[20F] Experiencing hot flashes, shortness of breath, and nausea

Patient Description

A 20-year-old female has been experiencing sudden and intense hot flashes, shortness of breath, and nausea since last night. The hot flashes, which last less than 5 minutes, trigger shortness of breath and are accompanied by sweating. These symptoms worsen at night but can occur at any time, including while eating, working, or watching TV. Deep breaths and fresh air provide some relief. The patient also experiences dizziness and lightheadedness. She uses an e-cigarette and occasionally cannabis. She has a history of a heart murmur diagnosed at birth. She is not currently on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

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

  • Panic Disorder: This is a type of anxiety disorder characterized by recurring severe panic attacks. It may also include significant behavioral changes lasting at least a month and ongoing worry about the implications or concern about having other attacks. The body's fight-or-flight response is triggered at random times, causing symptoms such as shortness of breath, sweating, and nausea.

    • Treatment typically involves psychotherapy, medication, or both.
  • Hyperthyroidism: This is a condition in which your thyroid gland produces too much of the hormone thyroxine. It can accelerate your body's metabolism, causing unintentional weight loss and a rapid or irregular heartbeat. Symptoms can include sweating, heat intolerance, and shortness of breath.

    • Treatment can involve medication, radioactive iodine, or surgery.
  • Nicotine Withdrawal: If you've recently quit or cut back on nicotine, you may be experiencing withdrawal symptoms. These can include sweating, nausea, and shortness of breath.

    • Treatment involves managing symptoms and may include nicotine replacement therapy.
  • Menopause: Although you're young for this, some women do experience early menopause. Symptoms can include hot flashes, night sweats, and mood changes.

    • Treatment typically involves hormone replacement therapy.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

Here are some general suggestions that may help while you seek medical attention:

  1. Try to reduce stress in your life as it can exacerbate many health problems.
  2. Maintain a healthy lifestyle. This includes eating a balanced diet, getting regular exercise, and ensuring you get enough sleep.
  3. Avoid triggers that you notice worsen your symptoms.
  4. Stay hydrated, especially if you're experiencing hot flashes and sweating.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen significantly
  • You experience chest pain
  • You have trouble breathing
  • You faint or lose consciousness

Remember, this advice is intended to be general in nature, and specific causes may need different approaches. Always consult with a healthcare professional for accurate information.

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10 mo ago

People Also Ask


What are the common symptoms of panic disorder?

Common symptoms of panic disorder include sudden and repeated panic attacks, intense fear, heart palpitations, sweating, trembling, shortness of breath, and a feeling of loss of control.


How can hyperthyroidism affect my body?

Hyperthyroidism can cause symptoms such as rapid heartbeat, weight loss, increased appetite, nervousness, anxiety, sweating, and heat intolerance due to an overactive thyroid gland.


What are the signs of nicotine withdrawal?

Signs of nicotine withdrawal can include irritability, anxiety, difficulty concentrating, increased appetite, cravings for nicotine, and physical symptoms like sweating and nausea.


Is it possible to experience early menopause at a young age?

Yes, while less common, some women can experience early menopause, which can include symptoms like hot flashes, night sweats, and mood changes, even in their 20s or 30s.


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