[25F] Experiencing dizziness, chest pain, and fatigue

Patient Description

A 25-year-old female has been experiencing lightheadedness for the past 11 days, which is moderate and worsens with movement and exertion. Relief is found through sleep. Episodes occur daily, lasting from minutes to hours. She reports intermittent dull chest pain since late September, radiating to the upper middle back, rated 5/10, fluctuating in intensity. Accompanying symptoms include shortness of breath, nausea, and episodes of fainting or near-fainting. The patient has a history of sinus tachycardia, managed with Metoprolol 12.5 mg once daily at bedtime, and asthma, diagnosed in 2020, using Albuterol as needed. Family history includes a grandmother who passed from a heart attack and a mother with type 1 diabetes, hypertension, and arrhythmia. Allergies include Amoxicillin, penicillin, augmentin, and codeine. Recent blood tests showed elevated white blood cells and platelets.

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Arora's Assessment

What might be happening

Your symptoms could be related to several potential issues:

  1. Cardiac Concerns: Given your chest pain, palpitations, and family history, it's important to consider heart-related issues. Conditions like angina or arrhythmias could explain these symptoms. Elevated white blood cells and platelets might indicate inflammation or stress on the body.

  2. Anemia or Blood Disorders: Lightheadedness and fatigue, along with elevated white blood cells and platelets, could suggest a blood disorder or anemia. This would require further investigation through blood tests.

  3. Respiratory Issues: Your history of asthma and shortness of breath could contribute to your symptoms, especially if your asthma is not well-controlled.

  4. Inflammatory or Autoimmune Conditions: Your suspicion of an inflammatory disease could be relevant, as these conditions can cause fatigue, dizziness, and elevated blood markers.

What you can do

Cardiac Concerns:

  • Seek medical attention: It's important to see a healthcare provider to evaluate your heart health. They may recommend tests like an ECG or echocardiogram.
  • Monitor symptoms: Keep track of when your symptoms occur and any potential triggers.

Blood Disorders:

  • Follow up on blood tests: Discuss your elevated white blood cells and platelets with your doctor to determine if further testing is needed.

Respiratory Issues:

  • Manage asthma: Ensure your asthma is well-controlled. Use your inhaler as prescribed and avoid known triggers.

General Health:

  • Rest and hydration: Continue to rest and stay hydrated, as this can help with fatigue and dizziness.
  • Symptom tracking: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

  • Worsening chest pain or shortness of breath: Seek immediate medical attention if these symptoms become severe.
  • Fainting episodes: If you experience fainting, it's important to get evaluated promptly.
  • New or worsening symptoms: Keep an eye on any changes and report them to your healthcare provider.

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

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2 mo ago


People Also Ask


What could be causing my lightheadedness and dizziness?

Lightheadedness and dizziness can be caused by a variety of factors including dehydration, anemia, heart issues, or blood disorders. It's important to consult with a healthcare provider to determine the underlying cause.


How can I manage my asthma symptoms more effectively?

To manage asthma symptoms effectively, ensure you are using your inhaler as prescribed, avoid known triggers, and have regular check-ups with your healthcare provider to adjust your treatment plan as needed.


What should I do if I experience chest pain and shortness of breath?

If you experience chest pain and shortness of breath, it's crucial to seek immediate medical attention as these could be signs of a serious condition such as a heart problem or severe asthma attack.


Why might my blood tests show elevated white blood cells and platelets?

Elevated white blood cells and platelets can indicate inflammation, infection, or stress on the body. It's important to discuss these results with your doctor to determine if further investigation is needed.


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