[18F] Experiencing persistent pins and needles, fatigue, and increased hunger

Patient Description

An 18-year-old female reports experiencing persistent pins and needles in both hands, which occurs primarily when sitting down and has been ongoing for approximately 3 months. Additionally, she has been feeling unusually tired and hungry all the time for the past 2 weeks, without relief from any specific foods or snacks. The patient has not indicated any other symptoms or relevant medical history at this time.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Diabetes: This is a condition where your body doesn't properly process food for use as energy, leading to high blood sugar levels. Symptoms can include increased hunger and fatigue. The tingling in your hands could be a result of nerve damage caused by prolonged high blood sugar levels, a condition known as diabetic neuropathy.

    • Testing for diabetes typically involves blood tests to measure your blood sugar levels. If diagnosed, treatment would involve managing your blood sugar levels through diet, exercise, and possibly medication or insulin therapy.
  • Hypothyroidism: This is a condition where your thyroid gland doesn't produce enough thyroid hormones, which can slow down your metabolism and cause fatigue and weight gain. It can also cause carpal tunnel syndrome, which could explain the tingling in your hands.

    • Testing for hypothyroidism typically involves a blood test to measure your levels of thyroid-stimulating hormone (TSH). If diagnosed, treatment would involve taking daily hormone replacement medication.
  • Vitamin B12 deficiency: This vitamin is important for nerve function and energy production. A deficiency can cause fatigue, increased hunger, and a pins and needles sensation in your hands and feet.

    • Testing for a vitamin B12 deficiency typically involves a blood test. If diagnosed, treatment would involve dietary changes, oral supplements, or injections.

What you can do

It's important to consult with a healthcare provider about your symptoms. They can provide a formal diagnosis and appropriate treatment. In the meantime, you can:

  1. Maintain a balanced diet: Try to include a variety of fruits, vegetables, lean proteins, and whole grains in your meals. This can help ensure you're getting the nutrients you need and may help manage your hunger.
  2. Stay hydrated: Drinking enough water can also help manage your hunger and overall health.
  3. Regular exercise: Physical activity can help boost your energy levels and manage your hunger.

What you should look out for

Please seek immediate medical attention if you experience:

  • Sudden or severe pain
  • Difficulty breathing
  • Confusion or difficulty concentrating
  • Any other severe or concerning symptoms

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, diagnosis, and treatment.

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9 mo ago


People Also Ask


What are the common symptoms of diabetes in young adults?

Common symptoms of diabetes in young adults include increased thirst, frequent urination, extreme hunger, unexplained weight loss, fatigue, irritability, and blurred vision. It's important to get tested if you experience these symptoms.


How can hypothyroidism affect my energy levels and weight?

Hypothyroidism can lead to fatigue, weight gain, and a slowed metabolism because the thyroid gland is not producing enough hormones to regulate the body's energy use. Other symptoms may include dry skin, hair loss, and sensitivity to cold.


What are the signs of a vitamin B12 deficiency?

Signs of a vitamin B12 deficiency include fatigue, weakness, constipation, loss of appetite, weight loss, and neurological changes such as numbness and tingling in the hands and feet. It can also cause mood changes and memory problems.


What lifestyle changes can help manage symptoms of fatigue and increased hunger?

To manage symptoms of fatigue and increased hunger, maintaining a balanced diet with a variety of nutrients, staying hydrated, and engaging in regular physical activity can be beneficial. These lifestyle changes can help improve energy levels and regulate hunger.

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