[18F] Experiencing palpitations, dizziness, and nausea

Patient Description

An 18-year-old female reports feeling an abnormal awareness of her heartbeat, described as palpitations, along with dizziness and nausea. She mentions that her vision is unaffected, and the dizziness, which she characterizes as lightheadedness, began approximately 2 hours ago after arriving home. The dizziness is rated as a 4 on a severity scale of 1-10 and is exacerbated by remaining still. Additionally, she experiences goosebumps without a clear trigger. There is no mention of any pre-existing conditions, medications, or other symptoms at this time.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possible explanations for your symptoms:

  • Anxiety or Panic Disorder: These conditions can cause a variety of physical symptoms, including a racing heart, dizziness, and nausea. Anxiety can also make you hyper-aware of your heartbeat.

    • Treatment typically involves cognitive behavioral therapy, medication, and lifestyle changes.
  • Dehydration: This can cause lightheadedness, especially when standing up, and an increased heart rate.

    • Treatment involves rehydrating with water or electrolyte-rich fluids.
  • Anemia: This condition, which is common in women of your age, can cause dizziness and an increased heart rate.

    • Treatment typically involves dietary changes and/or iron supplements.
  • Heart rhythm disorder: Certain conditions can cause an irregular heartbeat, which you might perceive as your heart feeling "weird". Some of these conditions can also cause dizziness.

    • Treatment depends on the specific disorder, but may involve medication, lifestyle changes, or in some cases, surgery.

What you can do

Given your symptoms, it would be a good idea to see a healthcare provider for a proper evaluation. In the meantime, here are some steps you can take:

  1. Try to stay hydrated and eat regular, balanced meals.
  2. Avoid caffeine and alcohol, which can dehydrate you and exacerbate your symptoms.
  3. Try to get regular exercise, but avoid activities that make your symptoms worse.
  4. If you're feeling anxious, try deep breathing exercises or other relaxation techniques.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Chest pain or pressure
  • Difficulty breathing
  • Fainting or loss of consciousness
  • Severe or worsening dizziness

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare provider for an accurate diagnosis.

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10 mo ago

People Also Ask


What are palpitations and what causes them?

Palpitations are the feeling of having a fast-beating, fluttering, or pounding heart. They can be caused by stress, anxiety, caffeine, nicotine, fever, or exercise. Sometimes, they may be related to a heart rhythm disorder.


How can dehydration lead to dizziness and palpitations?

Dehydration can lead to a decrease in blood volume, which can cause the heart to beat faster to maintain blood pressure and circulation, leading to palpitations. It can also cause dizziness, especially when standing up, due to reduced blood flow to the brain.


What are the common symptoms of anemia in young women?

Common symptoms of anemia in young women include fatigue, weakness, pale or yellowish skin, irregular heartbeats, shortness of breath, dizziness, or lightheadedness. It often results from a deficiency in iron, vitamin B12, or folate.


How can anxiety or panic disorders cause physical symptoms like dizziness and nausea?

Anxiety or panic disorders can trigger the body's 'fight or flight' response, releasing adrenaline and other stress hormones. This can lead to physical symptoms such as a racing heart, dizziness, nausea, and hyper-awareness of bodily sensations.


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