[35F] Experiencing a range of symptoms including palpitations and fatigue

Patient Description

A 35-year-old female has been experiencing a variety of symptoms for the past year, with the most concerning being fatigue and palpitations described as fluttering in the chest, primarily occurring in the evenings. These palpitations gradually increase and decrease in intensity and have been present for about a year. Additionally, she reports a throbbing and aching headache at the back of the head, down the neck, and in the temples, worsening over the last few weeks. Lightheadedness, often accompanied by dizziness and a sensation similar to vertigo, has been rated as moderate in severity. Joint pain in the hands has been persistent for years, even without much activity. Neck pain, described as sore and sometimes throbbing from the base of the head down to the shoulders, has been present for months to a year. She also experiences hot flashes, breathlessness, tenderness and discomfort in the ribcage, jaw pain, and peripheral neuropathy. The patient has a medical history of sleep apnea, hypothyroidism, mild asthma, anemia, B12 deficiency, and IBS. Current medications include daily doses of Levothyroxine, Thyroid NP, Escitalopram, and Albuterol as needed. She has also reported severe fatigue and body aches as part of her symptoms.

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Arora's Assessment

What might be happening

Based on your symptoms, there could be several possibilities:

  • 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. Other symptoms can include headaches, joint pain, and sleep problems.

  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It amplifies painful sensations by affecting the way your brain processes pain signals.

  • Thyroid Disorders: Given your history of hypothyroidism, it's possible that your thyroid hormone levels are not well-controlled, which can cause symptoms such as fatigue, joint pain, and palpitations.

  • Anemia: This condition, which you have a history of, can cause fatigue, dizziness, and palpitations.

  • B12 Deficiency: This can cause symptoms such as fatigue, lightheadedness, and palpitations. You mentioned that you had a similar headache which improved with B12 shots.

  • Sleep Apnea: This is a serious sleep disorder where breathing repeatedly stops and starts. Fatigue and headaches are common in people with sleep apnea.

What you can do

Given the complexity of your symptoms, it's important to consult a healthcare provider for a comprehensive evaluation. They may need to adjust your current medications or suggest new ones. They may also recommend lifestyle changes such as a healthy diet, regular exercise, and good sleep hygiene.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe chest pain or discomfort
  • Trouble breathing
  • Fainting or loss of consciousness
  • Severe headache or headache that comes on suddenly

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.

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8 mo ago

People Also Ask

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

Chronic Fatigue Syndrome (CFS) is characterized by extreme fatigue that doesn't improve with rest and worsens with physical or mental activity. Other symptoms can include headaches, joint pain, sleep problems, and difficulty with memory and concentration.

How can thyroid disorders affect my overall health?

Thyroid disorders, such as hypothyroidism, can lead to symptoms like fatigue, weight gain, cold intolerance, joint pain, and palpitations. Proper management with medications like Levothyroxine is crucial to maintain balanced hormone levels and alleviate symptoms.

What are the potential causes of palpitations and how can they be managed?

Palpitations can be caused by stress, anxiety, caffeine, thyroid disorders, anemia, or heart conditions. Management includes lifestyle changes, avoiding triggers, and medication adjustments. It's important to consult a healthcare provider for a proper diagnosis and treatment plan.

How does B12 deficiency impact the body and what are the treatment options?

B12 deficiency can lead to fatigue, weakness, lightheadedness, palpitations, and neurological symptoms like numbness or tingling. Treatment typically involves dietary changes and B12 supplements or injections to restore normal levels.

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