[36F] With low energy, headache, and other symptoms

Patient Description

A 36-year-old female reports experiencing low energy and headaches for over 10 days. The patient also mentions swollen glands, a metallic taste in the mouth, and feeling emotional. The low energy has significantly affected her daily routine, making it difficult for her to get moving. There are no specific activities or situations that exacerbate the low energy. The onset of low energy was gradual.

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Arora's Assessment

What might be happening

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

Low Energy and Headache

  1. Chronic Fatigue Syndrome (CFS)

    • Rationale: CFS often presents with prolonged fatigue that doesn't improve with rest and can be accompanied by headaches.
    • Typical Treatments/Testing: Diagnosis is usually clinical, based on symptoms and ruling out other conditions. Treatment focuses on symptom management, including medications, cognitive behavioral therapy, and graded exercise therapy.
  2. Anemia

    • Rationale: Anemia can cause fatigue and headaches due to a lack of red blood cells to carry oxygen to your tissues.
    • Typical Treatments/Testing: Blood tests to check hemoglobin levels and iron studies. Treatment may include iron supplements or dietary changes.

Swollen Glands

  1. Infection
    • Rationale: Swollen glands (lymph nodes) are often a sign of infection, which can also cause fatigue and headaches.
    • Typical Treatments/Testing: Physical examination and possibly blood tests or imaging to identify the source of infection. Treatment may include antibiotics or antiviral medications.

Metallic Taste in Mouth

  1. Medication Side Effects

    • Rationale: Some medications can cause a metallic taste as a side effect.
    • Typical Treatments/Testing: Review of current medications with a healthcare provider to identify and possibly adjust the offending medication.
  2. Oral Health Issues

    • Rationale: Dental problems or gum disease can sometimes cause a metallic taste.
    • Typical Treatments/Testing: Dental examination and treatment if necessary.

Emotional Symptoms

  1. Depression or Anxiety
    • Rationale: Emotional symptoms like feeling down or anxious can accompany physical symptoms like fatigue and headaches.
    • Typical Treatments/Testing: Psychological evaluation and treatment, which may include therapy and/or medications.

What you can do

Low Energy and Headache

  • See a Doctor: It's important to consult a healthcare provider to rule out serious conditions like anemia or chronic fatigue syndrome.
  • Self-Care: Ensure you are getting adequate rest, staying hydrated, and eating a balanced diet. Gentle exercise, like walking, can also help improve energy levels.

Swollen Glands

  • Monitor Symptoms: Keep an eye on the size and tenderness of the swollen glands. If they persist or worsen, see a healthcare provider.
  • Stay Hydrated: Drink plenty of fluids to help your body fight off any potential infections.

Metallic Taste in Mouth

  • Review Medications: If you are taking any medications, discuss with your healthcare provider whether they could be causing the metallic taste.
  • Oral Hygiene: Maintain good oral hygiene by brushing and flossing regularly. Consider seeing a dentist for a check-up.

Emotional Symptoms

  • Seek Support: Talk to a mental health professional if you are feeling emotionally overwhelmed. Therapy and counseling can be very beneficial.
  • Self-Care: Engage in activities that you enjoy and that help you relax, such as reading, listening to music, or spending time with loved ones.

What you should look out for

Given the range of your symptoms, it's important to seek medical care to get a comprehensive evaluation. Reasons to seek care more urgently include:

  • Severe or Worsening Symptoms: If your fatigue, headaches, or swollen glands worsen or are accompanied by other severe symptoms like high fever, difficulty breathing, or chest pain.
  • New Symptoms: If you develop new symptoms such as unexplained weight loss, night sweats, or persistent pain.
  • Emotional Distress: If you experience severe emotional distress or thoughts of self-harm, seek immediate help from a mental health professional or emergency services.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare provider for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

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3 mo ago


People Also Ask


What are the common causes of low energy and headaches?

Common causes of low energy and headaches include chronic fatigue syndrome, anemia, stress, dehydration, and lack of sleep. It's important to consult a healthcare provider to determine the specific cause.


How can swollen glands be related to infections?

Swollen glands, or lymph nodes, often indicate that the body is fighting an infection. This can be due to viral or bacterial infections, and sometimes other conditions like autoimmune diseases.


What might cause a metallic taste in the mouth?

A metallic taste in the mouth can be caused by medication side effects, dental issues, or certain medical conditions. It's advisable to review any medications with a healthcare provider and maintain good oral hygiene.


How can emotional symptoms be linked to physical conditions like fatigue?

Emotional symptoms such as feeling down or anxious can be linked to physical conditions like fatigue due to the body's stress response. Conditions like depression or anxiety can also manifest with physical symptoms, making it important to address both mental and physical health.


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