[19F] Experiencing sudden weight gain and sleep disturbances

Patient Description

A 19-year-old female reports a significant weight gain of 40 pounds over the course of a year, with a sudden increase of 30 pounds in one month, primarily around the belly. The patient has not noticed any changes in eating habits or diet that could contribute to the weight gain. Additionally, the patient is experiencing trouble sleeping and menstrual irregularities. There is a noted deficiency in vitamin B12 but no other symptoms such as severe headaches, changes in vision, new facial hair growth, or acne were reported. The patient's medical history, pre-existing conditions, or chronic illnesses were not disclosed.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be considered:

  • Hypothyroidism: This is a condition where your thyroid gland doesn't produce enough of certain crucial hormones. Hypothyroidism may not cause noticeable symptoms in the early stages, but over time, untreated hypothyroidism can cause a number of health problems, such as obesity, joint pain, infertility and heart disease. The symptoms you've described such as weight gain, trouble sleeping, and menstrual irregularities can be associated with this condition.

    • Diagnosis usually involves a simple blood test to measure your levels of thyroid hormones. Treatment typically involves daily use of the synthetic thyroid hormone levothyroxine.
  • Polycystic Ovary Syndrome (PCOS): This is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. The ovaries may develop numerous small collections of fluid (follicles) and fail to regularly release eggs. The exact cause of PCOS is unknown.

    • Diagnosis usually involves blood tests and ultrasound. Treatment focuses on managing individual concerns, such as infertility, hirsutism, acne or obesity.
  • Cushing's syndrome: This occurs when your body is exposed to high levels of the hormone cortisol for a long time. Cushing's syndrome, sometimes called hypercortisolism, may be caused by the use of oral corticosteroid medication. The condition can also occur when your body makes too much cortisol. Too much cortisol can produce some of the hallmark signs of Cushing's syndrome — a fatty hump between your shoulders, a rounded face, and pink or purple stretch marks on your skin.

    • Diagnosis usually involves urine and blood tests, and possibly a scan of the adrenal or pituitary glands. Treatment for Cushing's syndrome can return your body's cortisol production to normal and noticeably improve your symptoms.

What you can do

You should consult with a healthcare provider for a formal diagnosis. They may need to conduct further tests, such as blood tests, to confirm a diagnosis. In the meantime, maintaining a balanced diet and regular exercise can help manage your weight and overall health.

What you should look out for

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

  • Rapid or extreme changes in weight
  • Severe abdominal pain
  • Signs of a severe allergic reaction, such as difficulty breathing, hives, or swelling of the face, lips, tongue, or throat

Please remember that while I strive to provide accurate information, I am an AI and cannot replace the advice of a healthcare professional. Always consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

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People Also Ask


What are the common symptoms of hypothyroidism?

Common symptoms of hypothyroidism include fatigue, weight gain, cold intolerance, dry skin, hair loss, muscle weakness, depression, and menstrual irregularities. A blood test measuring thyroid hormone levels is typically used for diagnosis.


How is Polycystic Ovary Syndrome (PCOS) diagnosed?

PCOS is usually diagnosed through a combination of medical history, physical examination, blood tests to measure hormone levels, and an ultrasound to check the appearance of the ovaries and the thickness of the uterine lining.


What are the signs and symptoms of Cushing's syndrome?

Signs and symptoms of Cushing's syndrome include weight gain, particularly around the abdomen and face, a fatty hump between the shoulders, pink or purple stretch marks, thinning skin, easy bruising, and high blood pressure. Diagnosis often involves urine and blood tests, and imaging tests to check the adrenal or pituitary glands.


How can a vitamin B12 deficiency affect my health?

Vitamin B12 deficiency can lead to symptoms such as fatigue, weakness, constipation, loss of appetite, weight loss, and neurological changes like numbness and tingling in the hands and feet. It can also cause anemia and affect mood and memory.


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