[35F] Experiencing multisystem symptoms for several months

Patient Description

A 35-year-old female has been experiencing a constellation of symptoms for several months, including nausea that comes and goes, rated 7/10 for severity, and is exacerbated by physical activity but alleviated by sitting. She reports a sharp headache at the back of her head, rated 9/10 for severity, heart palpitations as if she has just run, and dizziness. Additionally, she experiences heat flashes that are sudden and intense, sweating heavily enough during activity and sleep to wet her clothes, and weakness when walking or standing, rated 9/10 for severity, which makes her feel almost faint. She also reports shortness of breath and shaking. These symptoms have been affecting all her daily activities. She has no known allergies or adverse reactions to medications, no pre-existing conditions, and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Panic Disorder or Anxiety: These conditions can cause symptoms such as heart palpitations, sweating, shaking, and shortness of breath. Panic attacks can also cause a sense of impending doom, and physical symptoms can be severe.

    • Treatment typically involves cognitive-behavioral therapy and/or medication.
  • Hyperthyroidism: This condition occurs when your thyroid produces too much of the hormone thyroxine. It can cause symptoms like rapid heart rate, sweating, heat intolerance, and weakness.

    • Treatment typically involves medication to control the production of thyroid hormones.
  • Postural Orthostatic Tachycardia Syndrome (POTS): This is a condition that affects circulation and can cause an increased heart rate, fainting, and lightheadedness when standing up.

    • Treatment typically involves a combination of lifestyle changes and medications.
  • Menopause or Perimenopause: Although you're younger than the average age for menopause, some women do experience early menopause. Symptoms can include hot flashes, night sweats, and heart palpitations.

    • Treatment typically involves hormone replacement therapy (HRT) or other medications to manage symptoms.

Please note that these are just possibilities, and the actual cause of your symptoms could be something else. It's important to consult with a healthcare provider for a formal diagnosis.

What you can do

  1. Seek medical attention: Given the severity and duration of your symptoms, it's important to see a healthcare provider as soon as possible. They can perform a physical examination and order tests to help determine the cause of your symptoms.

  2. Monitor your symptoms: Keep track of when your symptoms occur, what you're doing when they happen, and how long they last. This information can be helpful for your healthcare provider.

  3. Stay hydrated and eat a balanced diet: Dehydration can exacerbate symptoms like dizziness and rapid heart rate. Eating a balanced diet can also help ensure your body has the nutrients it needs.

  4. Practice good sleep hygiene: Poor sleep can worsen many of the symptoms you're experiencing. Try to keep a regular sleep schedule, create a restful environment, and avoid caffeine and electronics before bed.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms significantly worsen
  • You experience severe chest pain
  • You have difficulty breathing
  • You faint or lose consciousness

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 provider for a formal diagnosis and treatment.

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11 mo ago

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

People Also Ask


What are the common symptoms of hyperthyroidism?

Common symptoms of hyperthyroidism include rapid heart rate, weight loss, increased appetite, sweating, heat intolerance, nervousness, and tremors.


How can anxiety or panic disorders manifest physically?

Anxiety or panic disorders can cause physical symptoms such as heart palpitations, sweating, shaking, shortness of breath, dizziness, and a sense of impending doom.


What lifestyle changes can help manage Postural Orthostatic Tachycardia Syndrome (POTS)?

Lifestyle changes for managing POTS include increasing fluid and salt intake, wearing compression garments, avoiding prolonged standing, and gradually increasing physical activity.


What are the signs of early menopause or perimenopause?

Signs of early menopause or perimenopause can include irregular periods, hot flashes, night sweats, mood changes, and heart palpitations.


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