[57F] Experiencing occasional dizziness and visual disturbances

Patient Description

A 57-year-old female reports occasional dizziness and the presence of black, squiggly lines in her vision. Additionally, she experiences intermittent tingling on the left side of her face. Her medical history includes high blood pressure diagnosed at age 50, hypothyroidism diagnosed at age 22, pre-diabetes diagnosed at age 41, and frequent bladder infections over the past 3 years. She is currently on Levothyroxine for hypothyroidism and Amlodipine for high blood pressure. The patient has allergies to Keflex and Vancomycin. She also notes that her sodium levels are often low on blood tests. No other symptoms or medications were reported.

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Arora's Assessment

What might be happening

Based on your information, you have high red blood cell count (RBC), high hemoglobin (HGB), high hematocrit (HCT), and high red cell distribution width (RDW). These results suggest that your body is producing more red blood cells than normal. This can be due to several reasons:

  • Polycythemia Vera: This is a slow-growing blood cancer in which your bone marrow makes too many red blood cells. These excess cells thicken your blood, slowing its flow, which may cause serious complications, such as blood clots. The tingling sensation on your face and dizziness could be related to this condition.

    • Treatment usually aims to reduce the thickness of the blood and prevent clotting. This can be done through various methods, including medication, phlebotomy (removal of blood from the body), and low-dose aspirin.
  • Secondary Polycythemia: This condition occurs as a response to an underlying cause such as low oxygen levels in your blood. It could be due to chronic lung disease, certain tumors, or a history of smoking.

    • Treatment involves addressing the underlying cause.
  • Dehydration: This can cause your blood to become concentrated, leading to higher than normal test results. However, this would typically resolve once you rehydrate.

Please note that these are possibilities based on the information provided and should be confirmed by a healthcare professional.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss these test results. They may want to repeat the tests or do additional testing to confirm a diagnosis.
  2. Stay hydrated and maintain a balanced diet.
  3. Monitor your symptoms and note any changes or new symptoms.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe or worsening headache
  • Difficulty breathing or shortness of breath
  • Chest pain
  • Blurred vision or loss of vision
  • Confusion or difficulty speaking
  • Fainting or loss of consciousness

Please remember that while I strive to provide accurate information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for accurate information.

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11 mo ago

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People Also Ask


What could be causing the black, squiggly lines in my vision?

The black, squiggly lines in your vision, often referred to as floaters, can be caused by changes in the vitreous gel inside the eye. However, they can also be a sign of more serious conditions like retinal detachment, especially if accompanied by flashes of light or a sudden increase in floaters. It's important to consult an eye specialist for a thorough examination.


How are dizziness and tingling in the face related to high red blood cell count?

Dizziness and tingling in the face can be related to high red blood cell count because the increased thickness of the blood can reduce blood flow to certain areas, potentially affecting the brain and nerves. This can lead to symptoms like dizziness and tingling.


What is Polycythemia Vera and how is it treated?

Polycythemia Vera is a type of blood cancer where the bone marrow produces too many red blood cells, leading to thicker blood and an increased risk of clots. Treatment typically involves reducing blood thickness through phlebotomy, medication, and sometimes low-dose aspirin to prevent clotting.


Why might my sodium levels be low on blood tests?

Low sodium levels, or hyponatremia, can be caused by various factors including certain medications, hormonal imbalances, or conditions that affect the body's ability to balance water and electrolytes. It's important to work with a healthcare provider to determine the underlying cause and appropriate treatment.


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