[22F] Experiencing dizziness, nosebleeds, and numbness

Patient Description

A 22-year-old female is reporting one week of significant lightheadedness rated 7/10 in severity, which occurs immediately upon standing, walking, getting up, or turning in bed, and is also present while sitting or lying still. Additionally, the patient has experienced two nosebleeds in the past two days, which is unusual for her as she has not had nosebleeds in years. She also reports fatigue and numbness in her face. There are no reported recent injuries to the nose or face, and no relief from the dizziness has been identified.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, you might be experiencing one of the following conditions:

  • Orthostatic Hypotension: This is a form of low blood pressure that happens when you stand up from sitting or lying down. It can make you feel dizzy or lightheaded, and maybe even faint.

    • Treatment typically involves lifestyle changes such as drinking plenty of fluids and standing up slowly.
  • Anemia: This condition occurs when you have a deficiency of red cells or of hemoglobin in the blood, resulting in pallor and fatigue. Nosebleeds could potentially be a sign of anemia if you're losing enough blood.

    • Treatment for anemia includes taking iron supplements and eating iron-rich foods.
  • Anxiety or Panic Disorder: These disorders can cause a variety of physical symptoms, including dizziness, lightheadedness, and numbness or tingling in various parts of the body.

    • Treatment typically involves a combination of therapy and medication.
  • Migraine: This is a type of headache that can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

    • Treatment for migraines includes a variety of medications to help reduce the frequency and severity of migraines.

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 to provide a diagnosis.

What you can do

  1. Try to stand up slowly from a sitting or lying position.
  2. Stay hydrated and maintain a balanced diet.
  3. Try to avoid triggers that may cause dizziness or nosebleeds.
  4. Keep a symptom diary to track when and under what circumstances your symptoms occur. This can be helpful information to provide to your doctor.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms worsen or do not improve.
  • You experience severe headache, chest pain, shortness of breath, or difficulty speaking.
  • You have a high fever or stiff neck.
  • You experience sudden, severe abdominal pain or are vomiting blood or have blood in your stool.
  • You experience sudden changes in vision or loss of consciousness.

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always important to consult with a healthcare professional for an accurate diagnosis.

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10 mo ago

People Also Ask


What causes orthostatic hypotension and how can it be managed?

Orthostatic hypotension is caused by a sudden drop in blood pressure when standing up, which can be due to dehydration, prolonged bed rest, or certain medications. It can be managed by staying hydrated, standing up slowly, and sometimes adjusting medications under a doctor's guidance.


How can anemia lead to symptoms like fatigue and nosebleeds?

Anemia can cause fatigue because the body doesn't have enough red blood cells to carry adequate oxygen to tissues. Nosebleeds might occur if anemia is due to a bleeding disorder or significant blood loss. Treatment often involves iron supplements and dietary changes.


What are the common symptoms of anxiety or panic disorders?

Anxiety or panic disorders can cause symptoms such as dizziness, lightheadedness, rapid heartbeat, sweating, trembling, and numbness or tingling in the body. These symptoms can be managed with therapy, medication, and stress-reduction techniques.


How can migraines cause symptoms like dizziness and numbness?

Migraines can cause dizziness and numbness due to changes in brain activity and blood flow. These symptoms are often accompanied by severe headaches, nausea, and sensitivity to light and sound. Treatment includes medications to reduce frequency and severity, and lifestyle changes to avoid triggers.


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