[28F] Experiencing severe fatigue, lightheadedness, and headache

Patient Description

A 28-year-old female reports severe fatigue so intense that she can barely lift her arms and feels like she might pass out when standing up. This has been ongoing for two days. The fatigue is constant and not alleviated by any activities or habits. She also experiences lightheadedness, rated 7 out of 10 in severity, which is present all the time but worsens upon standing or walking. Her vision is affected, feeling floaty and hard to focus. Additionally, she has a new-onset headache located at the top of her head and the left forehead, rated 5 out of 10 in intensity. Mild, intermittent nausea and some nasal congestion are present, with very mild shortness of breath while lying down. She has no known pre-existing conditions, allergies, or adverse reactions to medications, and she is not on any medications. There has been no weight change, and she has not experienced these symptoms before.

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Arora's Assessment

What might be happening

Based on the information you've provided, several conditions could be causing your symptoms:

  • Dehydration: Dehydration can cause fatigue, lightheadedness, and headaches. It can occur if you're not drinking enough fluids or if you're losing fluids through sweating, diarrhea, or vomiting.

    • Treatment typically involves rehydrating the body by drinking fluids or, in severe cases, receiving fluids intravenously.
  • Anemia: Anemia is a condition in which you lack enough healthy red blood cells to carry adequate oxygen to your body's tissues. Symptoms can include fatigue, lightheadedness, and headaches.

    • Treatment depends on the cause and severity of the anemia, but can include dietary changes, supplements, and in some cases, medical procedures or medications.
  • Viral infection: A viral infection such as the common cold or flu can cause fatigue, lightheadedness, headaches, and nasal congestion.

    • Treatment usually involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Orthostatic Hypotension: This is a form of low blood pressure that happens when you stand up from sitting or lying down. It can cause you to feel dizzy or lightheaded, and you may even feel like you're going to faint.

    • Treatment often involves lifestyle changes such as standing up slowly and ensuring adequate hydration.

Please note that these are just 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 sure you're drinking enough fluids. Dehydration can cause many of the symptoms you're experiencing.
  2. Try to rest and get plenty of sleep. This can help if your symptoms are due to a viral infection.
  3. Stand up slowly from a sitting or lying position. This can help manage symptoms of orthostatic hypotension.
  4. Keep a symptom diary. Note when your symptoms occur, what you're doing when they happen, and what makes them better or worse. This can be helpful information to share with your doctor.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms get significantly worse
  • You have difficulty breathing
  • You actually faint
  • You have severe abdominal pain
  • You have a high fever (temperature over 100.4°F)
  • You notice blood in your stool or vomit

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of dehydration?

Common symptoms of dehydration include extreme thirst, less frequent urination, dark-colored urine, fatigue, dizziness, and confusion. Severe dehydration can lead to more serious symptoms and requires medical attention.


How can anemia be diagnosed and treated?

Anemia is typically diagnosed through a complete blood count (CBC) test, which measures the levels of red blood cells and hemoglobin. Treatment depends on the cause and may include dietary changes, iron supplements, vitamin B12 injections, or other medications. In some cases, more intensive treatments like blood transfusions may be necessary.


What are the typical signs of a viral infection like the flu or common cold?

Typical signs of a viral infection such as the flu or common cold include fatigue, fever, sore throat, runny or stuffy nose, body aches, headaches, and sometimes nausea. Symptoms can vary in severity and duration.


What lifestyle changes can help manage orthostatic hypotension?

Lifestyle changes to manage orthostatic hypotension include standing up slowly, increasing fluid and salt intake (if advised by a doctor), wearing compression stockings, and avoiding alcohol. It's also important to avoid prolonged standing and to sit or lie down if feeling faint.


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