[20M] With persistent fatigue, weakness, and blurred vision

Patient Description

A 20-year-old male reports experiencing constant fatigue, weakness, mild tremors, and blurred vision for several months. The fatigue is particularly bothersome, making it exhausting to stand for long periods, and improves with sitting or lying down. The patient rates the weakness as moderate (5 out of 10). The blurred vision is constant, requiring significant effort to see clearly. Mild tremors worsen with increased activity. The patient also experiences occasional severe headaches after prolonged work followed by rest, but no chest pain. There have been episodes of near-fainting but no palpitations. There is no family history of diabetes or other endocrine disorders, and the patient has no pre-existing conditions or chronic illnesses. The only medication taken is a multivitamin.

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Arora's Assessment

What might be happening

Based on the symptoms you have described, here are some possible conditions that could explain your persistent fatigue, weakness, shakiness, and blurred vision:

  • Chronic Fatigue Syndrome (CFS): This condition is characterized by extreme fatigue that doesn't improve with rest and may worsen with physical or mental activity. Symptoms can include weakness, muscle pain, and difficulty concentrating.

    • Treatment often involves a combination of medication, therapy, and lifestyle changes to manage symptoms.
  • Anemia: A condition where you don't have enough healthy red blood cells to carry adequate oxygen to your body's tissues, leading to fatigue and weakness. It can also cause dizziness and headaches.

    • Treatment typically involves dietary changes, supplements, or medications to increase red blood cell count.
  • Diabetes: High blood sugar levels can lead to fatigue, weakness, blurred vision, and shakiness, especially if blood sugar levels fluctuate widely.

    • Treatment includes lifestyle changes, blood sugar monitoring, and possibly medication or insulin therapy.
  • Hypothyroidism: An underactive thyroid gland can cause fatigue, weakness, and blurred vision, among other symptoms.

    • Treatment usually involves thyroid hormone replacement therapy.
  • Orthostatic Hypotension: A form of low blood pressure that happens when you stand up from sitting or lying down, which can cause dizziness, weakness, and near-fainting.

    • Treatment may include lifestyle changes, medications, and addressing underlying conditions.

What you can do

While you should consult a healthcare provider for a formal diagnosis and appropriate treatment, here are some steps you can take to manage your symptoms in the meantime:

  1. Stay Hydrated: Drink plenty of water throughout the day to help maintain blood pressure and energy levels.
  2. Balanced Diet: Ensure you're eating a balanced diet rich in iron, vitamins, and minerals. Consider foods high in iron like leafy greens, beans, and lean meats.
  3. Monitor Blood Sugar: If you suspect diabetes, try to monitor your blood sugar levels and avoid high-sugar foods.
  4. Rest: Make sure you get adequate rest and avoid overexertion. Listen to your body and take breaks when needed.
  5. Gradual Movements: When standing up, do so slowly to give your body time to adjust and avoid dizziness or near-fainting episodes.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Symptoms: If your symptoms worsen or become severe, such as intense headaches, severe dizziness, or fainting.
  • New Symptoms: If you develop new symptoms like chest pain, shortness of breath, or significant changes in vision.
  • Unexplained Weight Loss: If you notice unexplained weight loss or other significant changes in your health.

Please remember, while this information can be helpful, it is not a substitute for professional medical advice. Consult with a healthcare provider to receive a formal diagnosis and appropriate treatment.

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5 mo ago


People Also Ask


What are the common symptoms of Chronic Fatigue Syndrome (CFS)?

Common symptoms of Chronic Fatigue Syndrome (CFS) include extreme fatigue that doesn't improve with rest, muscle pain, weakness, difficulty concentrating, and sometimes headaches or dizziness.


How can anemia lead to symptoms like fatigue and weakness?

Anemia can lead to fatigue and weakness because it involves a deficiency in healthy red blood cells, which are responsible for carrying oxygen to the body's tissues. Without enough oxygen, the body can feel tired and weak.


What lifestyle changes can help manage diabetes symptoms?

Lifestyle changes to manage diabetes symptoms include maintaining a balanced diet low in sugar and refined carbohydrates, regular physical activity, monitoring blood sugar levels, and possibly losing weight if necessary.


What is orthostatic hypotension and how can it be managed?

Orthostatic hypotension is a form of low blood pressure that occurs when standing up from sitting or lying down, causing dizziness or near-fainting. It can be managed by staying hydrated, standing up slowly, wearing compression stockings, and sometimes taking medications.

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