[39F] Experiencing unilateral hyperhidrosis and associated symptoms

Patient Description

A 39-year-old female has been experiencing excessive sweating on the right side of her upper body for approximately one year. The sweating is constant and can be triggered by any movement, with no known alleviating factors. Alongside this, the patient reports a pale facial complexion, lightheadedness, shortness of breath, a yellowish tone in the eyes, and chest pain that radiates to the back. Additionally, the patient experiences migraines. Her medical history includes two heart surgeries: a dissection of the aorta type A and a thoracic endovascular procedure. She is currently managing high blood pressure with Rosuvastatin 20mg and Losartan 25mg. There are no known allergies or other chronic illnesses. The patient denies any drooping of the eyelid, changes in pupil size, numbness, or weakness on one side of the body. She has an upcoming appointment with her cardiologist.

Show More

Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential concerns that should be addressed promptly:

  1. Cardiovascular Issues: Given your history of aortic dissection and thoracic endovascular surgery, the combination of chest pain radiating to the back, shortness of breath, and excessive sweating could indicate a cardiovascular issue. These symptoms can sometimes be associated with complications related to your previous heart surgeries or high blood pressure. It's crucial to have these symptoms evaluated by a healthcare professional as soon as possible.

  2. Horner's Syndrome: The unilateral sweating and pale face could suggest a condition known as Horner's syndrome, which can occur due to disruption of certain nerve pathways. This condition can sometimes be related to vascular issues in the chest or neck, especially given your medical history.

  3. Liver Issues: The yellowish tone in your eyes might suggest jaundice, which can be related to liver dysfunction. This could be unrelated to your heart condition but still requires medical evaluation.

  4. Migraine: Your migraines could be a separate issue or potentially related to your cardiovascular health, especially if they are new or worsening.

What you can do

  1. Seek Immediate Medical Attention: Given the seriousness of your symptoms and your medical history, it's important to seek immediate medical attention. Please contact your healthcare provider or visit an emergency room as soon as possible. If your symptoms worsen or you feel unable to get to a hospital safely, call 911 for emergency assistance.

  2. Prepare for Your Appointment: Since you have an upcoming appointment with your cardiologist, make sure to discuss all these symptoms in detail. It might be helpful to keep a symptom diary, noting when each symptom occurs and any potential triggers.

  3. Monitor Symptoms: Keep track of any changes in your symptoms, especially if they become more severe or frequent. This information will be valuable for your healthcare provider.

  4. Avoid Strenuous Activity: Until you have been evaluated by a healthcare professional, it may be wise to avoid strenuous activities that could exacerbate your symptoms.

Remember, while I can provide information based on your symptoms, only a healthcare professional can provide a formal diagnosis and appropriate treatment plan. Please prioritize your health and seek care promptly.

Show More

1
 Hugs
0
 Comments

Save

4 mo ago

Top picked over-the-counter products for Tingling or Cold Sensations at the Back of Your Head

People Also Ask


What could be causing excessive sweating on one side of the body?

Excessive sweating on one side of the body, known as unilateral hyperhidrosis, can be caused by nerve damage or disorders affecting the sympathetic nervous system. It may also be related to conditions like Horner's syndrome, which involves nerve pathway disruptions.


What are the potential causes of a yellowish tone in the eyes?

A yellowish tone in the eyes, or jaundice, is often caused by an excess of bilirubin in the blood. This can result from liver dysfunction, bile duct obstruction, or hemolysis. It's important to have this symptom evaluated by a healthcare professional.


How can chest pain that radiates to the back be related to previous heart surgeries?

Chest pain that radiates to the back can be associated with cardiovascular issues, especially in individuals with a history of heart surgeries like aortic dissection repair. It may indicate complications such as aneurysm or other vascular problems that require immediate medical attention.


What are the symptoms and causes of Horner's syndrome?

Horner's syndrome is characterized by a combination of symptoms including drooping eyelid, constricted pupil, and lack of sweating on one side of the face. It is caused by disruption of the sympathetic nerve pathways, which can occur due to trauma, tumors, or vascular issues in the neck or chest.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback