[20F] Experiencing dizziness and cold extremities

Patient Description

A 20-year-old female reports experiencing dizziness with a brief loss of vision lasting about 3 seconds when standing up from a sitting position. This has been occurring daily. The severity of the dizziness is rated as a 3 or 4 out of 10. Additionally, the patient notes that her hands and feet feel cold easily, and her nails are breakable. There are no relieving factors mentioned for the dizziness, and it does not vary in intensity throughout the day. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you provided, possible explanations for your symptoms include:

  • Orthostatic Hypotension: This condition is characterized by a sudden drop in blood pressure when you stand up from a sitting or lying position, leading to dizziness or lightheadedness. It's not usually serious unless it causes fainting or falls.

    • Treatment typically involves lifestyle modifications such as standing up slowly, staying hydrated, and avoiding alcohol.
  • Anemia: This condition is characterized by a lack of healthy red blood cells to carry adequate oxygen to your body's tissues. Symptoms can include dizziness, cold hands and feet, and brittle nails.

    • Treatment usually involves dietary changes or supplements to increase your iron intake, and in more severe cases, medication or blood transfusions may be necessary.
  • Hypothyroidism: This is a condition where your thyroid gland doesn't produce enough thyroid hormones. Symptoms can include fatigue, cold sensitivity, and brittle nails.

    • Treatment typically involves daily use of the synthetic thyroid hormone levothyroxine.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Stand up slowly from a sitting or lying position.
  2. Stay hydrated and avoid alcohol.
  3. Eat a balanced diet rich in iron, such as red meat, beans, and fortified cereals.

What you should look out for

Reasons to see a doctor more urgently:

  • If your dizziness is accompanied by fainting, chest pain, or shortness of breath.
  • If you notice any changes in your menstrual cycle, such as heavier or more frequent periods.
  • If your symptoms worsen or you develop new symptoms.

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional who can provide advice based on a thorough examination.

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10 mo ago

People Also Ask


What is orthostatic hypotension and how can it be managed?

Orthostatic hypotension is a condition where your blood pressure drops significantly when you stand up from sitting or lying down, causing dizziness or lightheadedness. It can be managed by standing up slowly, staying hydrated, and avoiding alcohol.


How does anemia cause symptoms like dizziness and brittle nails?

Anemia is a condition where there is a deficiency of red blood cells or hemoglobin, leading to inadequate oxygen supply to the body's tissues. This can cause symptoms like dizziness, cold extremities, and brittle nails. Treatment often involves increasing iron intake through diet or supplements.


What are the common symptoms of hypothyroidism?

Common symptoms of hypothyroidism include fatigue, sensitivity to cold, weight gain, dry skin, and brittle nails. It occurs when the thyroid gland doesn't produce enough hormones.


When should I see a doctor for dizziness and related symptoms?

You should see a doctor if your dizziness is accompanied by fainting, chest pain, or shortness of breath, if you notice changes in your menstrual cycle, or if your symptoms worsen or new symptoms develop.


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