[23F] Experiencing multisystem symptoms including tachycardia and neuropathy

Patient Description

A 23-year-old female presents with a 5-hour history of a burning sensation in the arms, accompanied by weakness and soreness. She reports fatigue, changes in sleep patterns, tachycardia with a resting heart rate of around 117 bpm, and shortness of breath on exertion, such as climbing a flight of stairs or walking more than 900 feet. These cardiovascular and respiratory symptoms have been present for approximately 4 months and 2 years, respectively, and worsen in the evening. The patient has a history of Celiac disease diagnosed in 2012. She is currently taking Wellbutrin and Adderall and reports no allergies to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, several conditions could be contributing to your symptoms:

  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory, and mood issues. The burning sensation and weakness in your arms, along with fatigue and changes in sleep patterns, could be indicative of this condition.

    • Treatment typically includes a combination of medications, exercise, stress-management measures, and healthy lifestyle habits.
  • Chronic Fatigue Syndrome (CFS): This is a complex disorder characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue worsens with physical or mental activity, but doesn't improve with rest. Your symptoms of fatigue, changes in sleep patterns, and shortness of breath could be indicative of CFS.

    • Treatment focuses on symptom relief.
  • Side effects of your current medications (Wellbutrin and Adderall): Both these medications can cause some of the symptoms you're experiencing, such as tachycardia and shortness of breath.

    • If these side effects are severe or bothersome, you should discuss this with your doctor. They may adjust your dosage or switch you to a different medication.
  • Anxiety Disorders: Anxiety can cause physical symptoms like rapid heart rate, shortness of breath, and fatigue. It can also cause changes in sleep patterns.

    • Treatment typically includes a combination of psychotherapy, behavioral therapy, and medication.

Please note that these are potential explanations based on the information you've provided, and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some steps you can take:

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may refer you to a specialist, such as a rheumatologist, if they suspect fibromyalgia or CFS.
  2. Discuss your current medications with your doctor, especially if you suspect they might be contributing to your symptoms.
  3. Try to maintain a healthy lifestyle. Regular exercise, a healthy diet, and adequate sleep can help manage symptoms of many conditions, including fibromyalgia and CFS.
  4. Practice stress-management techniques, such as deep breathing, meditation, and yoga. These can help manage symptoms of anxiety and improve overall well-being.

What you should look out for

You should seek immediate medical attention if you experience:

  • Chest pain or discomfort
  • Trouble breathing or shortness of breath that is getting worse
  • Fainting or loss of consciousness
  • Severe weakness or difficulty moving any part of your body
  • Any other symptom that is severe or concerning to you

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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11 mo ago

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People Also Ask


What are the common symptoms of fibromyalgia?

Common symptoms of fibromyalgia include widespread musculoskeletal pain, fatigue, sleep disturbances, memory issues, and mood changes. Patients may also experience headaches, irritable bowel syndrome, and sensitivity to noise or temperature.


Can Wellbutrin and Adderall cause tachycardia and shortness of breath?

Yes, both Wellbutrin and Adderall can cause side effects such as tachycardia (increased heart rate) and shortness of breath. If these symptoms are severe or bothersome, it is important to discuss them with a healthcare provider.


What lifestyle changes can help manage symptoms of Chronic Fatigue Syndrome?

Lifestyle changes that can help manage symptoms of Chronic Fatigue Syndrome include maintaining a regular sleep schedule, engaging in gentle exercise, managing stress through techniques like meditation or yoga, and eating a balanced diet. It's also important to pace activities to avoid overexertion.


How can anxiety disorders affect physical health?

Anxiety disorders can lead to physical symptoms such as rapid heart rate, shortness of breath, fatigue, and changes in sleep patterns. Chronic anxiety can also contribute to muscle tension, headaches, and digestive issues, impacting overall physical health.


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