[26M] With fatigue, nausea, and leg pain

Patient Description

A 26-year-old male reports experiencing fatigue, nausea, and pain in the leg blood vessels. The fatigue has persisted for the past day, came on gradually, and remains even after 12 hours of sleep. Walking exacerbates the fatigue, significantly impacting daily activities. The patient also reports dizziness and headaches but denies vomiting, fever, chills, or changes in vision or hearing. There is no swelling, redness, or warmth in the calf. The patient uses marijuana daily but has not noticed any changes in symptoms related to its use. No recent illnesses, infections, significant weight changes, or recent travel. The patient has a history of asthma diagnosed in childhood and no known allergies or current medications.

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Arora's Assessment

What might be happening

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

Fatigue and Nausea

  1. Viral Infection: Even without fever or chills, viral infections can cause fatigue and nausea. These symptoms can persist even after the infection has resolved.
  2. Dehydration: Dehydration can cause fatigue, dizziness, and nausea. It's important to ensure you're drinking enough fluids.
  3. Nutritional Deficiencies: Deficiencies in vitamins and minerals, such as iron or vitamin B12, can lead to fatigue and nausea.
  4. Anemia: Low red blood cell count can cause fatigue and dizziness. This can be due to various reasons, including nutritional deficiencies or chronic conditions.

Leg Pain in Calf

  1. Muscle Strain: Overuse or strain of the calf muscles can cause pain, especially if you've been more active recently.
  2. Deep Vein Thrombosis (DVT): Although you don't have swelling, redness, or warmth, DVT can sometimes present with just pain. Given your family history of blood clots, this should be considered.
  3. Peripheral Artery Disease (PAD): Reduced blood flow to the legs can cause pain, especially during walking.

Dizziness and Headaches

  1. Dehydration: As mentioned, dehydration can cause dizziness and headaches.
  2. Low Blood Pressure: This can cause dizziness, especially when standing up quickly.
  3. Migraine: Migraines can cause headaches and dizziness, along with other symptoms like nausea.

What you can do

Fatigue and Nausea

  • Stay Hydrated: Drink plenty of water throughout the day.
  • Balanced Diet: Ensure you're eating a balanced diet rich in fruits, vegetables, lean proteins, and whole grains.
  • Rest: Allow your body to rest and recover.
  • Monitor Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

Leg Pain in Calf

  • Rest and Elevate: Rest your leg and elevate it to reduce any potential swelling.
  • Compression: Consider wearing compression stockings to improve blood flow.
  • Stay Active: Gentle exercises like walking can help, but avoid overexertion.
  • Consult a Doctor: Given your family history of blood clots, it's important to rule out DVT. Seek medical advice promptly.

Dizziness and Headaches

  • Hydrate: Ensure you're drinking enough fluids.
  • Avoid Sudden Movements: Stand up slowly to avoid dizziness.
  • Monitor Symptoms: Keep track of your symptoms using MDandMe and share this information with your healthcare provider.

What you should look out for

Given the severity of some of your symptoms, it's important to seek medical care if you experience any of the following:

  • Severe or worsening leg pain: Especially if accompanied by swelling, redness, or warmth, as this could indicate a blood clot.
  • Severe dizziness or fainting: This could indicate a more serious underlying condition.
  • Persistent or worsening headaches: Especially if they are severe or accompanied by other symptoms like vision changes.
  • Shortness of breath or chest pain: These could be signs of a serious condition and require immediate medical attention.

Remember, while I can provide some guidance, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to continue the conversation.

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4 mo ago


People Also Ask


What could be causing my persistent fatigue and nausea?

Persistent fatigue and nausea can be caused by several factors, including viral infections, dehydration, nutritional deficiencies, or anemia. It's important to stay hydrated, maintain a balanced diet, and monitor your symptoms.


Should I be concerned about the pain in my leg blood vessels?

Pain in the leg blood vessels could be due to muscle strain, deep vein thrombosis (DVT), or peripheral artery disease (PAD). Given your family history of blood clots, it's important to consult a doctor to rule out DVT.


How can I manage my dizziness and headaches at home?

To manage dizziness and headaches at home, ensure you are well-hydrated, avoid sudden movements, and rest as needed. Keeping a symptom journal can help track your progress and provide useful information to your healthcare provider.


Could my daily marijuana use be affecting my symptoms?

While daily marijuana use has not been directly linked to your symptoms, it can affect overall health and well-being. It's important to discuss your usage with a healthcare provider to determine if it could be contributing to your symptoms.

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