[25F] Experiencing nausea, fatigue, headaches, hair loss, and daily nosebleeds

Patient Description

A 25-year-old female has been experiencing constant nausea and fatigue for approximately 3 weeks, with nausea rated at a severity of 7 out of 10. The nausea persists throughout the day and is not relieved by any specific actions except laying down. She also reports headaches that come and go, particularly in the back and forehead areas, and these have been occurring for about 2 weeks. Additionally, she has noticed a significant increase in hair loss all over her scalp during the same timeframe. The patient has daily nosebleeds, typically in the evening, which is a new symptom for her. She also feels tired all the time and has a loss of appetite. Her medical history includes mental health conditions such as borderline personality disorder, anxiety, and bipolar disorder, diagnosed at age 18. She is not on any medications except for Tylenol, 1000mg once a day, and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, several conditions could be causing your symptoms:

  • Iron Deficiency Anemia: This condition can cause fatigue, hair loss, and headaches. It's caused by a lack of iron in your body, which can be due to a variety of factors including poor diet, blood loss, or problems with iron absorption.

    • Treatment typically involves iron supplements and addressing the underlying cause of the deficiency.
  • Thyroid Disease: Both hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid) can cause fatigue and hair loss. Hyperthyroidism can also cause increased heart rate and weight loss, while hypothyroidism can cause weight gain and depression.

    • Treatment depends on the type of thyroid disease, but can include medication, radioactive iodine, surgery, or hormone replacement therapy.
  • Chronic Fatigue Syndrome: 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.

    • Treatment focuses on symptom relief.
  • Autoimmune Disease: Conditions such as lupus or rheumatoid arthritis can cause fatigue, hair loss, and other symptoms. These diseases occur when your immune system mistakenly attacks your own body.

    • Treatment typically involves medications to suppress the immune system and manage symptoms.

Please note that these are potential explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may want to run some tests to help determine the cause of your symptoms.
  2. Keep a symptom diary. Note when your symptoms occur, their severity, and any potential triggers. This can help your healthcare provider in their evaluation.
  3. Try to maintain a balanced diet and get regular exercise. These can help improve your overall health and may help alleviate some of your symptoms.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms significantly worsen
  • You experience severe abdominal pain
  • You have difficulty breathing
  • You experience sudden weight loss

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

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1 yr ago

Top picked over-the-counter products for Tingling or Cold Sensations at the Back of Your Head

People Also Ask


What are the common symptoms of iron deficiency anemia?

Common symptoms of iron deficiency anemia include fatigue, weakness, pale skin, shortness of breath, dizziness, cravings for non-nutritive substances like ice or dirt, and brittle nails. Hair loss and headaches can also occur.


How can thyroid disease affect my overall health?

Thyroid disease can affect your metabolism, energy levels, and mood. Hyperthyroidism can lead to symptoms like weight loss, increased heart rate, and anxiety, while hypothyroidism can cause weight gain, depression, and fatigue. Both conditions can lead to hair loss.


What is chronic fatigue syndrome and how is it diagnosed?

Chronic fatigue syndrome is characterized by extreme fatigue that doesn't improve with rest and worsens with physical or mental activity. Diagnosis is often based on ruling out other conditions, as there is no specific test for it. Symptoms must persist for at least six months.


What are the signs of an autoimmune disease like lupus or rheumatoid arthritis?

Signs of autoimmune diseases like lupus or rheumatoid arthritis include fatigue, joint pain, swelling, skin rashes, and hair loss. These conditions occur when the immune system attacks the body's own tissues, and symptoms can vary widely depending on the specific disease.


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