[26F] With sudden onset of fatigue, nausea, vomiting, and other symptoms

Patient Description

A 26-year-old female has been experiencing sudden onset of fatigue, nausea, vomiting, lightheadedness, blurred vision, and hot flashes for the past three days. The fatigue has caused a dramatic change in her daily routine, and she is sleeping more than usual but still feels more tired. Vomiting occurs multiple times a day and comes and goes. Lightheadedness makes her feel faint and unsteady, rated as 10 out of 10 in severity, with no relief found. Blurred vision also comes and goes, and this is the first time she has experienced it. She has crampy and dull abdominal pain but no fever, diarrhea, or changes in bowel movements. She has been eating more than usual and snacking throughout the day due to feeling hungry. She has not taken a pregnancy test recently and has no pre-existing conditions or chronic illnesses. She is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Pregnancy: Given your symptoms of nausea, vomiting, fatigue, lightheadedness, blurred vision, and hot flashes, pregnancy is a possibility. These symptoms are common in early pregnancy, especially if you have been eating more and feeling constantly hungry.

    • Testing: A home pregnancy test can help determine if you are pregnant. If positive, follow up with a healthcare provider for confirmation and prenatal care.
  • Hypoglycemia (Low Blood Sugar): Symptoms like lightheadedness, blurred vision, fatigue, and feeling faint can be associated with low blood sugar, especially if you are eating more frequently to combat hunger.

    • Testing: Blood sugar levels can be checked with a glucometer or through a blood test ordered by a healthcare provider.
  • Dehydration: Vomiting and hot flashes can lead to dehydration, which can cause fatigue, lightheadedness, and blurred vision.

    • Treatment: Increasing fluid intake, especially with electrolyte solutions, can help alleviate symptoms.
  • Anemia: Fatigue, lightheadedness, and feeling faint can be symptoms of anemia, a condition where you don't have enough healthy red blood cells to carry adequate oxygen to your body's tissues.

    • Testing: A complete blood count (CBC) can diagnose anemia.
  • Thyroid Issues: Both hyperthyroidism and hypothyroidism can cause symptoms like fatigue, changes in appetite, and hot flashes.

    • Testing: Thyroid function tests (TFTs) can help diagnose thyroid issues.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment, here are some steps you can take in the meantime:

  1. Take a Home Pregnancy Test: Given your symptoms, it might be helpful to rule out pregnancy first.
  2. Stay Hydrated: Drink plenty of fluids, especially if you have been vomiting. Electrolyte solutions can be particularly helpful.
  3. Monitor Your Diet: Try to eat balanced meals and avoid excessive snacking on sugary foods, which can cause blood sugar spikes and crashes.
  4. Rest: Ensure you are getting enough rest and sleep to help your body recover.
  5. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Severe abdominal pain or cramping
  • Persistent vomiting that prevents you from keeping fluids down
  • Fainting or severe dizziness
  • Rapid or irregular heartbeat
  • Shortness of breath
  • Any other symptoms that feel severe or concerning

Remember, while I can provide information and suggestions, it's crucial to consult a healthcare provider for a formal diagnosis and appropriate treatment.

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3 mo ago


People Also Ask


What are the common symptoms of early pregnancy?

Common symptoms of early pregnancy include nausea, vomiting, fatigue, lightheadedness, increased hunger, and hot flashes. A home pregnancy test can help confirm pregnancy.


How can I tell if I am experiencing hypoglycemia?

Symptoms of hypoglycemia include lightheadedness, blurred vision, fatigue, feeling faint, and increased hunger. Checking blood sugar levels with a glucometer can help determine if you are experiencing low blood sugar.


What are the signs of dehydration and how can it be treated?

Signs of dehydration include fatigue, lightheadedness, blurred vision, and hot flashes. It can be treated by increasing fluid intake, especially with electrolyte solutions.


What are the symptoms and causes of anemia?

Symptoms of anemia include fatigue, lightheadedness, feeling faint, and sometimes shortness of breath. It is caused by a lack of healthy red blood cells and can be diagnosed with a complete blood count (CBC).


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