[31F] Experiencing severe fatigue, high heart rate, and shortness of breath

Patient Description

A 31-year-old female is reporting severe fatigue, sleeping for the majority of the day and night, yet still feeling exhausted. She is experiencing shortness of breath, even at rest, and this has worsened over the past few days. Her heart rate is elevated, with a resting rate of 113 bpm and a peak of 143 bpm during stress. She has been feeling weak for about two weeks, which has significantly impacted her ability to perform daily tasks such as carrying firewood or a cast iron pan. Additionally, she has yawning fits, similar to sneezing fits, which started two days ago. The patient is currently on a 7-day temporary heart monitor as per her cardiologist's instructions. Her medications include Depakote and Gabapentin, and she has a known allergy to Penicillin. No pre-existing conditions or chronic illnesses have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Chronic Fatigue Syndrome (CFS): This is a complex disorder 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.

    • There's no single test to confirm a diagnosis of chronic fatigue syndrome. You may need a variety of medical tests to rule out other health problems that have similar symptoms. Treatment is focused on symptom relief.
  • Heart Conditions: High resting heart rates can be a sign of a heart condition, especially when accompanied by shortness of breath and fatigue. Conditions could include arrhythmias, heart valve disease, heart failure, or other heart diseases.

    • Diagnosis typically involves a physical exam, and tests such as an EKG, echocardiogram, stress test, or Holter monitor. Treatment depends on the specific condition, but can include medication, lifestyle changes, or surgery.
  • Sleep Disorders: Conditions such as sleep apnea or insomnia can lead to excessive sleepiness and fatigue.

    • Diagnosis typically involves a sleep study. Treatment can include lifestyle changes, use of a CPAP machine, or medication.
  • Anemia: This is a condition in which you lack enough healthy red blood cells to carry adequate oxygen to your body's tissues. It can cause fatigue, weakness, and shortness of breath.

    • Diagnosis typically involves a complete blood count (CBC). Treatment depends on the cause of the anemia, but can include dietary changes, supplements, or medications.
  • Thyroid Disorders: Both hypothyroidism (low thyroid function) and hyperthyroidism (high thyroid function) can cause fatigue and weakness. Hyperthyroidism can also cause a high heart rate.

    • Diagnosis typically involves a blood test to check your level of thyroid-stimulating hormone (TSH). Treatment depends on whether your thyroid is overactive or underactive, but can include medication or surgery.

What you can do

Please consult a doctor about your symptoms as soon as possible. They can provide a formal assessment and order relevant tests if necessary. In the meantime, here are some things you can do:

  1. Rest and take care of yourself. Try to get plenty of sleep, eat a healthy diet, and avoid stress as much as possible.
  2. Monitor your symptoms. Keep track of when your symptoms occur, how long they last, and any factors that seem to make them better or worse. This information can be helpful for your doctor.
  3. Stay hydrated and eat a balanced diet. This can help prevent anemia and keep your body functioning properly.

What you should look out for

Please seek immediate medical attention if you experience:

  • Chest pain or discomfort
  • Trouble breathing or shortness of breath that's getting worse
  • Fainting or loss of consciousness
  • A heart rate that's consistently above 100 beats per minute or below 60 beats per minute (unless your doctor has told you that this is normal for you)
  • Any other symptoms that are severe or concerning to you

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis.

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11 mo ago

People Also Ask


What could be causing my severe fatigue and shortness of breath?

Severe fatigue and shortness of breath can be caused by several conditions, including chronic fatigue syndrome, heart conditions, sleep disorders, anemia, or thyroid disorders. It's important to consult a healthcare professional for a proper diagnosis.


How is a high resting heart rate related to my symptoms?

A high resting heart rate can be a sign of a heart condition, such as arrhythmias or heart valve disease, which can also cause symptoms like fatigue and shortness of breath. Monitoring and further testing by a cardiologist are recommended.


Could my medications be contributing to my symptoms?

Medications like Depakote and Gabapentin can have side effects that might contribute to fatigue or other symptoms. It's important to discuss any concerns about medication side effects with your doctor.


What tests might be necessary to diagnose my condition?

To diagnose your condition, your doctor might recommend tests such as a complete blood count (CBC) for anemia, thyroid function tests, an EKG, echocardiogram, or a sleep study, depending on your symptoms and medical history.


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