[28F] With sudden onset of lethargy, dizziness, and other symptoms

What might be happening

Based on the symptoms you've described, there are a few potential diagnoses that could explain your condition:

1. Heat Exhaustion or Heat Stroke:

   • Rationale: Your symptoms of dizziness, lethargy, hot flashes, sweating, and feeling like you might pass out are consistent with heat exhaustion or heat stroke, especially if you've been exposed to high temperatures or have been dehydrated.
   • Typical Treatments/Testing: Immediate cooling measures, hydration, and rest are crucial. Medical evaluation may include checking your body temperature, blood tests, and monitoring your heart rate and blood pressure.

2. Gastroenteritis:

   • Rationale: Nausea, diarrhea, and abdominal cramping above your belly button suggest a gastrointestinal infection or irritation.
   • Typical Treatments/Testing: Hydration, rest, and over-the-counter medications to manage symptoms. In some cases, stool tests may be done to identify the cause.

3. Anxiety or Panic Attack:

   • Rationale: Given your history of anxiety and bipolar disorder, it's possible that some of your symptoms, such as dizziness, hot flashes, and feeling like you might pass out, could be related to anxiety or a panic attack.
   • Typical Treatments/Testing: Psychological support, medications to manage anxiety, and techniques to reduce stress.

What you can do

Heat Exhaustion or Heat Stroke:

• Immediate Actions: Move to a cooler place, drink plenty of fluids (preferably water or sports drinks), and rest. Apply cool, wet cloths to your skin or take a cool bath.
• Seek Medical Attention: If symptoms persist or worsen, seek medical attention immediately as heat stroke can be life-threatening.

Gastroenteritis:

• Hydration: Drink plenty of fluids to stay hydrated. Oral rehydration solutions can be helpful.
• Diet: Eat bland foods like bananas, rice, applesauce, and toast (BRAT diet) until your symptoms improve.
• Rest: Get plenty of rest to help your body recover.

Anxiety or Panic Attack:

• Relaxation Techniques: Practice deep breathing, meditation, or other relaxation techniques to help manage anxiety.
• Medication: Take any prescribed medications for anxiety as directed by your healthcare provider.
• Seek Support: Talk to a mental health professional if you feel overwhelmed.

General Tips:

• Monitor Symptoms: Keep track of your symptoms using the MDandMe journal to identify any patterns or triggers and share this information with your healthcare provider.
• Stay Hydrated: Ensure you are drinking enough fluids throughout the day.
• Avoid Triggers: Identify and avoid any potential triggers that may worsen your symptoms.

What you should look out for

Given the severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe or Worsening Symptoms: If your dizziness, chest pain, or abdominal pain becomes severe or worsens.
• New Symptoms: If you develop new symptoms such as shortness of breath, fainting, or confusion.
• Dehydration: Signs of severe dehydration, such as dry mouth, dark urine, or decreased urine output.

Remember, while I can provide information and suggestions, it's important 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.