[21F] With insomnia, appetite loss, and episodic numbness

Patient Description

A 21-year-old female reports experiencing insomnia, stress, changes in body weight, lightheadedness, elevated heart rate, and loss of appetite. Sleep issues occur often, lasting about a week, and seem related to stress due to changes at work. Difficulty gaining weight has persisted for about 8 years, with a very low appetite, feeling full after a few bites. Dizziness has been present for about 3 years, described as both lightheadedness and spinning. Abdominal pain started 7 years ago, both sharp and dull, recently moving to the pelvis with a severity of 6 out of 10. Bowel habits include both diarrhea and constipation, with no nausea or blood in the stool. Suspects Adderall might affect symptoms, though healthcare provider mentioned it's normal. Consumes about one soda a day. Family history includes small appetites and sister with hyperthyroidism. Open to thyroid level check. Recently stopped taking vitamin D supplements. Occasionally experiences numbness on the face, in the mouth, and the right side of the body, with a recent episode of impaired speech, described as terrifying.

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Arora's Assessment

What might be happening

Your symptoms could be related to several potential issues:

  1. Thyroid Problems: Given your family history of hyperthyroidism, it's possible that thyroid issues could be affecting your appetite, weight, and energy levels. Thyroid function tests can help determine this.

  2. Adderall Side Effects: Adderall can cause appetite suppression, insomnia, and increased heart rate. It's important to discuss these side effects with your healthcare provider.

  3. Nutritional Deficiencies: Low appetite and weight loss could lead to deficiencies, which might contribute to dizziness and fatigue. Blood tests can check for deficiencies.

  4. Neurological Concerns: The numbness and speech difficulties you experienced could be related to neurological issues. It's important to discuss these symptoms with a healthcare provider promptly.

What you can do

Sleep and Stress Management:

  • Practice relaxation techniques like deep breathing or meditation before bed.
  • Maintain a regular sleep schedule, even on weekends.
  • Limit caffeine and screen time before bed.

Appetite and Nutrition:

  • Eat small, frequent meals throughout the day.
  • Focus on nutrient-dense foods like nuts, avocados, and smoothies.
  • Consider speaking with a nutritionist for personalized advice.

Dizziness and Heart Rate:

  • Stand up slowly to prevent dizziness.
  • Stay hydrated and maintain a balanced diet.
  • Monitor your heart rate and discuss any concerns with your doctor.

Neurological Symptoms:

  • Seek medical attention for any new or worsening symptoms, especially numbness or speech difficulties.

General Health:

  • Consider getting your thyroid levels checked.
  • Use MDandMe to journal your symptoms and track progress, which can be shared with your healthcare provider.

What you should look out for

Seek medical care if you experience:

  • Persistent or worsening numbness or speech difficulties.
  • Significant weight loss or inability to eat.
  • Severe dizziness or fainting.
  • Any new or concerning symptoms.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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3 mo ago

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People Also Ask

Can stress and insomnia affect my appetite and weight?

Yes, stress and insomnia can significantly impact your appetite and weight. Stress can lead to changes in eating habits, either increasing or decreasing appetite, and insomnia can affect metabolism and energy levels, potentially leading to weight changes.

What are the common side effects of Adderall, and how can they be managed?

Common side effects of Adderall include appetite suppression, insomnia, increased heart rate, and anxiety. Managing these side effects involves discussing them with your healthcare provider, who may adjust your dosage or suggest lifestyle changes to mitigate these effects.

How can I tell if my symptoms are related to a thyroid problem?

Symptoms of thyroid problems can include changes in weight, appetite, energy levels, and heart rate. A family history of thyroid issues increases your risk. A thyroid function test, which measures levels of thyroid hormones in your blood, can help determine if your symptoms are related to a thyroid problem.

What should I do if I experience numbness and speech difficulties?

If you experience numbness and speech difficulties, it's important to seek medical attention promptly. These symptoms could indicate a neurological issue that requires further evaluation by a healthcare professional to determine the underlying cause and appropriate treatment.

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