[21F] Experiencing fatigue, weakness, headaches, and mood changes

Patient Description

A 21-year-old female has been experiencing significant fatigue and weakness for a couple of weeks, with symptoms being constant and gradually worsening. She describes her fatigue as severe, rating it a 9 out of 10, and reports feeling lightheaded. The patient also has an intermittent, dull, achy headache rated 4 out of 10 in intensity. Additionally, she has been having difficulty concentrating and has noticed mood changes, particularly increased anxiety in the afternoons. She has a long-standing history of anxiety, dating back to her pre-teen years. The patient has a family history of thyroid disorders but is unsure of the specifics. Her current medications include Abilify (7.5mg), Prozac (40mg), and Lamotrigine (150mg), which she has been taking for 2 years to manage her mental health issues. She denies any recent weight changes, chest pain, shortness of breath, and allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Chronic Fatigue Syndrome (CFS): This condition is characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue worsens with physical or mental activity, but doesn't improve with rest. It's often accompanied by other symptoms such as headaches, difficulty concentrating, and mood changes.

    • There's no specific test for CFS. Your doctor will need to rule out other potential causes of your fatigue before diagnosing you with CFS. Treatment typically focuses on symptom relief.
  • Anemia: This is a condition in which you lack enough healthy red blood cells to carry adequate oxygen to your body's tissues. It can cause fatigue, weakness, and lightheadedness.

    • Anemia is usually confirmed with a complete blood count (CBC) test. Treatment depends on the type and cause of anemia, but may include dietary changes, supplements, or medications.
  • Thyroid disorders: Given your family history, it's possible that a thyroid disorder such as hypothyroidism could be causing your symptoms. Hypothyroidism can cause fatigue, weakness, and mood changes.

    • Thyroid disorders can be diagnosed with a simple blood test and are usually treated with medication.
  • Side effects of medication: Some of the medications you're taking, such as Abilify and Prozac, can cause fatigue and other side effects.

    • If you suspect your medication may be causing your symptoms, it's important to talk to your doctor. Do not stop taking your medication without consulting your doctor first.

What you can do

  1. Schedule an appointment with your doctor to discuss your symptoms. They may want to run some tests to rule out conditions like anemia and thyroid disorders.
  2. Keep a symptom diary. Note when your symptoms occur, what you're doing when they happen, and anything that makes them better or worse. This can help your doctor identify patterns and potential triggers.
  3. Try to maintain a balanced diet and get regular exercise, as these can help improve symptoms of fatigue.
  4. Practice good sleep hygiene. Try to go to bed and wake up at the same time every day, keep your bedroom dark and quiet, and avoid caffeine and electronics before bed.
  5. Consider talking to a mental health professional about your anxiety and mood changes. They can provide strategies to help manage these symptoms.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or you develop new symptoms
  • You feel faint or lose consciousness
  • You have thoughts of harming yourself or others

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

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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, headaches, difficulty concentrating, and mood changes. The fatigue often worsens with physical or mental activity.


How is anemia diagnosed and treated?

Anemia is usually diagnosed with a complete blood count (CBC) test, which measures the levels of red blood cells and hemoglobin. Treatment depends on the type and cause of anemia and may include dietary changes, supplements, or medications.


What are the symptoms of hypothyroidism and how is it diagnosed?

Symptoms of hypothyroidism can include fatigue, weakness, weight gain, cold intolerance, and mood changes. It is diagnosed with a blood test that measures levels of thyroid hormones and thyroid-stimulating hormone (TSH).


Can medications like Abilify and Prozac cause fatigue?

Yes, medications like Abilify and Prozac can cause fatigue as a side effect. If you suspect your medication is causing fatigue, it's important to talk to your doctor before making any changes to your medication regimen.


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