[18F] Experiencing severe headache, difficulty breathing, and heart palpitations

Patient Description

An 18-year-old female reports a severe headache that is constant, throbbing, and primarily located at the back of the head. The headache worsens with changes in position and pressure, such as standing or using the restroom. Accompanying symptoms include difficulty breathing, with a sensation of gasping for air and a cold feeling in the throat, as well as heart palpitations that are noticeable and pounding, particularly when exercising. These symptoms have been present for approximately 12 hours, with the palpitations starting about an hour prior to the encounter. The patient also experiences diarrhea, described as liquid and scant, and diffuse stomach pain that is currently at a moderate level but was more severe earlier. Additionally, there is a dull ache of body soreness, primarily in the neck, back, and legs. The patient feels lightheaded, unbalanced, and has a sensation of nausea, especially when staring off into space or changing positions. There is no history of travel, no known allergies, no current medications, and no pre-existing conditions reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, some possible conditions that could be causing your symptoms include:

  • Viral Gastroenteritis (Stomach Flu): This is an inflammation of your stomach and intestines caused by a viral infection. Symptoms can include diarrhea, stomach pain, nausea, and sometimes muscle aches and fever.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to help with symptoms.
  • Panic Disorder or Anxiety: These conditions can cause symptoms like racing heart, difficulty breathing, dizziness, and gastrointestinal issues like diarrhea and stomach pain. However, these would typically be associated with feelings of intense fear or terror that reach a peak within minutes (panic attacks).

    • Treatment can involve cognitive behavioral therapy, medications, and lifestyle changes.
  • Hyperthyroidism: This is a condition where your thyroid gland produces too much thyroid hormone, which can speed up your body's metabolism causing rapid or irregular heartbeat, sudden weight loss, and sweating.

    • Treatment can involve medication, radioactive iodine, surgery, or a combination of these.
  • Influenza (Flu): This is a common viral infection that can be deadly, especially in high-risk groups. The flu attacks the lungs, nose and throat. Symptoms include body aches, fever, headache, sore throat, congestion, and stomach symptoms like diarrhea.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to help with symptoms. Antiviral drugs may also be prescribed.

Please note that these are just possible conditions and you should seek care from a healthcare professional for a formal diagnosis and treatment.

What you can do

  1. Rest and stay hydrated. Drink plenty of fluids to replace those lost from diarrhea and fever.
  2. Over-the-counter medications may help with symptoms. For example, ibuprofen can help with fever and body aches.
  3. If your symptoms persist or worsen, seek medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Pain or pressure in your chest or abdomen
  • Sudden dizziness or confusion
  • Severe or persistent vomiting
  • Flu-like symptoms that improve but then return with fever and worse cough

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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11 mo ago

People Also Ask


What are the common symptoms of viral gastroenteritis?

Common symptoms of viral gastroenteritis include diarrhea, stomach pain, nausea, vomiting, and sometimes fever and muscle aches. It is often referred to as the stomach flu, although it is not related to influenza.


How can anxiety or panic disorders affect physical health?

Anxiety or panic disorders can cause a variety of physical symptoms such as rapid heartbeat, difficulty breathing, dizziness, gastrointestinal issues like diarrhea, and muscle tension. These symptoms often accompany feelings of intense fear or panic.


What are the signs and symptoms of hyperthyroidism?

Signs and symptoms of hyperthyroidism include rapid or irregular heartbeat, sudden weight loss, increased appetite, nervousness, anxiety, tremors, sweating, and sensitivity to heat. It can also cause changes in menstrual patterns and fatigue.


How can influenza be distinguished from other viral infections?

Influenza can be distinguished from other viral infections by its sudden onset of symptoms such as high fever, chills, body aches, fatigue, and respiratory symptoms like cough and sore throat. Unlike the common cold, the flu can cause severe symptoms and complications, especially in high-risk groups.


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