of PCOS include irregular menstrual cycles, excess androgen levels leading to symptoms like hair thinning or acne, weight gain, and ovarian cysts. Some women may also experience difficulty with fertility.


How can thyroid disorders affect hair and weight?

Thyroid disorders can lead to hair loss and weight changes due to the imbalance in hormone levels. Hypothyroidism can cause hair thinning and weight gain, while hyperthyroidism might lead to hair loss and weight loss.


Can stress or anxiety cause physical symptoms like hair loss and abdominal pain?

Yes, high levels of stress or anxiety can manifest physically, causing symptoms such as hair loss, changes in appetite, weight fluctuations, sleep disturbances, and abdominal pain.


What lifestyle changes can help manage symptoms of PCOS or thyroid disorders?

Lifestyle changes that can help manage symptoms include maintaining a balanced diet, engaging in regular physical activity, managing stress through techniques like meditation or yoga, and ensuring adequate sleep. These changes can help regulate weight and improve overall well-being.


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