[19M] With recurrent fever, fatigue, and other symptoms triggered by physical exertion and sun exposure

Patient Description

A 19-year-old male presents with recurrent episodes of fever, fatigue, and sweating, which have been occurring for the past four years. These episodes are often triggered by physical exertion or exposure to the sun. Additional symptoms include loss of appetite, dizziness, blurred vision (described as seeing black), elevated blood pressure, nausea, vomiting, muscle cramps, weakness, chest pain, palpitations, reduced hearing, voice changes, and pale skin. The patient reports that these symptoms can last from two to three days. There is no significant weight loss, and the patient has no known chronic medical conditions or recent exposure to extreme environmental conditions or toxins. The patient lives in Iraq, which may contribute to the symptoms due to the climate. The patient has experienced a drop in blood pressure by 5 degrees during these episodes. No medications were reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible conditions that could explain what you're experiencing:

  • Heat Exhaustion or Heat Stroke: Given that your symptoms worsen with sun exposure and physical exertion, heat-related illnesses are a strong possibility. Symptoms like high fever, sweating, dizziness, blurred vision, high blood pressure, nausea, vomiting, muscle cramps, and paleness can all be associated with heat exhaustion or heat stroke.

    • Treatment: Immediate cooling measures such as moving to a cooler place, drinking water, and applying cool cloths to your body. Severe cases may require medical attention.
  • Adrenal Insufficiency: This condition can cause fatigue, low blood pressure, loss of appetite, and other symptoms you mentioned. It can be triggered or worsened by physical stress.

    • Treatment: Hormone replacement therapy and managing stress levels. A healthcare provider can confirm this with specific blood tests.
  • Thyroid Disorders: Conditions like hyperthyroidism or hypothyroidism can cause fatigue, changes in appetite, sweating, and other symptoms.

    • Treatment: Medication to regulate thyroid hormone levels. Blood tests can help diagnose this condition.
  • Chronic Fatigue Syndrome (CFS): This condition can cause severe fatigue, especially after physical or mental exertion, along with other symptoms like dizziness and muscle pain.

    • Treatment: Symptom management, including lifestyle changes and medications. A healthcare provider can help diagnose and manage this condition.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Stay Hydrated: Drink plenty of water, especially when you're working or exposed to the sun.
  2. Avoid Sun Exposure: Try to stay in the shade or indoors during peak sun hours. Wear protective clothing and use sunscreen.
  3. Rest and Recovery: Ensure you get enough rest and avoid overexerting yourself. Listen to your body and take breaks when needed.
  4. Monitor Symptoms: Keep track of your symptoms, including when they occur and their severity. Use the MDandMe app to journal your symptoms, track progress, and share this information with your healthcare provider.
  5. Balanced Diet: Maintain a nutritious diet to support your overall health and energy levels.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Symptoms: If your fever becomes very high, or if you experience severe dizziness, confusion, or loss of consciousness.
  • Persistent Symptoms: If your symptoms do not improve with rest and hydration, or if they worsen over time.
  • New Symptoms: If you develop new symptoms such as chest pain, difficulty breathing, or severe headaches.

Remember, it's crucial to consult a healthcare professional to get a formal diagnosis and appropriate treatment. They can provide personalized advice and may recommend specific tests to better understand your condition.

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5 mo ago

People Also Ask


What are the common symptoms of heat exhaustion or heat stroke?

Common symptoms of heat exhaustion or heat stroke include high fever, heavy sweating, dizziness, nausea, vomiting, muscle cramps, and pale skin. It's important to cool down immediately and seek medical attention if symptoms are severe.


How can adrenal insufficiency affect my health?

Adrenal insufficiency can lead to symptoms such as fatigue, low blood pressure, loss of appetite, and muscle weakness. It can be triggered by physical stress and requires hormone replacement therapy for management.


What are the signs of thyroid disorders?

Signs of thyroid disorders can include fatigue, changes in appetite, weight fluctuations, sweating, and mood changes. Blood tests can help diagnose conditions like hyperthyroidism or hypothyroidism.


What lifestyle changes can help manage Chronic Fatigue Syndrome (CFS)?

Managing Chronic Fatigue Syndrome involves lifestyle changes such as pacing activities, ensuring adequate rest, maintaining a balanced diet, and possibly using medications to manage symptoms. Consulting a healthcare provider for a tailored plan is recommended.


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