[19F] Experiencing excessive sweating, irregular menstrual cycle, and headaches

Patient Description

A 19-year-old female reports suffering from excessive sweating for approximately two months, affecting her armpits, hands, and feet, even in cold conditions. She also experiences irregular menstrual cycles and frequent headaches, sometimes occurring daily, which she describes as a drilling sensation in the frontal and parietal lobes. Additionally, she has noticed blacking out and headaches when standing up quickly. The patient has a history of moderate hand trembling for several years. She was diagnosed with Hashimoto's disease a year ago and is currently taking vitamin D, a memory-improvement vitamin, and fish oil. No known allergies or adverse reactions to medications have been reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Hyperthyroidism: This condition occurs when your thyroid gland produces too much of the hormone thyroxine. Symptoms can include excessive sweating, irregular menstrual cycles, and tremors. Given your history of Hashimoto's disease, an autoimmune disorder that can cause hypothyroidism or hyperthyroidism, this could be a possibility.

    • Treatment typically involves medication to slow down your thyroid, and in some cases, surgery may be necessary.
  • Anxiety disorders: These are a group of mental health disorders characterized by feelings of anxiety and fear. Symptoms can include excessive sweating, trembling, and headaches.

    • Treatment often involves a combination of psychotherapy, behavioral therapy, and medication.
  • Orthostatic hypotension: This is a form of low blood pressure that happens when you stand up from sitting or lying down. This could explain your vision changes and headaches when getting up suddenly.

    • Treatment usually involves lifestyle changes like drinking plenty of fluids and standing up slowly.

Please note that these are just possibilities and not a definitive diagnosis.

What you can do

Here are some steps you can take:

  1. Schedule an appointment with your doctor to discuss your symptoms. They may want to run some tests to check your thyroid levels or assess for other possible causes.
  2. Try to identify any triggers for your symptoms and avoid them if possible.
  3. Maintain a healthy lifestyle. This includes eating a balanced diet, getting regular exercise, and ensuring you get enough sleep.

What you should look out for

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

  • Severe headache or a headache that is accompanied by a fever, stiff neck, or rash.
  • Sudden or severe abdominal pain.
  • Difficulty breathing or shortness of breath.
  • Chest pain or pressure.
  • Any other severe or concerning symptoms.

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis.

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11 mo ago

People Also Ask


What are the common symptoms of hyperthyroidism?

Common symptoms of hyperthyroidism include excessive sweating, weight loss, rapid heartbeat, nervousness, tremors, and irregular menstrual cycles. It occurs when the thyroid gland produces too much thyroxine.


How can anxiety disorders manifest physically?

Anxiety disorders can manifest physically through symptoms such as excessive sweating, trembling, headaches, rapid heartbeat, and feelings of restlessness or tension.


What is orthostatic hypotension and how can it be managed?

Orthostatic hypotension is a form of low blood pressure that occurs when standing up from a sitting or lying position, leading to dizziness, lightheadedness, or fainting. It can be managed by staying hydrated, standing up slowly, and wearing compression stockings.


How does Hashimoto's disease affect thyroid function?

Hashimoto's disease is an autoimmune disorder where the immune system attacks the thyroid gland, often leading to hypothyroidism (underactive thyroid). However, it can sometimes cause hyperthyroidism (overactive thyroid) as well, especially in the early stages or due to fluctuations in thyroid hormone levels.


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