[31F] Experiencing fatigue, nausea, headache, rapid heartbeat, and brain fog

Patient Description

A 31-year-old female reports significant fatigue, exacerbated by physical exertion and consistent talking, with no alleviating factors, persisting for more than six months. She experiences constant nausea, particularly after an episode of diarrhea four days ago, and has not found relief. The patient describes a throbbing and aching headache above the eyebrows, lasting two days, rated 6/10 for pain. She also mentions brain fog, including forgetfulness and attention difficulties, which has been ongoing for two weeks. Additionally, she has a rapid resting heartbeat at 116 bpm, palpitations for three years, and experiences chest tightness and shortness of breath. She reports dizziness upon standing and a wobbly gait, but no fainting spells. The patient has a history of low iron, IBS, migraines, dehydration, and a recent 4lb weight loss over three months. She is currently on Adderall (20mg XR daily), Sertraline (50mg daily), iron supplements, and Vitamin D (5,000IU daily). She has no known drug allergies and has not mentioned any recent fever or night sweats.

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Arora's Assessment

What might be happening

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

  • Chronic Fatigue Syndrome (CFS): This condition is characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue worsens with physical or mental activity, but doesn't improve with rest. This could explain your constant fatigue, difficulty concentrating (brain fog), and muscle weakness.

  • Iron Deficiency Anemia: Given your history of low iron, this could be contributing to your fatigue, rapid heartbeat, and dizziness. Iron deficiency anemia occurs when your body doesn't have enough iron to produce hemoglobin, which helps carry oxygen in the blood.

  • Dehydration: This can cause a rapid heartbeat, fatigue, and dry mouth. It can also exacerbate headaches.

  • Migraines: Your history of migraines could explain your throbbing headache in your forehead and temples.

  • Anxiety or Stress: Chronic stress or anxiety can cause a variety of physical symptoms, including a rapid heartbeat, chest tightness, difficulty concentrating, and gastrointestinal issues like IBS.

  • Side effects of medication: Some of the medications you're taking, such as Adderall, can cause side effects like a rapid heartbeat, headaches, and dry mouth.

What you can do

  1. Make sure you're drinking enough fluids throughout the day to prevent dehydration. This is especially important if you've recently had diarrhea.

  2. Try to maintain a balanced diet rich in iron to help manage your low iron levels. Foods high in iron include red meat, poultry, beans, and fortified cereals.

  3. Try to manage your stress levels. Techniques such as deep breathing, meditation, and yoga can be helpful.

  4. Continue taking your prescribed medications as directed by your doctor. If you suspect that your medications are causing or worsening your symptoms, do not stop taking them without first consulting with your doctor.

  5. Regular exercise can help reduce symptoms of fatigue and improve concentration. However, it's important to start slow and gradually increase your activity level, as overexertion can worsen symptoms of CFS.

  6. Ensure you're getting enough sleep. Aim for 7-9 hours of sleep per night.

What you should look out for

Please seek immediate medical attention if you experience:

  • Chest pain or pressure
  • Difficulty breathing
  • Severe headache or a headache that is different from your usual migraines
  • Fainting or loss of consciousness
  • Severe abdominal pain

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

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People Also Ask


What are the common symptoms of Chronic Fatigue Syndrome (CFS)?

Common symptoms of Chronic Fatigue Syndrome (CFS) include extreme fatigue that doesn't improve with rest, muscle or joint pain, headaches, sore throat, and cognitive difficulties such as memory problems or brain fog.


How can iron deficiency anemia affect my health?

Iron deficiency anemia can lead to symptoms such as fatigue, weakness, pale skin, shortness of breath, dizziness, and a rapid or irregular heartbeat. It occurs when your body lacks enough iron to produce hemoglobin, which is necessary for oxygen transport in the blood.


What are the potential side effects of taking Adderall?

Potential side effects of Adderall include increased heart rate, dry mouth, headache, insomnia, anxiety, and decreased appetite. It's important to discuss any concerning side effects with your doctor.


How can dehydration impact my body and what are the signs?

Dehydration can cause symptoms like thirst, dry mouth, fatigue, dizziness, and a rapid heartbeat. Severe dehydration can lead to more serious complications, so it's important to stay hydrated, especially after episodes of diarrhea or vomiting.


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Anonymous#20536

8 mo ago

Any tick or mosquito bites?

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