[36F] Experiencing dizziness, fatigue, blurred vision, and dry mouth

Patient Description

A 36-year-old female has been experiencing dizziness, fatigue, blurred vision, and a constant dry mouth for the past 1-2 weeks. The patient reports no relief from these symptoms. Additionally, she has noticed frequent urination and increased thirst. There has been no unexplained weight loss, but she has experienced tingling or numbness in her legs and feet, and difficulty concentrating. The patient has a family history of diabetes and was diagnosed with obesity in 2020, and vitamin D and B12 deficiencies in 2023. She is not currently taking any medications and has no known allergies or adverse reactions to medications. The patient typically drinks about 32 oz of fluids a day.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Diabetes Mellitus: Given your symptoms of increased thirst, frequent urination, dry mouth, fatigue, blurred vision, and a family history of diabetes, this is a strong possibility. Diabetes can cause high blood sugar levels, leading to these symptoms.

    • Typical Testing and Treatment: Diagnosis usually involves blood tests to measure blood sugar levels, such as fasting blood glucose or HbA1c. Treatment often includes lifestyle changes like diet and exercise, and possibly medications or insulin therapy.
  • Dehydration: Your fluid intake of 32 oz a day might be insufficient, especially if you are losing fluids through frequent urination. Dehydration can cause dizziness, dry mouth, and fatigue.

    • Typical Testing and Treatment: Increasing fluid intake and monitoring for improvement can help. Severe cases may require medical attention and intravenous fluids.
  • Vitamin Deficiencies: Your known deficiencies in vitamin D and B12 can contribute to fatigue, dizziness, and difficulty concentrating.

    • Typical Testing and Treatment: Blood tests to monitor levels and supplementation as prescribed by a healthcare provider.

What you can do

  1. Consult a Doctor: It's important to see a healthcare provider to get a formal diagnosis and appropriate treatment. They may order blood tests to check for diabetes and other potential issues.
  2. Increase Fluid Intake: Try to drink more water throughout the day to see if it helps with your dry mouth and dizziness.
  3. Monitor Symptoms: Keep track of your symptoms, including any changes or new symptoms, using the MDandMe journal. This can help your doctor make a more accurate diagnosis.
  4. Healthy Diet: Ensure you are eating a balanced diet rich in nutrients, which can help with your vitamin deficiencies and overall health.
  5. Rest and Manage Stress: Fatigue and difficulty concentrating can be exacerbated by stress and lack of rest. Make sure you are getting enough sleep and managing stress effectively.

What you should look out for

Seek medical attention more urgently if you experience:

  • Severe Symptoms: Such as extreme fatigue, confusion, or severe dizziness.
  • Unexplained Weight Loss: This can be a sign of uncontrolled diabetes or other serious conditions.
  • Persistent or Worsening Symptoms: If your symptoms do not improve with increased fluid intake or other self-care measures.

Remember, while this advice can help guide you, it is not a substitute for professional medical evaluation and treatment. Please consult a healthcare provider for a formal diagnosis and personalized treatment plan.

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5 mo ago


People Also Ask


What are the common symptoms of diabetes mellitus?

Common symptoms of diabetes mellitus include increased thirst, frequent urination, fatigue, blurred vision, dry mouth, and tingling or numbness in the extremities. It is important to get tested if you experience these symptoms, especially with a family history of diabetes.


How can dehydration affect my body and what are its symptoms?

Dehydration can lead to symptoms such as dizziness, dry mouth, fatigue, and confusion. It occurs when your body loses more fluids than it takes in, and can be exacerbated by conditions like frequent urination.


What role do vitamin D and B12 deficiencies play in my health?

Vitamin D and B12 deficiencies can lead to fatigue, dizziness, difficulty concentrating, and tingling or numbness in the extremities. These vitamins are crucial for energy production and nerve function, and deficiencies should be addressed with appropriate supplementation.


How much water should I be drinking daily to stay hydrated?

The general recommendation for daily water intake is about 64 ounces (8 cups) for most adults, but this can vary based on individual needs, activity level, and environmental conditions. It's important to drink enough to prevent dehydration, especially if experiencing symptoms like dry mouth and frequent urination.

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