[48F] Experiencing sudden fatigue and high blood pressure

Patient Description

A 48-year-old female reports experiencing sudden onset of fatigue and lack of energy over the past week. She feels tired and weak, describing it as a chore to engage in activities such as knitting. The patient also notes a slight increase in blood pressure, with a recent reading of 135/90. There is a decreased appetite and minor weight loss. The patient has a history of hypothyroidism, but her thyroid levels have not been checked in several years. She has not had a menstrual period in years, potentially due to menopause, and is not currently taking any medications or supplements. There have been no recent illnesses, infections, or changes in lifestyle, stress, or sleep patterns.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Hypothyroidism: Given your history of hypothyroidism, it's possible that your thyroid hormone levels may be low again. Hypothyroidism can cause fatigue, weakness, decreased appetite, and weight changes. It would be beneficial to have your thyroid levels checked to see if this is contributing to your symptoms. Treatment typically involves thyroid hormone replacement therapy.

  • Menopause: Since you mentioned that you may have recently gone through menopause, hormonal changes could be contributing to your fatigue and changes in appetite. Menopause can also affect blood pressure. Discussing these symptoms with your healthcare provider can help determine if they are related to menopause.

  • Hypertension (High Blood Pressure): Your blood pressure reading of 135/90 is slightly elevated, which can sometimes contribute to fatigue. Monitoring your blood pressure and discussing it with your healthcare provider can help determine if it needs to be managed.

What you can do

  1. Consult a Healthcare Provider: It's important to see a healthcare provider to discuss your symptoms and possibly have your thyroid levels checked. They can provide a formal diagnosis and recommend appropriate treatment.

  2. Monitor Your Blood Pressure: Keep track of your blood pressure readings and share them with your healthcare provider. They can help determine if any interventions are needed.

  3. Maintain a Balanced Diet: Ensure you're eating a nutritious diet to support your energy levels. Even if your appetite is decreased, try to include a variety of foods to meet your nutritional needs.

  4. Use MDandMe: Consider using the MDandMe app to journal your symptoms, track your progress, and share insights with your healthcare provider. This can help in managing your condition and identifying any patterns.

What you should look out for

  • Worsening Symptoms: If your fatigue becomes more severe or you notice any new symptoms, it's important to seek medical attention.

  • Blood Pressure Changes: If your blood pressure continues to rise or you experience symptoms like headaches, dizziness, or chest pain, contact your healthcare provider.

  • Thyroid Symptoms: If you notice symptoms like changes in your hair, skin, or nails, or if you feel unusually cold, these could be signs of thyroid issues and should be discussed with your healthcare provider.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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1 mo ago

People Also Ask


Can hypothyroidism cause fatigue and weight changes?

Yes, hypothyroidism can cause fatigue, weakness, decreased appetite, and weight changes due to low levels of thyroid hormones, which are crucial for regulating metabolism and energy levels.


How can menopause affect energy levels and blood pressure?

Menopause can lead to hormonal changes that may cause fatigue and fluctuations in blood pressure. These changes can affect energy levels and may require management to alleviate symptoms.


What are the potential health implications of slightly elevated blood pressure?

Slightly elevated blood pressure, known as prehypertension, can increase the risk of developing hypertension, which is associated with heart disease and stroke. Monitoring and lifestyle changes may be recommended to manage it.


What steps should I take if I suspect my thyroid levels are off?

If you suspect your thyroid levels are off, it's important to consult a healthcare provider for a thyroid function test. They can diagnose any imbalances and recommend treatment, such as thyroid hormone replacement therapy.


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