[27F] Experiencing severe multisystem symptoms with critically low vitamin D

Patient Description

A 27-year-old female presents with a constellation of severe symptoms including lightheadedness, high blood pressure, headache, nausea, stomach pain, full body pain, chest heaviness, shortness of breath, and lethargy. The patient's vitamin D level is critically low, under 4. The body pain is described as a deep dull ache that is constant and worsens with activity, rated 9 out of 10 in severity. Lightheadedness has been occurring for 4-5 days, described as dizzy and unsteady, particularly when bending over or walking, and rated 8 out of 10 in severity. The headache is a severe, dull ache accompanied by nausea, and the stomach pain is severe, sharp at times, and located on the lower right side and middle of the abdomen. The patient also reports a sensation of chest heaviness and difficulty breathing, with a feeling of not getting enough air. The patient has a history of hypertension, migraines, thickened heart walls, and a newly discovered lump in the left breast. Current medications include Bystolic, Hydrolithixide, Amlodipine, and a vitamin D supplement. No known drug allergies. The patient's symptoms began to intensify yesterday, with the exception of the body pain, which started two days prior.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It is often triggered by a stressful event, including physical stress or emotional (psychological) stress.

    • Treatment usually involves a combination of medications, exercise, stress management measures, and healthy lifestyle habits.
  • Vitamin D Deficiency: Low levels of vitamin D can cause bone pain and muscle weakness. However, such symptoms can be subtle and go unrecognized.

    • Treatment involves vitamin D supplements and ensuring you get enough sunlight exposure.
  • Hypertension: High blood pressure can cause headaches, shortness of breath, and dizziness. However, it usually does not cause pain.

    • Treatment involves lifestyle changes and medications to lower blood pressure.
  • Gastrointestinal issues: Your severe stomach pain could be due to a variety of gastrointestinal issues, such as gastritis, peptic ulcers, gallstones, or pancreatitis.

    • Treatment depends on the specific condition and may involve dietary changes, medications, or in some cases, surgery.
  • Anxiety or Stress: Physical symptoms can sometimes be signs of mental health issues, such as anxiety or stress. These can cause a wide range of physical symptoms, including pain, dizziness, and shortness of breath.

    • Treatment involves stress management techniques, therapy, and medication if necessary.

Please note that these are potential explanations based on the information you provided, and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Consult a healthcare provider: Given the severity and range of your symptoms, it's important to seek medical attention as soon as possible. They can provide a proper diagnosis and appropriate treatment.

  2. Monitor your symptoms: Keep track of your symptoms and note any patterns or triggers. This information can be helpful to your healthcare provider.

  3. Maintain a healthy lifestyle: Regular exercise, a balanced diet, adequate sleep, and stress management can help improve many of the symptoms you described.

  4. Take your medications as prescribed: Continue taking your medications as prescribed by your healthcare provider, including your vitamin D supplement.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe chest pain
  • Difficulty breathing
  • Severe abdominal pain
  • Signs of a severe allergic reaction, such as difficulty breathing, swelling of the face or throat, or a rash
  • Any new or worsening symptoms

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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People Also Ask


What are the symptoms of vitamin D deficiency and how can it be treated?

Vitamin D deficiency can cause symptoms such as bone pain, muscle weakness, fatigue, and mood changes. Treatment typically involves taking vitamin D supplements and increasing exposure to sunlight.


Can high blood pressure cause dizziness and headaches?

Yes, high blood pressure can cause symptoms like dizziness and headaches. It is important to manage high blood pressure through lifestyle changes and medications to prevent complications.


What are the common causes of severe stomach pain and how are they treated?

Severe stomach pain can be caused by conditions like gastritis, peptic ulcers, gallstones, or pancreatitis. Treatment depends on the specific condition and may include dietary changes, medications, or surgery.


How can stress or anxiety manifest as physical symptoms?

Stress or anxiety can manifest as physical symptoms such as pain, dizziness, shortness of breath, and fatigue. Managing stress through techniques like therapy, relaxation exercises, and medication can help alleviate these symptoms.


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