[28M] Experiencing acute episodes of dizziness and cold sweats

Patient Description

A 28-year-old male reports experiencing episodes characterized by lightheadedness, cold sweats, dizziness, confusion, and panic. These symptoms occur acutely and last for about 20-30 minutes. The episodes are triggered by physical activity and result in significant sweating, soaking the patient's clothes. There is no associated chest pain or palpitations, and the patient denies recent alcohol, caffeine, or substance use. There have been no recent changes in diet, stress levels, or physical activity, nor any recent illnesses or infections. The patient has a history of anxiety but is not on any new medications or supplements. There is no family history of psychiatric illnesses reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—lightheadedness, cold sweats, dizziness, confusion, panic, and the acute onset of these episodes—there are a few possible explanations:

  • Panic Attacks: Given your history of anxiety and the sudden onset of symptoms, it's possible that you are experiencing panic attacks. These can cause intense physical reactions such as sweating, dizziness, and confusion, often accompanied by a feeling of panic or fear. Panic attacks can occur unexpectedly and may last for several minutes.

    • Treatment typically involves therapy, such as cognitive-behavioral therapy (CBT), and sometimes medication to manage anxiety symptoms. It's important to work with a healthcare provider to develop a treatment plan.
  • Hypoglycemia (Low Blood Sugar): If these episodes occur after physical activity, they could be related to low blood sugar levels, especially if you haven't eaten recently. Symptoms can include dizziness, sweating, and confusion.

    • Treatment involves consuming fast-acting carbohydrates, like fruit juice or glucose tablets, to quickly raise blood sugar levels. It's important to monitor your diet and ensure you're eating balanced meals.
  • Dehydration or Electrolyte Imbalance: Physical activity can lead to dehydration or an imbalance in electrolytes, which might cause dizziness and sweating.

    • Treatment involves rehydrating with water or electrolyte solutions and ensuring adequate fluid intake before, during, and after exercise.

What you can do

  1. Consult a Healthcare Provider: It's important to discuss these symptoms with a healthcare provider to receive a formal diagnosis and appropriate treatment. They may recommend tests to rule out other conditions.

  2. Track Your Symptoms: Use MDandMe to journal your symptoms, track their frequency and duration, and note any potential triggers. This information can be valuable for your healthcare provider.

  3. Practice Relaxation Techniques: If panic attacks are a possibility, practicing relaxation techniques such as deep breathing, meditation, or yoga may help manage anxiety symptoms.

  4. Stay Hydrated and Nourished: Ensure you're drinking enough fluids and eating balanced meals, especially before and after physical activity.

What you should look out for

Seek medical attention if:

  • Your symptoms worsen or become more frequent.
  • You experience chest pain, difficulty breathing, or fainting.
  • You notice any new or concerning symptoms.

Remember, while I can provide information, it's important to consult with a healthcare professional for a comprehensive evaluation and personalized advice.

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1 mo ago

People Also Ask


What are the common symptoms of a panic attack?

Common symptoms of a panic attack include sudden feelings of intense fear or discomfort, heart palpitations, sweating, trembling, shortness of breath, dizziness, and a sense of losing control or impending doom. These episodes can last for several minutes.


How can low blood sugar affect the body during physical activity?

Low blood sugar, or hypoglycemia, during physical activity can cause symptoms such as dizziness, sweating, confusion, shakiness, and weakness. It occurs when the body's glucose levels drop too low, often due to not eating enough before exercise.


What are the signs of dehydration or electrolyte imbalance?

Signs of dehydration or electrolyte imbalance include thirst, dry mouth, fatigue, dizziness, confusion, and muscle cramps. Severe cases can lead to more serious symptoms like rapid heartbeat and fainting.


What steps can be taken to manage anxiety-related symptoms?

To manage anxiety-related symptoms, one can practice relaxation techniques such as deep breathing, meditation, or yoga. It's also helpful to maintain a regular routine, get adequate sleep, and consult with a healthcare provider for therapy or medication if needed.


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