[21F] Experiencing shakiness, sweating, and fatigue

Patient Description

A 21-year-old female presents with recent onset of shakiness in the hands and arms, accompanied by sweating and fatigue. These symptoms began a few minutes prior to the encounter. The patient has a history of asthma, diagnosed at the age of 3, but is not currently on any medications. There are no known allergies or adverse reactions to medications. The patient is not pregnant and has not identified any specific activities or situations that exacerbate or alleviate the symptoms.

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Arora's Assessment

What might be happening

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

  • Hypoglycemia: This is a condition characterized by low blood sugar levels. Symptoms can include shakiness, sweating, and fatigue. This is more common in people with diabetes, but can occur in people without diabetes under certain circumstances.

    • Treatment typically involves consuming a source of fast-acting sugar, such as a glucose tablet, fruit juice, or a sugary non-diet drink.
  • Anxiety: This is a common condition characterized by excessive worry or fear. Physical symptoms can include shakiness, sweating, and fatigue.

    • Treatment can involve a combination of therapy, medication, and lifestyle changes.
  • Hyperthyroidism: This is a condition where the thyroid gland produces too much thyroid hormone. Symptoms can include shakiness, sweating, and fatigue.

    • Treatment typically involves medication to reduce the production of thyroid hormone.

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

What you can do

Given your symptoms, it's important to seek medical attention. Here are some things you can do:

  1. If you have access to a glucose monitor, check your blood sugar levels. If they are low, consume a source of fast-acting sugar.
  2. Try to calm down and relax. Deep breathing exercises can help if your symptoms are due to anxiety.
  3. Make an appointment with a healthcare provider for a full evaluation. They may want to run some tests to rule out conditions like hyperthyroidism.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or do not improve after trying the above steps.
  • You experience any new symptoms, such as chest pain, shortness of breath, or confusion.
  • You feel like you might pass out.

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 provider for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of hypoglycemia and how can it be treated?

Common symptoms of hypoglycemia include shakiness, sweating, fatigue, confusion, and irritability. It can be treated by consuming fast-acting sugars such as glucose tablets, fruit juice, or sugary drinks.


How can anxiety manifest physically and what are some ways to manage it?

Anxiety can manifest physically through symptoms like shakiness, sweating, fatigue, rapid heartbeat, and shortness of breath. Management can include therapy, medication, relaxation techniques, and lifestyle changes.


What are the signs of hyperthyroidism and what treatments are available?

Signs of hyperthyroidism include shakiness, sweating, fatigue, weight loss, increased heart rate, and nervousness. Treatments typically involve medications to reduce thyroid hormone production, radioactive iodine, or surgery.


When should someone seek immediate medical attention for symptoms like shakiness and sweating?

Immediate medical attention should be sought if symptoms worsen, do not improve with initial interventions, or if new symptoms like chest pain, shortness of breath, or confusion occur.


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