[39F] With multiple symptoms including sweating and nausea

Patient Description

A 39-year-old female reports experiencing excessive sweating, nausea, headaches, shortness of breath, confusion, dizziness, irritability, fatigue, and stomach pain. The sweating occurs daily, lasting a couple of hours, and is exacerbated by movement. The patient has gained significant weight over the past year and attributes dietary changes to her boyfriend's cooking. She experiences sharp stomach pain above the belly button, rated 7/10 in severity, and has frequent diarrhea. The dizziness is described as lightheadedness and is moderate in severity. Shortness of breath is rated 8/10, and headaches, which are sharp and throbbing, are rated 8/10. The patient reports increased thirst and difficulty hydrating, with no family history of diabetes. Recent infections include Acinetobacter, with ongoing follow-up treatments. Vision changes include difficulty reading smaller text. Current medications include Adderall, Lamictal, Prazosin, Gabapentin, Klonopin, and Methadone.

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Arora's Assessment

What might be happening

Your symptoms could be related to several potential issues:

  1. Hormonal Imbalance or Endocrine Disorder: Symptoms like excessive sweating, weight gain, fatigue, and changes in vision could suggest a hormonal imbalance, such as thyroid issues or diabetes. Testing for blood sugar levels and thyroid function might be necessary.

  2. Medication Side Effects: The combination of medications you're taking could contribute to symptoms like confusion, dizziness, and sweating. It's important to review these with a healthcare provider.

  3. Infection or Chronic Condition: The history of an Acinetobacter infection and ongoing symptoms like fatigue and shortness of breath might indicate lingering effects or complications. Follow-up with your healthcare provider is crucial.

What you can do

Sweating and Shortness of Breath:

  • Monitor your symptoms and note any patterns or triggers.
  • Stay hydrated and wear breathable clothing.
  • Consult a healthcare provider to rule out any serious conditions.

Nausea and Stomach Pain:

  • Eat small, bland meals and avoid spicy or fatty foods.
  • Keep a symptom journal using MDandMe to track what might worsen your symptoms.

Headaches and Dizziness:

  • Ensure you are well-hydrated and get plenty of rest.
  • Avoid sudden movements and take breaks if you feel dizzy.

Confusion and Fatigue:

  • Prioritize rest and manage stress.
  • Discuss your medication regimen with a healthcare provider to ensure it's optimal for you.

What you should look out for

Seek medical attention if you experience:

  • Worsening shortness of breath or chest pain.
  • Severe confusion or disorientation.
  • Persistent or severe headaches.
  • Any new or worsening symptoms.

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

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2 mo ago

People Also Ask

Can excessive sweating be a sign of a hormonal imbalance?

Yes, excessive sweating can be a sign of a hormonal imbalance, such as thyroid issues or diabetes. It's important to get tested for these conditions to determine the underlying cause.

How can medication side effects contribute to symptoms like confusion and dizziness?

Certain medications can cause side effects like confusion and dizziness, especially when taken in combination. It's important to review your medications with a healthcare provider to ensure they are not contributing to these symptoms.

What are the potential complications of an Acinetobacter infection?

Acinetobacter infections can lead to complications such as prolonged fatigue, respiratory issues, or other systemic effects. It's crucial to follow up with your healthcare provider to monitor and manage any ongoing symptoms.

How can I manage sharp stomach pain and frequent diarrhea at home?

To manage sharp stomach pain and frequent diarrhea, try eating small, bland meals and avoid spicy or fatty foods. Keeping a symptom journal can help identify triggers, and staying hydrated is important. If symptoms persist, consult a healthcare provider.

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