[39M] Experiencing rapid heart rate and a range of systemic symptoms

Patient Description

A 39-year-old male presents with a constellation of symptoms including a rapid and irregular heart rate that spikes and then normalizes, unintentional weight loss of 60 pounds over 6 months, extreme fatigue, and loss of appetite. The patient also reports dry skin affecting various parts of the body, including lips and ears, muscle atrophy rated 8 out of 10 in severity, and numbness extending from the quadriceps down to the toes for approximately 5 months. Additionally, the patient experiences extreme stomach pain described as cramping located above the belly button and below the chest, with bowel movements that are super dark in color. The patient has been experiencing these symptoms for several months with no known allergies or adverse reactions to medications, and is not currently on any medications. The patient's medical history includes a back surgery performed 20 years ago.

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Arora's Assessment

What might be happening

Based on the information you provided, possible diagnoses include:

  • Hyperthyroidism: This condition is characterized by an overactive thyroid gland, which results in a rapid metabolism and can cause symptoms such as rapid heart rate, weight loss, and muscle atrophy. Dry skin and eye problems can also occur in severe cases.

    • Treatment typically involves medication to slow down the thyroid, and in some cases, surgery or radioactive iodine may be needed.
  • Celiac Disease: This autoimmune disorder is triggered by consuming gluten, a protein found in wheat, barley, and rye. It can cause symptoms like diarrhea, bloating, and stomach pain, and over time can lead to weight loss and malnutrition. The dry skin and numbness you're experiencing could potentially be related to nutritional deficiencies caused by malabsorption.

    • Treatment involves following a strict gluten-free diet.
  • Gastrointestinal Disorder: Conditions such as gastritis or peptic ulcer disease can cause stomach pain and weight loss. The dark stool you mentioned could potentially be a sign of bleeding in the gastrointestinal tract.

    • Treatment depends on the specific condition but may involve medication to reduce stomach acid and changes to diet.
  • Anxiety and Depression: These mental health conditions can cause a variety of physical symptoms, including changes in appetite and weight, fatigue, and muscle weakness. They can also contribute to gastrointestinal symptoms and heart palpitations.

    • Treatment often involves a combination of medication and psychotherapy.

Please note that these are potential diagnoses based on the symptoms you've provided, and a healthcare professional would need to evaluate you in person to make a definitive diagnosis.

What you can do

  1. Schedule an appointment with your primary care physician as soon as possible to discuss your symptoms. They may want to order blood tests or other diagnostic tests to help determine the cause of your symptoms.
  2. Keep a symptom journal. Write down when each symptom occurs, its severity, and any potential triggers. This can help your doctor identify patterns and make a diagnosis.
  3. Stay hydrated and try to eat a balanced diet. Even if you're not feeling hungry, it's important to get enough nutrients to support your body.
  4. Try to get regular exercise, but don't push yourself too hard. Gentle activities like walking or yoga can be beneficial.
  5. If you're feeling anxious or depressed, consider reaching out to a mental health professional. They can provide strategies to help manage these feelings.

What you should look out for

Seek immediate medical attention if:

  • Your heart rate becomes dangerously high or irregular
  • You experience severe stomach pain or notice blood in your stool
  • Your weight loss continues or accelerates
  • You feel faint or dizzy
  • Your depression or anxiety worsens or you start to have thoughts of self-harm or suicide

Remember, I'm an AI and this advice is based on the information you've given me. It's really important to consult with a healthcare professional who can evaluate your symptoms in person.

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11 mo ago

People Also Ask


What are the common symptoms of hyperthyroidism?

Common symptoms of hyperthyroidism include rapid heart rate, weight loss, increased appetite, nervousness, anxiety, tremors, sweating, and muscle weakness. It can also cause changes in menstrual patterns and sleep disturbances.


How can celiac disease affect the body if left untreated?

If left untreated, celiac disease can lead to malnutrition, anemia, osteoporosis, infertility, neurological problems, and an increased risk of certain cancers due to the damage it causes to the small intestine and the resulting malabsorption of nutrients.


What might cause dark-colored stools and should it be a concern?

Dark-colored stools can be caused by bleeding in the upper gastrointestinal tract, such as from a peptic ulcer or gastritis. It is important to seek medical attention as it could indicate a serious condition.


How can anxiety and depression manifest as physical symptoms?

Anxiety and depression can cause physical symptoms such as fatigue, changes in appetite and weight, muscle tension, headaches, gastrointestinal issues, and heart palpitations. These conditions can also exacerbate existing physical health problems.


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