[19F] With multiple symptoms including headache, fatigue, and heart palpitations

Patient Description

A 19-year-old female presents with a range of symptoms including headaches located on the forehead, which started gradually last week and are rated as 6.5 out of 10 in intensity. These headaches come and go and are not triggered by specific activities. The patient reports extreme fatigue that persists even with caffeine consumption. She experiences muscle pain and wakes up with bruises on her legs. The patient also reports clear vaginal discharge, slightly more than usual, and frequent bowel movements described as 'small big poops.' Heart palpitations occur when working or walking at a fast pace. The patient's last menstrual period began on October 26, and she has not yet taken a pregnancy test. Nausea is triggered by certain smells, but there are no unusual cravings or changes in appetite. The patient had a sinus infection approximately one month ago and denies any known allergies, chronic illnesses, or current medications. No recent travel or significant stress reported. The patient has had no new sexual partners and primarily engages in oral sex with her boyfriend.

Arora's Assessment

What might be happening

Your symptoms could be related to several different issues:

Tension Headaches: These are common and can cause pain in the forehead. They often come and go and can be triggered by stress or fatigue.
Fatigue and Muscle Pain: These could be due to stress, lack of sleep, or even a viral infection. Since your period is late, hormonal changes might also contribute to these symptoms.
Heart Palpitations: These can be caused by stress, anxiety, caffeine, or hormonal changes. They are often harmless but should be monitored.
Digestive Changes: Frequent bowel movements and abdominal discomfort could be related to diet, stress, or a mild gastrointestinal issue.
Late Period: This could be due to stress, hormonal changes, or pregnancy. Taking a pregnancy test can help rule out pregnancy.

What you can do

Headaches: Try to manage stress and ensure you're getting enough rest. Over-the-counter pain relief like ibuprofen may help, but consult a healthcare provider if headaches persist.
Fatigue: Prioritize sleep and maintain a regular sleep schedule. Limit caffeine intake and try to incorporate light exercise into your routine.
Heart Palpitations: Monitor when they occur and try to reduce stress. Avoid excessive caffeine and stay hydrated.
Digestive Issues: Maintain a balanced diet and stay hydrated. If symptoms persist, consider consulting a healthcare provider.
Late Period: Consider taking a home pregnancy test. If negative and your period doesn't start soon, consult a healthcare provider.

What you should look out for

Seek medical attention if you experience:

Severe or persistent headaches
Fainting or severe dizziness
Persistent or worsening heart palpitations
Significant changes in bowel habits
Any other concerning symptoms

Remember, it's important to consult a healthcare professional for a proper diagnosis and treatment. You can use MDandMe to journal your symptoms, track progress, and share notes with your provider.

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2 mo ago

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