[18F] Experiencing tingling, blurry vision, and shortness of breath

Patient Description

An 18-year-old female reports a tingling sensation described as 'fizzy' or 'pins and needles' that starts in the extremities and moves towards the body, exacerbated by walking, standing, or climbing stairs. These symptoms began after an illness a few months prior. Accompanying the tingling is blurry vision, which is out of focus and worsens with the severity of the tingling but improves upon resting. The patient also notes mild shortness of breath that started a few days ago, occasional dizziness, and palpitations. There is no history of chest pain, severe headaches, or loss of consciousness. The patient feels generally tired but is unsure if this is related to the other symptoms. The patient's medical history includes taking Sertraline 75mg inconsistently and a Vitamin D supplement, with no known issues from medication non-adherence. The patient has an allergy to Amoxicillin and no other known pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Orthostatic Hypotension: This condition occurs when blood pressure falls significantly as you stand up from lying down or sitting. This can cause dizziness, blurry vision, and sometimes, fainting. The tingling sensation could be due to reduced blood flow to your nerves.

    • Treatment typically involves lifestyle modifications like standing up slowly, increasing fluid intake, and wearing compression stockings. Medications may also be prescribed if necessary.
  • Anemia: This is a condition where your body lacks enough healthy red blood cells to carry adequate oxygen to your body's tissues. This can cause fatigue, shortness of breath, and dizziness. The tingling sensation could be due to a specific type of anemia called pernicious anemia, which affects your body's ability to absorb vitamin B12.

    • Treatment typically involves dietary changes and supplements to increase your iron or vitamin B12 levels. In severe cases, blood transfusions or injections may be necessary.
  • Anxiety Disorders: Anxiety can cause a variety of physical symptoms, including dizziness, shortness of breath, and tingling sensations. The fact that you're taking Sertraline, which is often used to treat anxiety and depression, could be relevant here.

    • Treatment typically involves a combination of medication, psychotherapy, and lifestyle changes.

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 a comprehensive manner.

What you can do

  1. Make an appointment with your doctor to discuss your symptoms. They may want to conduct some tests to determine the cause of your symptoms.
  2. Keep a symptom diary. Note when your symptoms occur, what you're doing at the time, and how long they last. This can help your doctor identify patterns and potential triggers.
  3. Stay hydrated and maintain a balanced diet. This can help manage symptoms of orthostatic hypotension and anemia.
  4. Practice good sleep hygiene. Ensure you're getting enough sleep each night, as fatigue can exacerbate many of the symptoms you're experiencing.
  5. Continue taking your prescribed medications as directed by your doctor.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms significantly worsen
  • You experience severe shortness of breath or chest pain
  • You faint or lose consciousness
  • You have severe abdominal pain or blood in your stool (these could be signs of severe anemia)

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

Top picked over-the-counter products for Orthostatic Hypotension: American Heart Association Guidelines

People Also Ask


What causes the tingling sensation in my extremities?

The tingling sensation, often described as 'pins and needles,' can be caused by reduced blood flow to the nerves, which might occur due to conditions like orthostatic hypotension or anemia. It can also be a symptom of anxiety disorders.


How can blurry vision be related to my other symptoms?

Blurry vision can be related to dizziness and reduced blood flow, as seen in orthostatic hypotension. It can also worsen with anxiety or fatigue, which are linked to the other symptoms you are experiencing.


What are the potential side effects of taking Sertraline inconsistently?

Inconsistent use of Sertraline can lead to withdrawal symptoms or a return of anxiety and depression symptoms. It is important to take it as prescribed to maintain its effectiveness and avoid side effects.


How can I manage symptoms of orthostatic hypotension at home?

To manage orthostatic hypotension at home, you can stand up slowly, increase your fluid intake, wear compression stockings, and ensure you are well-hydrated. These lifestyle changes can help reduce symptoms.


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