[20F] Experiencing a range of symptoms including emotional instability

Patient Description

A 20-year-old female reports experiencing extreme hunger, emotional instability, tiredness, frequent urination, and migraines for approximately one week. The patient describes significant emotional instability, characterized by unprovoked crying and anger. The emotional responses are described as intense and include crying over minor issues, such as the unavailability of a preferred ice cream flavor, and snapping at her husband without clear cause. These episodes occur randomly throughout the day and are not triggered by specific situations. The patient has not found any activities or techniques to effectively manage these symptoms. The emotional instability is affecting her daily life and relationships.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Early Pregnancy: Given that you're unsure if you're pregnant and your last period was two weeks ago, your symptoms could be early signs of pregnancy. These can include mood swings, increased hunger, fatigue, frequent urination, and headaches.

    • Pregnancy can be confirmed with a home pregnancy test or by a healthcare provider.
  • Premenstrual Syndrome (PMS): If you're not pregnant, these symptoms could be due to hormonal changes in the second half of your menstrual cycle. PMS can cause mood swings, cravings, fatigue, and headaches.

    • Treatment often involves lifestyle changes, such as regular exercise, a balanced diet, and adequate sleep. Over-the-counter pain relievers can help with headaches.
  • Stress or Anxiety: Emotional instability, increased hunger, fatigue, and headaches could be signs of stress or anxiety.

    • Treatment can involve stress management techniques, therapy, and in some cases, medication.

What you can do

  1. Take a home pregnancy test: If you're sexually active and there's a chance you could be pregnant, taking a home pregnancy test could provide some clarity.

  2. Monitor your symptoms: Keep track of when your symptoms occur and what makes them better or worse. This can help you and your healthcare provider figure out what's causing them.

  3. Practice self-care: Regular exercise, a balanced diet, and adequate sleep can help manage many of the symptoms you're experiencing.

What you should look out for

Please seek immediate medical attention if:

  • Your emotional instability becomes severe or you start having thoughts of harming yourself or others.
  • Your headaches become severe or are accompanied by other symptoms such as vision changes, difficulty speaking, or weakness on one side of your body.
  • You have severe abdominal pain or heavy vaginal bleeding.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care.

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10 mo ago

People Also Ask


Can extreme hunger and frequent urination be early signs of pregnancy?

Yes, extreme hunger and frequent urination can be early signs of pregnancy. Other symptoms may include mood swings, fatigue, and headaches. A home pregnancy test or consultation with a healthcare provider can confirm pregnancy.


What are common symptoms of premenstrual syndrome (PMS)?

Common symptoms of PMS include mood swings, cravings, fatigue, headaches, bloating, and breast tenderness. These symptoms typically occur in the second half of the menstrual cycle and can vary in intensity.


How can stress or anxiety manifest in physical symptoms?

Stress or anxiety can manifest in physical symptoms such as emotional instability, increased hunger, fatigue, headaches, muscle tension, and digestive issues. These symptoms can affect daily life and may require management techniques or professional help.


What are some effective self-care practices for managing emotional instability?

Effective self-care practices for managing emotional instability include regular exercise, maintaining a balanced diet, ensuring adequate sleep, practicing mindfulness or meditation, and seeking support from friends, family, or mental health professionals.


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