[24F] With facial sweating, weakness, and possible piercing infection

Patient Description

A 24-year-old female presents with facial sweating almost enough to drip, occurring constantly over the past day. She reports feeling weak, with accompanying fever and chills. The patient has noticed an increased heart rate and palpitations, though no chest pain is present. Energy levels and appetite are low, and there is slight tremor in the hands. She recently got two piercings that might be infected. There have been no changes in environment or stress levels, and no recent exposure to illness. Medical history includes anemia, with allergies to Azithromycin and Bentyl. Current medications are Zoloft 150mg every morning, Iron every night, and Naltrexone 50mg every morning. No known thyroid issues or family history of thyroid disease. No recent thyroid function or blood tests have been conducted.

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Arora's Assessment

What might be happening

Your symptoms could be related to a few different issues:

  1. Infection from Piercings: If your piercings are infected, this could cause systemic symptoms like fever, chills, and sweating. Infections can sometimes lead to increased heart rate and weakness.

  2. Thyroid Issues: Symptoms like sweating, palpitations, and tremors can sometimes be related to an overactive thyroid, although you mentioned no known history of thyroid problems.

  3. Anemia: Your history of anemia might contribute to feelings of weakness and low energy, but it typically doesn't cause sweating or fever.

Typical treatments or tests might include:

  • For Infection: Cleaning the area, applying antiseptic, and possibly antibiotics if prescribed by a doctor.
  • For Thyroid Issues: Blood tests to check thyroid function.
  • For Anemia: Monitoring iron levels and adjusting supplements if needed.

What you can do

Infection from Piercings:

  • Clean the piercings gently with saline solution.
  • Avoid touching or twisting the piercings unnecessarily.
  • Seek medical attention if redness, swelling, or pain worsens.

General Symptoms:

  • Stay hydrated and rest as much as possible.
  • Monitor your temperature and heart rate.
  • Use over-the-counter pain relief like acetaminophen for fever, if needed.

Track Symptoms:

  • Use MDandMe to journal your symptoms, track progress, and share notes with your healthcare provider.

What you should look out for

Seek medical care if you experience:

  • Increased redness, swelling, or pus around the piercings.
  • Persistent fever or chills.
  • Severe weakness or dizziness.
  • Any new or worsening symptoms.

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

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2 mo ago

People Also Ask

Can an infection from piercings cause systemic symptoms like fever and increased heart rate?

Yes, an infection from piercings can cause systemic symptoms such as fever, chills, increased heart rate, and general weakness as the body responds to the infection.

What are the common symptoms of an overactive thyroid?

Common symptoms of an overactive thyroid (hyperthyroidism) include excessive sweating, palpitations, tremors, weight loss, increased appetite, and anxiety.

How can anemia contribute to feelings of weakness and low energy?

Anemia can lead to feelings of weakness and low energy because it results in a reduced number of red blood cells, which are responsible for carrying oxygen throughout the body. This can cause fatigue and a lack of energy.

What should I do if I suspect my piercings are infected?

If you suspect your piercings are infected, clean them gently with saline solution, avoid unnecessary touching or twisting, and seek medical attention if you notice increased redness, swelling, or pus, or if symptoms worsen.

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