[20F] Experiencing episodes of feeling hot and cold, lightheadedness, and nausea

Patient Description

A 20-year-old female has been experiencing episodes of feeling hot and cold since yesterday, with these episodes occurring randomly and providing relief when opening a window or using fans. She also feels lightheaded, particularly upon standing, and rates this sensation as an 8 out of 10 in severity. Additionally, she has been feeling unusually tired and has had nausea that has impacted her ability to eat. Visual disturbances have been noted, which are associated with severe migraines that she has experienced since a young age. The patient has a history of depression and anxiety diagnosed at age 10, for which she is currently taking Prozac (40mg daily) and a birth control pill named Heather. She also reports an allergy to Red dye #4.

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Arora's Assessment

What might be happening

Based on the information you've provided, a few possibilities could be causing your symptoms:

  • Viral Infection: Your symptoms of feeling hot and cold, along with fatigue, lightheadedness, and nausea, could be due to a common viral infection, such as the flu. Viral infections can cause a wide range of symptoms and often resolve on their own within a week or two.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Migraine: Migraines can cause a variety of symptoms, including visual disturbances, lightheadedness, and nausea. The fact that you've had migraines with visual disturbances since you were young supports this possibility.

    • Treatment often involves medication to reduce the frequency and severity of migraines, as well as lifestyle changes to avoid known triggers.
  • Anxiety or Panic Disorder: Anxiety can cause a variety of physical symptoms, including feeling hot or cold, lightheadedness, and nausea. Given your history of anxiety, it's possible that your symptoms are related.

    • Treatment typically involves psychotherapy, medication, and lifestyle changes.

Remember, this is not an exhaustive list and other conditions could also be causing your symptoms.

What you can do

  1. Rest and hydrate: If you have a viral infection, rest and hydration are key to recovery. Try to get plenty of sleep and drink lots of fluids.

  2. Over-the-counter medication: Over-the-counter medication can help manage symptoms of a viral infection or a migraine. Always follow the package instructions.

  3. Avoid triggers: If your symptoms are related to migraines or anxiety, avoiding known triggers can help prevent episodes.

  4. Seek medical attention: Given the severity and sudden onset of your symptoms, it's important to seek medical attention. A healthcare professional can provide a proper diagnosis and treatment plan.

What you should look out for

If your symptoms worsen or you develop new symptoms, such as a high fever, severe headache, stiff neck, confusion, or a rash, seek medical attention immediately. These could be signs of a more serious condition.

Please remember that while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What could be causing the sensation of feeling hot and cold randomly?

Feeling hot and cold randomly can be caused by a variety of factors, including viral infections, anxiety, or hormonal changes. It's important to monitor other symptoms and consult a healthcare professional for a proper diagnosis.


How can migraines lead to visual disturbances and nausea?

Migraines can cause visual disturbances and nausea due to changes in brain activity that affect blood flow and nerve signaling. These symptoms are often part of the aura phase of a migraine.


Can anxiety cause physical symptoms like lightheadedness and nausea?

Yes, anxiety can manifest with physical symptoms such as lightheadedness, nausea, and feeling hot or cold. These symptoms are due to the body's stress response and can be managed with therapy, medication, and lifestyle changes.


What should I do if my symptoms worsen or new symptoms appear?

If your symptoms worsen or you develop new symptoms like a high fever, severe headache, stiff neck, confusion, or a rash, it's important to seek medical attention immediately as these could indicate a more serious condition.


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