[23F] Experiencing intense hot flashes and severe dizziness

Patient Description

A 23-year-old female has been experiencing intense hot flashes for the past 3 weeks, accompanied by severe dizziness and headaches. The hot flashes occur periodically throughout the day, with increased frequency at night, lasting a couple of minutes each time. The dizziness is severe enough to require her to stop activities and sit down, and it is triggered by standing up. She also reports experiencing night sweats and palpitations but denies any recent changes in her menstrual cycle, mood, appetite, or weight. The patient uses tobacco products, specifically vaping every other day, but has not identified any specific triggers for her symptoms. There is no family history of hormonal or endocrine disorders, and she has not experienced any recent lifestyle changes that might contribute to her symptoms.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—intense hot flashes, severe dizziness, night sweats, and palpitations—there are a few possible explanations:

  • Hormonal Imbalance: This could be related to your thyroid or other hormonal fluctuations. Thyroid issues, such as hyperthyroidism, can cause symptoms like hot flashes, palpitations, and dizziness. Testing your thyroid function might be a good step to take.

  • Vasovagal Syncope: This is a condition that can cause dizziness and fainting, often triggered by standing up. It might explain the severe dizziness you experience when standing.

  • Anxiety or Stress-Related Symptoms: While you haven't noted changes in mood, physical symptoms of anxiety can include palpitations, dizziness, and sweating.

It's important to consult with a healthcare professional to get a proper diagnosis and treatment plan. They may recommend blood tests or other evaluations to determine the cause of your symptoms.

What you can do

While waiting to see a healthcare provider, here are some steps you can take:

  1. Stay Hydrated: Continue drinking plenty of water, as dehydration can worsen dizziness.
  2. Monitor Symptoms: Keep a journal of your symptoms using MDandMe. Note when they occur, their severity, and any potential triggers. This information can be helpful for your doctor.
  3. Avoid Triggers: If you notice certain activities or environments worsen your symptoms, try to avoid them.
  4. Practice Deep Breathing: This can help manage palpitations and reduce stress.
  5. Limit Stimulants: Reduce caffeine and nicotine intake, as they can exacerbate palpitations and dizziness.

What you should look out for

Seek medical attention if you experience:

  • Severe or worsening symptoms
  • Fainting or loss of consciousness
  • Chest pain or difficulty breathing
  • Any new or concerning symptoms

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. If you have any more questions or need further assistance, feel free to ask!

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11 d ago

People Also Ask


What could be causing my intense hot flashes and dizziness?

Intense hot flashes and dizziness can be caused by several factors, including hormonal imbalances, thyroid issues, vasovagal syncope, or anxiety-related symptoms. It's important to consult with a healthcare professional for a proper diagnosis.


Are my symptoms related to a hormonal imbalance?

Yes, your symptoms could be related to a hormonal imbalance, such as thyroid dysfunction. Conditions like hyperthyroidism can cause hot flashes, palpitations, and dizziness. A healthcare provider may recommend testing your thyroid function.


How can I manage my symptoms while waiting to see a doctor?

To manage your symptoms, stay hydrated, monitor and journal your symptoms, avoid known triggers, practice deep breathing, and limit stimulants like caffeine and nicotine. These steps can help alleviate some of the discomfort while you wait for a medical evaluation.


When should I seek immediate medical attention for my symptoms?

Seek immediate medical attention if you experience severe or worsening symptoms, fainting or loss of consciousness, chest pain, difficulty breathing, or any new or concerning symptoms. These could indicate a more serious underlying condition.


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