[30F] Experiencing severe dizziness, headaches, and extreme thirst with decreased urination

Patient Description

A 30-year-old female has been experiencing severe dizziness described as lightheadedness with a wave-like sensation leading to unbalance, particularly when standing or moving, for a week. The dizziness is sometimes alleviated by lying down. Accompanying symptoms include a headache that starts behind the right eye and wraps around the head, rated as a 7 out of 10 for pain severity, and has been present for a week. The patient has a dry and sore throat for two weeks, which persists despite adequate fluid intake. She reports extreme thirst with dry eyes and throat, yet infrequent urination, about once a day, despite drinking plenty of fluids. Small fevers come on suddenly every couple of days. She also experiences shortness of breath, rated as severe, which sometimes prevents speaking and is accompanied by occasional chest pain and heart palpitations. Additionally, the patient reports fatigue, feeling tired all the time with no energy. She has been taking 400mg of Ibuprofen for headaches. There is no known history of allergies, adverse reactions to medications, or pre-existing conditions.

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Arora's Assessment

What might be happening

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

  • Diabetes: This is a condition that affects your body's ability to use sugar for energy, and it can cause excessive thirst, frequent urination, fatigue, and weight loss. However, you mentioned that you're urinating less frequently, which is not typically associated with diabetes.

    • To diagnose diabetes, a doctor would typically order a blood test to measure your blood sugar levels. Treatment usually involves lifestyle changes and sometimes medication to help your body better manage its blood sugar levels.
  • Dehydration: This can cause thirst, dizziness, and fatigue. However, it would typically cause increased urination, not decreased.

    • Treatment for dehydration involves rehydrating the body by drinking fluids and, in severe cases, receiving fluids intravenously.
  • Viral infection: This could explain your sore throat, fever, and fatigue. However, it wouldn't typically cause excessive thirst or decreased urination.

    • Treatment for a viral infection usually involves rest, hydration, and over-the-counter medication to manage symptoms.

What you can do

You should seek immediate medical attention. Your symptoms could indicate a serious condition that needs to be treated promptly. In the meantime, try to stay hydrated and rest as much as possible.

What you should look out for

If any of the following occur, you should seek medical attention immediately:

  • Your symptoms worsen or don't improve
  • You have difficulty breathing
  • You become confused or can't stay awake
  • Your fever rises above 102°F

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What could be causing my severe dizziness and lightheadedness?

Severe dizziness and lightheadedness can be caused by a variety of factors including dehydration, low blood pressure, or an inner ear problem. It's important to consult a healthcare provider to determine the exact cause.


Why am I experiencing extreme thirst and dry eyes despite drinking plenty of fluids?

Extreme thirst and dry eyes, despite adequate fluid intake, could be symptoms of an underlying condition such as diabetes or dehydration. A healthcare provider can perform tests to determine the cause.


What might be the reason for my shortness of breath and occasional chest pain?

Shortness of breath and chest pain can be symptoms of a respiratory or cardiovascular issue. It's crucial to seek medical attention to rule out serious conditions such as asthma, heart problems, or anxiety.


How can I manage my persistent headache and fatigue?

Persistent headaches and fatigue can be managed with rest, hydration, and over-the-counter pain relief like ibuprofen. However, if these symptoms persist, it's important to consult a healthcare provider to explore other potential causes and treatments.


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