[29F] Experiencing severe weakness, hallucinations, and respiratory distress

Patient Description

A 29-year-old female presents with a one-week history of severe, generalized weakness, rated 10/10 in severity, affecting daily activities. She also reports glassy, teary eyes, extremely cold hands, and hallucinations of seeing people for the past three days. Additionally, the patient is experiencing shortness of breath, difficulty breathing, and chest pain, with a sensation of gasping for air. There is no recent history of injury, recreational drug use, or medication intake that could explain these symptoms. The patient denies any known drug allergies, family history of cardiac or neurological conditions, and has no pre-existing medical conditions.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are several possibilities:

  • Panic Disorder or Anxiety: This can cause symptoms like a rapid heart rate (which may feel like a weak pulse), shortness of breath, chest pain, and cold hands. It can also cause feelings of unreality or hallucinations in some cases.

    • Treatment usually involves cognitive-behavioral therapy and medication.
  • Hypothyroidism: This condition, where your thyroid gland doesn't produce enough thyroid hormones, can cause symptoms like cold hands, weakness, and a slow heart rate (which may feel like a weak pulse).

    • Treatment involves taking synthetic thyroid hormone.
  • Anemia: This condition, where your body lacks enough healthy red blood cells to carry adequate oxygen to your body's tissues, can cause symptoms like weakness and cold hands.

    • Treatment depends on the cause of the anemia, but may involve dietary changes, supplements, or medications.
  • Cardiac conditions: Some heart conditions can cause symptoms like a weak pulse, chest pain, and shortness of breath.

    • Treatment depends on the specific condition, but may involve medications, lifestyle changes, or surgery.
  • Neurological conditions: Certain neurological conditions can cause a variety of symptoms, including hallucinations and weakness.

    • Treatment depends on the specific condition, but may involve medications, physical therapy, or surgery.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

Given the severity and variety of your symptoms, it's important that you seek medical attention as soon as possible. If you're alone and feeling weak, consider calling an ambulance to ensure you get to the hospital safely.

What you should look out for

If your symptoms worsen or you develop new symptoms, seek medical attention immediately. This is especially true if you experience severe chest pain, difficulty breathing, or severe weakness.

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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9 mo ago


People Also Ask


What are the common symptoms of panic disorder or anxiety?

Common symptoms of panic disorder or anxiety include rapid heart rate, shortness of breath, chest pain, cold hands, and sometimes feelings of unreality or hallucinations. Treatment often involves cognitive-behavioral therapy and medication.


How does hypothyroidism affect the body and what are its symptoms?

Hypothyroidism occurs when the thyroid gland doesn't produce enough hormones, leading to symptoms like cold hands, weakness, fatigue, weight gain, and a slow heart rate. Treatment typically involves taking synthetic thyroid hormone.


What are the causes and symptoms of anemia?

Anemia is caused by a lack of healthy red blood cells, leading to symptoms such as weakness, fatigue, pale skin, and cold hands. Causes can include iron deficiency, vitamin deficiency, chronic diseases, or bone marrow problems. Treatment depends on the underlying cause and may involve dietary changes, supplements, or medications.


What should I do if I experience severe chest pain and difficulty breathing?

If you experience severe chest pain and difficulty breathing, it is crucial to seek medical attention immediately, as these could be signs of a serious condition. Call emergency services or go to the nearest hospital for evaluation and treatment.

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