[35F] Experiencing excessive sweating, dizziness, and bruising

Patient Description

A 35-year-old female reports experiencing excessive sweating during any physical activity, enough to soak her hair and shirt, for the past month. She also experiences dizziness that began suddenly in early August, which varies in severity and is relieved by lying down. Additionally, she has noticed easy bruising with over 20 bruises on her arms and legs without any known injury, also occurring over the past month. The patient describes having very heavy menstrual cycles. She is under significant stress due to personal circumstances involving her children and living in a domestic violence shelter. Her current medications include Sertraline, Famcyclovir, Metoprolol, Bupropion, Buspirone, and Hydroxyzine, with no recent changes in dosages. She has not experienced any unusual bleeding, infections, or illnesses recently and has not had any recent blood tests or medical evaluations. Muscle pain is present, coming and going, but there is no swelling in the legs or elsewhere. There have been no changes in heart rate or blood pressure, and no side effects from medications have been noted previously.

Arora's Assessment

What might be happening

Your symptoms could be related to several potential issues:

Medication Side Effects: Some of your medications, like sertraline and bupropion, can cause excessive sweating and dizziness. Metoprolol can also lead to dizziness and fatigue.
Stress and Anxiety: Given your current situation, stress and anxiety could contribute to sweating, dizziness, and fatigue.
Hematological Issues: Easy bruising and heavy menstrual bleeding might suggest a blood clotting issue or platelet problem. This requires medical evaluation.
Hormonal Imbalances: Conditions like hyperthyroidism can cause sweating, fatigue, and changes in menstrual cycles.

What you can do

Excessive Sweating and Dizziness:

Consult Your Doctor: It's important to discuss these symptoms with your healthcare provider, especially considering your medications.
Stay Hydrated: Drink plenty of water to help manage dizziness and replace fluids lost through sweating.

Bruising and Heavy Menstrual Bleeding:

Medical Evaluation: Seek medical advice to rule out any blood disorders or hormonal imbalances.
Monitor Symptoms: Keep track of any new bruises or changes in bleeding patterns.

Stress Management:

Relaxation Techniques: Practice deep breathing, meditation, or yoga to help manage stress.
Support System: Reach out to friends, family, or support groups for emotional support.

General Health:

Balanced Diet: Ensure you're eating a nutritious diet to support overall health.
Symptom Tracking: Use MDandMe to journal your symptoms and share insights with your healthcare provider.

What you should look out for

Increased Bruising or Bleeding: If you notice more bruising or any unusual bleeding, seek medical attention.
Severe Dizziness or Fainting: If dizziness worsens or you experience fainting, consult a healthcare professional.
Changes in Heart Rate: Any significant changes should be evaluated by a doctor.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

1

Hugs

0

Comments

Save

6 mo ago

Top picked over-the-counter products for POTS: Heart Rhythm Society Treatment Consensus

[35F] Experiencing excessive sweating, dizziness, and bruising

What might be happening

What you can do

What you should look out for

Experiencing symptoms?