[23F] Experiencing fatigue and increased appetite

Patient Description

A 23-year-old female presents with a 2-day history of constant fatigue and increased appetite. The fatigue is described as physical exhaustion that contrasts with her mental energy and motivation. It is exacerbated by activities such as sitting, walking, and standing, but partially alleviated by rest. Despite a consistent sleep pattern of over 8 hours per night, the patient feels ravenous and continues to eat beyond feeling full. She also reports increased urination and water intake without a change in thirst levels. A week ago, the patient experienced a panic attack in the heat. Her medical history includes iron deficiency anemia and orthostatic hypotension, managed with iron supplements and increased dietary sodium and water intake, respectively. She is currently using the Annovera birth control ring and takes 36 mg of ferrous bisglycinate chelate every 2-3 days. Known allergies include aspirin and miconazole nitrate.

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Arora's Assessment

What might be happening

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

  • Overexertion or Stress: Mental or physical stress can lead to feelings of fatigue and increased appetite. This could be due to work-related stress, emotional stress, or lack of restful sleep.

    • Treatment typically involves rest, stress management techniques, and ensuring a healthy diet and regular exercise.
  • Hypothyroidism: This condition is characterized by an underactive thyroid gland, which can lead to fatigue, increased appetite, and sensitivity to cold. However, weight gain is also a common symptom, which you did not report.

    • Treatment typically involves hormone replacement therapy.
  • Diabetes: Increased appetite, fatigue, and increased urination can be symptoms of diabetes. However, increased thirst is also a common symptom, which you did not report.

    • Treatment typically involves medication, dietary changes, and regular exercise.
  • Iron Deficiency Anemia: Your known history of this condition can contribute to feelings of fatigue. However, it would not explain your increased appetite.

    • Treatment typically involves iron supplements, which you are already taking.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to alleviate your symptoms:

  1. Ensure you are getting enough rest and managing stress effectively. This could involve techniques such as meditation, yoga, or other relaxation exercises.
  2. Maintain a balanced diet and regular exercise routine. This can help manage your appetite and improve your energy levels.
  3. Continue taking your iron supplements as directed by your doctor.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms persist or worsen over time
  • If you develop new symptoms, such as weight gain, increased thirst, or sensitivity to cold
  • If you experience any severe symptoms, such as chest pain or difficulty breathing

Remember, I am an AI and not a doctor. Please seek care from a health professional to receive a formal diagnosis and treatment if appropriate.

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10 mo ago

People Also Ask


What are common causes of constant fatigue in young adults?

Common causes of constant fatigue in young adults include stress, lack of sleep, poor diet, anemia, thyroid disorders, and chronic illnesses. It's important to evaluate lifestyle factors and consult a healthcare provider for a proper diagnosis.


Can birth control methods like the Annovera ring affect appetite or energy levels?

Hormonal birth control methods, including the Annovera ring, can sometimes affect appetite and energy levels due to hormonal changes. However, these effects vary among individuals and should be discussed with a healthcare provider if they are concerning.


How can iron deficiency anemia contribute to fatigue?

Iron deficiency anemia can lead to fatigue because iron is essential for producing hemoglobin, which carries oxygen in the blood. Without enough iron, the body struggles to get enough oxygen to tissues, leading to tiredness and weakness.


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

Symptoms of hypothyroidism include fatigue, weight gain, increased sensitivity to cold, dry skin, and hair loss. It is diagnosed through blood tests that measure levels of thyroid hormones and thyroid-stimulating hormone (TSH).


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