[31F] Experiencing unexplained weight loss and neurological symptoms

Patient Description

A 31-year-old female reports significant unexplained weight loss of 7 lbs within a week, associated with a lack of appetite. She also experiences tingling in her feet, which occurs during various activities such as sitting, standing, or walking, and lasts for 1-2 minutes. Additionally, she has been feeling generally tired and has noticed a swollen lymph node under her armpit since last week. She has a history of heart palpitations for about 2 weeks and episodes at night that may be seizures or anxiety attacks. The patient has a family history of thyroid problems and diabetes. She has been diagnosed with epilepsy and has had episodes of low blood sugar since 2018. Her current medications include lamotrigine and zonisamide for seizures, as well as Vitamin D2, fish oil, and biotin supplements. No known drug allergies have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are a few possible conditions that could explain your symptoms:

  • Diabetes: This condition can cause a variety of symptoms, including weight loss, tingling in the hands and feet, and increased thirst. Given your family history of diabetes, this is a possibility that should be considered.

    • Diabetes is typically diagnosed through blood tests that measure your blood sugar levels. Treatment usually involves lifestyle changes, such as diet and exercise, and may also include medication or insulin therapy.
  • Hyperthyroidism: This is a condition where the thyroid gland produces too much thyroid hormone. Symptoms can include weight loss, increased heart rate, and fatigue. Given your family history of thyroid problems, this could also be a possibility.

    • Hyperthyroidism is typically diagnosed through blood tests that measure your thyroid hormone levels. Treatment can involve medication, radioactive iodine, or surgery.
  • Nutritional deficiencies: Certain nutritional deficiencies, such as vitamin B12 deficiency, can cause symptoms like fatigue, weight loss, and tingling in the hands and feet.

    • These deficiencies can be diagnosed through blood tests and are typically treated with dietary changes and supplements.
  • Lymphoma: This is a type of cancer that starts in cells that are part of the body's immune system. The swollen lymph node under your armpit could potentially be a symptom of this condition. However, lymphoma usually causes multiple swollen lymph nodes, so it's less likely if you only have one swollen node.

    • Lymphoma is typically diagnosed through a biopsy of the swollen lymph node. Treatment usually involves chemotherapy, radiation therapy, or a combination of the two.

What you can do

Given the range of possible conditions and the severity of some of your symptoms, it's important that you seek medical attention as soon as possible. A healthcare provider can perform the necessary tests to determine the cause of your symptoms and recommend appropriate treatment.

In the meantime, try to maintain a balanced diet and stay hydrated. Even if you're not feeling hungry, it's important to provide your body with the nutrients it needs.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Severe abdominal pain
  • Difficulty breathing
  • Chest pain
  • Confusion or difficulty staying awake
  • Seizures

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

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9 mo ago


People Also Ask


What could cause unexplained weight loss and lack of appetite?

Unexplained weight loss and lack of appetite can be caused by various conditions, including hyperthyroidism, diabetes, nutritional deficiencies, or more serious conditions like cancer. It's important to consult a healthcare provider for proper diagnosis.


Why might someone experience tingling in their feet?

Tingling in the feet can be caused by nerve damage or compression, often related to conditions like diabetes, vitamin deficiencies, or neurological disorders. A healthcare provider can help determine the underlying cause.


What are the potential causes of swollen lymph nodes?

Swollen lymph nodes can be a sign of infection, inflammation, or more serious conditions like lymphoma. If a swollen lymph node persists or is accompanied by other symptoms, medical evaluation is recommended.


How can family history affect the likelihood of developing diabetes or thyroid problems?

Family history can increase the risk of developing conditions like diabetes or thyroid problems due to genetic predispositions. Regular monitoring and early screening can help manage these risks effectively.

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