[28F] Experiencing chronic lightheadedness and facial sweating

Patient Description

A 28-year-old female has been experiencing daily episodes of lightheadedness for the past one to two years, often feeling as though she might fall out. These episodes occur unexpectedly and can last from a few minutes to longer periods, sometimes leading to sleep. The patient reports constant facial sweating, requiring her to carry a towel, and describes a persistent craving for water, feeling dehydrated despite frequent fluid intake. She urinates frequently and has noticed a slight increase in weight. Her diet mainly consists of sweets and processed foods like hot pockets and pizza. There is a family history of diabetes (grandmother). The patient was diagnosed with hepatitis C in 2013. She denies any known hormonal imbalances or autonomic nervous system disorders and has not had her blood sugar levels checked during these episodes. No medications are currently being taken.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

  1. Diabetes or Prediabetes: Given your family history of diabetes, increased thirst, frequent urination, and tingling in your hands, it's possible that your symptoms could be related to blood sugar issues. Diabetes can cause these symptoms, and it's important to have your blood sugar levels checked by a healthcare professional.

  2. Autonomic Nervous System Dysfunction: The combination of lightheadedness, sweating, and fluid retention could suggest an issue with your autonomic nervous system, which controls involuntary bodily functions. This could be related to your history of hepatitis C or other underlying conditions.

  3. Dehydration or Electrolyte Imbalance: Your constant thirst and fluid retention might indicate an imbalance in your body's hydration or electrolytes. This can contribute to lightheadedness and other symptoms.

  4. Hormonal Imbalances: Conditions such as thyroid disorders can cause symptoms like sweating, weight changes, and lightheadedness. It's worth discussing these possibilities with your healthcare provider.

What you can do

Lightheadedness and Feeling Like You're Going to Fall Out:

  • It's important to see a healthcare provider to rule out diabetes or other underlying conditions. They may perform blood tests to check your blood sugar levels and other relevant markers.
  • Stay hydrated by drinking water throughout the day, but avoid excessive intake in a short period.
  • When feeling lightheaded, sit or lie down to prevent falls and ensure safety.

Constant Sweating:

  • Keep a towel handy to manage facial sweating and consider wearing breathable clothing.
  • Monitor your symptoms and note any patterns or triggers that might help your healthcare provider in diagnosing the issue.

Increased Thirst and Frequent Urination:

  • Schedule an appointment with your healthcare provider to discuss these symptoms, as they may indicate diabetes or another condition.
  • Keep track of your fluid intake and urination patterns to provide detailed information to your doctor.

General Health:

  • Consider making dietary changes to include more balanced meals with fruits, vegetables, and whole grains, while reducing sugary and processed foods.
  • Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

It's important to seek medical attention if you experience any of the following:

  • Episodes of severe dizziness or fainting
  • Significant changes in vision or persistent tingling in your hands or feet
  • Unexplained weight loss or gain
  • Any new or worsening symptoms

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

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1 mo ago

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People Also Ask


What could be causing my constant thirst and frequent urination?

Constant thirst and frequent urination can be symptoms of diabetes or prediabetes, especially if there is a family history of the condition. It's important to have your blood sugar levels checked by a healthcare professional to rule out or confirm diabetes.


How can lightheadedness be related to my diet or lifestyle?

Lightheadedness can be influenced by diet and lifestyle, particularly if your diet is high in processed foods and sugars, which can affect blood sugar levels and hydration. Ensuring a balanced diet and staying hydrated can help manage these symptoms.


Is there a connection between my family history of diabetes and my current symptoms?

Yes, a family history of diabetes can increase your risk of developing the condition. Your symptoms, such as increased thirst and frequent urination, align with common signs of diabetes, so it's advisable to get tested for blood sugar levels.


What steps should I take if I suspect an electrolyte imbalance?

If you suspect an electrolyte imbalance, it's important to consult with a healthcare provider. They may recommend blood tests to check your electrolyte levels and suggest dietary adjustments or supplements to restore balance.


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