[26M] Experiencing various symptoms including lightheadedness, headaches, and palpitations

Question

I can not work or get help and doctors think it is anxiety but i am not stressed. The only thing thats stressing me is that the symptoms will not go away after dealing with them for three months and i can not get a diagnosis. what do i do ?

Patient Description

A 26-year-old male has been experiencing multiple symptoms for the past three months, including lightheadedness, headaches, fatigue, heart palpitations, back pain, and arm pain. The lightheadedness occurs after standing for a while and lasts about 10-15 minutes, with a severity rated at 7/10, and is alleviated by sitting down. The patient describes the headaches as sharp pains on the left side of the head, rating the severity at 8/10. Heart palpitations are described as a fluttering sensation, exacerbated by work. The patient also reports aching back pain upon waking, which started this week, and arm pain described as venom-like in the vein of the upper arm, with occasional twitching, persisting for three months and rated at 7/10 in severity. There was one episode each of chest pain and near-fainting. The patient takes Nurtec as needed for symptoms, with varying frequency. No other medications are reported, and there is no significant past medical history except a family history of cardiac or neurological conditions.

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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 is characterized by a sudden drop in blood pressure when you stand up from a sitting or lying position, leading to lightheadedness or fainting. It could explain your lightheadedness after standing for a while.

    • Treatment typically involves lifestyle modifications, such as standing up slowly, increasing fluid and salt intake, and wearing compression stockings.

  • Migraines: Your description of headaches, particularly on one side of the head with sharp pains in the temples, could be indicative of migraines. The medication Nurtec that you're taking is commonly used for migraine treatment.

    • Treatment for migraines often involves a combination of medications and lifestyle changes to prevent and treat attacks.

  • Anxiety or Panic Disorder: These conditions can cause a variety of physical symptoms, including heart palpitations, lightheadedness, and fatigue. However, you mentioned that you have not been feeling more anxious or stressed lately.

    • Treatment typically involves psychotherapy, medications, and lifestyle modifications.

  • Cardiovascular Conditions: Given your symptoms of heart palpitations, lightheadedness, and a single episode of chest pain, it's important to rule out conditions such as heart disease or arrhythmias.

    • Treatment depends on the specific condition but may involve medications, lifestyle changes, or in some cases, surgery.

Please note that these are possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Make an appointment with your healthcare provider as soon as possible to discuss your symptoms. They may want to perform some tests to rule out serious conditions.
  2. Keep a symptom diary. Note down when each symptom occurs, its severity, and any potential triggers. This can help your healthcare provider in diagnosing your condition.
  3. Stay hydrated and maintain a balanced diet. This can help manage symptoms of orthostatic hypotension.
  4. Try to stand up slowly from a sitting or lying position. This can help prevent lightheadedness.
  5. If your symptoms worsen or you experience new symptoms, seek immediate medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe chest pain or pressure
  • Difficulty breathing
  • Fainting
  • Severe headache
  • Sudden numbness or weakness, especially on one side of the body
  • Sudden confusion, trouble speaking, or difficulty understanding speech
  • Sudden trouble seeing in one or both eyes
  • Sudden trouble walking, dizziness, loss of balance, or lack of coordination

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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6 mo ago

People Also Ask

What is orthostatic hypotension and how can it be managed?

Orthostatic hypotension is a condition where there is a sudden drop in blood pressure when standing up, leading to lightheadedness or fainting. It can be managed by standing up slowly, increasing fluid and salt intake, and wearing compression stockings.

What are the common symptoms of migraines and how are they treated?

Migraines often present as severe headaches, typically on one side of the head, with symptoms like sharp pain, nausea, and sensitivity to light or sound. Treatment includes medications like Nurtec and lifestyle changes to prevent and manage attacks.

Can anxiety or panic disorders cause physical symptoms like heart palpitations and fatigue?

Yes, anxiety or panic disorders can cause physical symptoms such as heart palpitations, lightheadedness, and fatigue. Treatment usually involves psychotherapy, medications, and lifestyle modifications.

What are the warning signs of a cardiovascular condition that require immediate medical attention?

Warning signs of a cardiovascular condition that require immediate medical attention include severe chest pain or pressure, difficulty breathing, fainting, sudden numbness or weakness, sudden confusion, trouble speaking, or sudden trouble seeing or walking.

1 Comments

Billy#7

6 mo ago

What kinds of doctors have you seen and what tests have you gotten?

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