[52F] Experiencing brain fog, hot flashes, and other symptoms

Patient Description

A 52-year-old female reports experiencing progressive brain fog characterized by forgetfulness, low motivation, and misplacing items over the past 6 months, which is severely impacting her work and daily functioning. She also describes sudden and intense hot flashes for the past year, which are exacerbated by strong emotions. Hair loss on the crown, noticeable to herself and others, began approximately a year ago following the cessation of breastfeeding. She has been having dull right abdominal pain for the past 5 days, which comes and goes. Vision changes have been noted, with increased reliance on reading glasses and episodes of blurriness, accompanied by occasional mild headaches upon waking. The patient also reports depression and irritability. Menstruation has ceased since October. No pre-existing or chronic conditions were reported. The patient has an allergy to estriodol patches, which induced depression. Current medications include Procardia 30mg, Lexipro 20 mg, and hair vitamins. No other medications or supplements were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are a few possible explanations for your symptoms:

  • Menopause: Given your age and the symptoms you're experiencing, such as hot flashes, hair loss, memory loss, and changes in your menstrual cycle, you could be going through menopause. This is a natural biological process that occurs in women usually between the ages of 45 and 55, marking the end of menstrual cycles. It's diagnosed after you've gone 12 months without a menstrual period. Menopause can cause a variety of symptoms, including hot flashes, sleep problems, mood changes, and memory and concentration problems.

  • Hypothyroidism: This is a condition where your thyroid gland doesn't produce enough thyroid hormones. Symptoms can include fatigue, depression, forgetfulness, and hair loss.

  • Vitamin B12 deficiency: This can cause symptoms such as fatigue, weakness, memory loss, and depression.

  • High blood pressure: This could potentially be causing some of your symptoms, such as the headaches and memory issues.

  • Depression: This could be contributing to your feelings of irritability, memory issues, and brain fog.

Please note that this is not an exhaustive list and these conditions can coexist.

What you can do

It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person. They may recommend blood tests to check your hormone levels, thyroid function, and vitamin B12 levels.

In the meantime, here are a few things you can do:

  1. Keep a symptom diary: This can help you track when your symptoms occur and what might be triggering them.

  2. Stay hydrated and maintain a balanced diet: This can help manage some of your symptoms.

  3. Exercise regularly: This can help improve your mood and energy levels.

  4. Practice good sleep hygiene: This includes going to bed and waking up at the same time every day, keeping your bedroom dark and cool, and avoiding screens before bed.

  5. Seek support: If you're feeling depressed or irritable, it can be helpful to talk to someone you trust about your feelings.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe headache or a headache that comes on suddenly
  • Sudden difficulty speaking or understanding speech
  • Sudden weakness or numbness on one side of your body
  • Sudden vision changes
  • Sudden, severe abdominal pain

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

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People Also Ask


What are common symptoms of menopause?

Common symptoms of menopause include hot flashes, night sweats, mood changes, sleep disturbances, memory and concentration problems, and changes in menstrual cycles.


How can hypothyroidism affect cognitive function?

Hypothyroidism can lead to cognitive issues such as forgetfulness, difficulty concentrating, and brain fog due to insufficient thyroid hormone levels affecting brain function.


What are the signs of a Vitamin B12 deficiency?

Signs of a Vitamin B12 deficiency can include fatigue, weakness, memory loss, depression, and neurological changes such as numbness or tingling in the hands and feet.


How can high blood pressure contribute to headaches and memory issues?

High blood pressure can lead to headaches due to increased pressure in the blood vessels of the brain, and it may also affect memory and cognitive function by reducing blood flow to the brain.


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