[18F] Experiencing weakness, polydipsia, polyphagia, and blurred vision

Patient Description

An 18-year-old female reports persistent tiredness and weakness affecting her arms and legs, rated as 6.5 out of 10 in severity, which has been present for approximately 3 months. She experiences consistent weakness throughout the day without any known injuries or accidents. The patient also describes new-onset blurred vision that occurs after sugar intake, rating the severity of her lightheadedness as 8 out of 10. She has been feeling abnormally thirsty and hungry for about 2 and a half months, with a slight increase in urination likely due to high water intake. Additionally, she reports a rapid heart rate of 140 beats per minute at rest and symptoms of severe dehydration. The patient has a history of anemia diagnosed 5 months ago, which is improving. She does not take any medications, has no known drug allergies, and does not use recreational drugs, alcohol, or tobacco. There is no known family history of diabetes or thyroid disease.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Diabetes: This is a condition where your body either doesn't produce enough insulin or can't effectively use the insulin it does produce. This can lead to high blood sugar levels, which can cause symptoms like increased thirst and urination, unexplained weight loss, fatigue, and blurred vision.

  • Hyperthyroidism: This is a condition where your thyroid gland produces too much thyroid hormone. This can speed up your metabolism, causing unexplained weight loss, rapid or irregular heartbeat, sweating, and irritability or nervousness.

  • Anemia: You mentioned you have a history of anemia, which can cause fatigue and weakness. However, it doesn't typically cause the other symptoms you're experiencing.

What you can do

Given your symptoms, it's important that you see a healthcare provider as soon as possible. They can perform tests to determine what's causing your symptoms and recommend appropriate treatment. In the meantime, try to maintain a balanced diet and stay hydrated.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Severe dehydration symptoms such as very dry skin, dizziness, or fainting
  • Rapid or irregular heartbeat
  • Changes in your level of consciousness

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.

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11 mo ago

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People Also Ask


What are the common symptoms of diabetes in young adults?

Common symptoms of diabetes in young adults include increased thirst and urination, unexplained weight loss, fatigue, blurred vision, and sometimes increased hunger. These symptoms occur due to high blood sugar levels affecting the body's normal functions.


How can hyperthyroidism affect heart rate and metabolism?

Hyperthyroidism can lead to an overproduction of thyroid hormones, which speeds up the body's metabolism. This can result in symptoms such as a rapid or irregular heartbeat, weight loss, increased appetite, nervousness, and sweating.


Can anemia cause symptoms like fatigue and weakness even if it's improving?

Yes, anemia can still cause fatigue and weakness even if it's improving. Anemia is characterized by a lack of healthy red blood cells, which can lead to reduced oxygen delivery to the body's tissues, causing these symptoms.


What are the signs of severe dehydration and why is it important to address them quickly?

Signs of severe dehydration include very dry skin, dizziness, fainting, and confusion. It's important to address dehydration quickly because it can lead to serious complications, such as kidney damage, heat injury, and shock, which can be life-threatening.


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