[20F] Experiencing a range of symptoms including hair loss and brain fog

Patient Description

A 20-year-old female is reporting multiple symptoms that have developed over the past week. These symptoms include skin breakouts, hair falling out, weight gain, persistent tiredness, brain fog, increased anxiety, vivid dreams, and visual disturbances such as spots in vision and flashes of light. The patient notes that the brain fog, characterized by a feeling of being tired and spaced out, worsens when lying in bed all day but does not significantly impact her ability to perform daily activities or work. She has experienced hair loss before, and recently she observed a substantial increase in shedding, particularly noticeable when washing her hair or brushing it, although without the formation of bald spots. The patient has not indicated any known triggers or related health conditions that may be contributing to these symptoms.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, the following conditions could be possible:

  • Hypothyroidism: This is a condition where your thyroid gland doesn't produce enough thyroid hormones. Symptoms can include fatigue, weight gain, hair loss, and brain fog. Anxiety can also be a symptom of hypothyroidism.

    • Treatment typically involves taking a daily hormone replacement tablet called levothyroxine to raise your thyroxine levels.
  • Polycystic Ovary Syndrome (PCOS): This is a common condition that affects how a woman's ovaries work. Symptoms can include weight gain, hair loss, and anxiety. However, this condition is usually associated with irregular periods or heavy bleeding, which you have not mentioned.

    • Treatment for PCOS usually involves lifestyle changes like eating a healthy, balanced diet and exercising regularly. Medication may also be prescribed to manage individual symptoms.
  • Stress or Anxiety Disorder: High levels of stress or having an anxiety disorder can lead to symptoms like brain fog, hair loss, and weight gain.

    • Treatment usually involves a combination of therapy and medication.

What you can do

It's important to consult a healthcare professional for a proper diagnosis and treatment plan. They may need to run some tests to confirm the diagnosis. In the meantime, here are some things you can do:

  1. Try to maintain a healthy lifestyle. This includes eating a balanced diet, getting regular exercise, and ensuring you get enough sleep.
  2. Practice stress management techniques, such as mindfulness or meditation, which may help with your brain fog and anxiety.
  3. Keep a symptom diary. This can help you and your healthcare provider identify any patterns or triggers for your symptoms.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms significantly worsen
  • You experience sudden or severe hair loss
  • You develop new symptoms, such as palpitations, severe anxiety, or depression

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


What are the common symptoms of hypothyroidism?

Common symptoms of hypothyroidism include fatigue, weight gain, hair loss, brain fog, dry skin, cold intolerance, and depression. It's important to consult a healthcare provider for a proper diagnosis.


How can stress or anxiety lead to physical symptoms like hair loss and weight gain?

Stress and anxiety can trigger hormonal changes in the body, leading to physical symptoms such as hair loss and weight gain. Chronic stress can affect the body's metabolism and immune system, contributing to these symptoms.


What lifestyle changes can help manage symptoms of PCOS?

Lifestyle changes that can help manage PCOS symptoms include maintaining a healthy weight through a balanced diet and regular exercise, managing stress, and possibly using medications to regulate menstrual cycles and reduce symptoms.


When should I seek medical attention for visual disturbances like spots in vision or flashes of light?

You should seek medical attention for visual disturbances if they are sudden, severe, or accompanied by other symptoms like headaches, as they could indicate a more serious underlying condition.


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