[18F] Experiencing lack of appetite, headaches with exercise, and general weakness

Patient Description

An 18-year-old female has been experiencing a lack of appetite without specific food or smell triggers for approximately 2 weeks, noticing weight loss and a visible decrease in body mass. Concurrently, the patient reports throbbing headaches during exercise, particularly on the right side of the head, which have been occurring for the same duration. These headaches are alleviated only by sleep. The patient also experiences near-fainting episodes, temporary hearing loss, and occasional vision worsening with these headaches. Additionally, the patient feels general weakness and tiredness, especially after physical activity, which has been present for about a month. The patient has a medical history of IBS, flat feet, scoliosis, anxiety, and depression, and is currently on birth control and sertraline (75mg). No allergies or adverse reactions to medications have been reported. No family history of chronic medical conditions was noted. No use of recreational drugs, alcohol, or non-prescribed prescription medications has been indicated.

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Arora's Assessment

What might be happening

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

  • Dehydration: Lack of thirst, lack of appetite, and feeling weak and tired can be symptoms of dehydration. Dehydration can also cause headaches, especially during physical activity.

    • Treatment for dehydration usually involves rehydrating the body by drinking fluids. In severe cases, intravenous fluids may be needed.
  • Anemia: This is a condition in which you lack enough healthy red blood cells to carry adequate oxygen to your body's tissues. Symptoms can include fatigue, weakness, and dizziness.

    • Treatment for anemia usually involves taking iron supplements and eating iron-rich foods.
  • Depression: You've mentioned that you have a history of depression. Lack of appetite, weight loss, and fatigue are common symptoms of depression.

    • Treatment for depression often involves a combination of medication, psychotherapy, and lifestyle changes.
  • Overtraining Syndrome: This happens when you exercise too much without giving your body enough time to rest and recover. Symptoms can include fatigue, decreased performance, and mood changes.

    • Treatment usually involves reducing or stopping exercise for a period of time and focusing on rest and recovery.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

  1. Hydrate: Make sure you're drinking enough fluids, especially water. Even if you don't feel thirsty, try to drink small amounts regularly throughout the day.

  2. Rest: Ensure you're getting enough sleep and rest, especially if you're exercising regularly.

  3. Eat a balanced diet: Try to eat small, balanced meals even if you don't feel hungry. This can help provide your body with the nutrients it needs.

  4. Seek medical attention: It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you should look out for

If your symptoms worsen or if you experience any of the following, seek medical attention immediately:

  • Severe headache or a headache that is different from your usual headaches
  • Severe weakness or fatigue
  • Fainting or loss of consciousness
  • Severe or persistent dizziness
  • Any other symptoms that are severe or concerning to you

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for a definitive diagnosis and treatment.

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1 yr ago

People Also Ask


What are the common symptoms of dehydration and how can it be treated?

Common symptoms of dehydration include thirst, dry mouth, fatigue, dizziness, and headaches. It can be treated by increasing fluid intake, especially water, and in severe cases, intravenous fluids may be necessary.


How does anemia affect the body and what are the treatment options?

Anemia affects the body by reducing the number of healthy red blood cells, leading to symptoms like fatigue, weakness, and dizziness. Treatment typically involves iron supplements and consuming iron-rich foods.


Can depression cause physical symptoms like lack of appetite and fatigue?

Yes, depression can cause physical symptoms such as lack of appetite, weight loss, and fatigue. Treatment often involves medication, psychotherapy, and lifestyle changes.


What is overtraining syndrome and how can it be managed?

Overtraining syndrome occurs when there is excessive exercise without adequate rest, leading to fatigue, decreased performance, and mood changes. Management includes reducing or stopping exercise and focusing on rest and recovery.


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