[25F] Experiencing dizziness, faintness, chest tightness, and persistent thirst

Patient Description

A 25-year-old female presents with dizziness described as a severe 'brain misfiring' sensation, rated 7 out of 10 in severity, and occurring both while lying down and standing. This has been ongoing for 2 days, with episodes of near fainting. The patient also reports chest tingling and tightness for the past 12 hours and 24 hours, respectively, without associated shortness of breath, palpitations, or radiating pain. Additionally, she experiences persistent coldness and head tingling with dizziness. The patient has been feeling extremely thirsty for 3 days and has had a loss of appetite for 2 weeks, eating only once a day, but without any weight changes. No pre-existing conditions, allergies, or medications were reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are several possible conditions that could be causing your symptoms:

  • Orthostatic Hypotension: This condition involves a sudden drop in blood pressure when you stand up from a sitting or lying position, causing dizziness or fainting. It may explain your dizziness and fainting episodes, but it doesn't account for all your symptoms.

    • Treatment usually involves lifestyle changes, such as standing up slowly and ensuring adequate fluid and salt intake. In some cases, medication may be prescribed.
  • Anemia: This condition, characterized by a lack of healthy red blood cells to carry adequate oxygen to your body's tissues, could explain your dizziness, fatigue, and coldness. However, it does not account for all your symptoms.

    • Treatment depends on the cause and severity of the anemia, but it often involves dietary changes or supplements, medication, procedures, or surgery to treat blood loss.
  • Dehydration: Your extreme thirst and dizziness could be signs of dehydration, which can occur if you don't drink enough fluids or you lose too much fluid.

    • Treatment involves replacing lost fluids and electrolytes.
  • Hyperthyroidism: An overactive thyroid (hyperthyroidism) can cause a variety of symptoms, such as fatigue, increased heart rate, and intolerance to cold. However, it doesn't account for all your symptoms.

    • Treatment usually involves medication to slow down your thyroid, and in some cases, surgery may be necessary.
  • Anxiety Disorders: Anxiety can cause a variety of physical symptoms, including dizziness, chest tightness, and tingling. However, it doesn't account for all your symptoms.

    • Treatment usually involves a combination of psychotherapy (talk therapy), cognitive behavioral therapy, and medication.

Please note that these are only potential explanations based on the symptoms you've provided, and they may not be the actual cause of your symptoms. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

While waiting for your appointment with a healthcare professional, here are some things you can do:

  1. Try to stay hydrated. Drink plenty of fluids, especially water.
  2. Eat small, frequent meals to help manage your loss of appetite.
  3. Rest and avoid strenuous activities to help manage your fatigue.
  4. Practice deep breathing exercises to help manage your chest tightness and dizziness.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe chest pain or pressure
  • Trouble breathing
  • Fainting
  • Severe abdominal pain
  • A high fever (temperature over 100.4°F)
  • Symptoms that are getting worse or not improving

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

Top picked over-the-counter products for Orthostatic Hypotension: American Heart Association Guidelines

People Also Ask


What are the common causes of dizziness and near fainting?

Common causes of dizziness and near fainting include dehydration, low blood pressure (orthostatic hypotension), anemia, and anxiety. It's important to identify the underlying cause to address the symptoms effectively.


How can dehydration lead to symptoms like extreme thirst and dizziness?

Dehydration occurs when the body loses more fluids than it takes in, leading to a decrease in blood volume. This can cause dizziness due to reduced blood flow to the brain and extreme thirst as the body signals the need to replenish fluids.


What lifestyle changes can help manage orthostatic hypotension?

To manage orthostatic hypotension, it's recommended to stand up slowly, increase fluid and salt intake, wear compression stockings, and avoid prolonged standing. In some cases, medication may be necessary.


Can anxiety cause physical symptoms like chest tightness and tingling?

Yes, anxiety can manifest physically, causing symptoms such as chest tightness, tingling, dizziness, and even palpitations. These symptoms occur due to the body's 'fight or flight' response, which can affect the cardiovascular and nervous systems.


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