OpenHealth Q&A

Increasing Health Concerns and Limited Functionality – What Are My Options?

I’m an 18-year-old female, standing 5'10" and classified as obese (I don’t have a scale at home, but my weight is likely in the lower 200s). Current health conditions include hyperhidrosis (HS), chronic Achilles tendinitis, and a depressive disorder. Previously prescribed medications encompass Risperidone and Metformin (the latter was for HS but caused adverse effects). Presently, I am taking Sertraline, which was initially 150mg but has been reduced to 50mg after starting it at age 12. Additional medical insights: I have larger red blood cells than average. A physiotherapist suspects chronic inflammation in one of my lower leg muscles. Occasionally, I experience mild hallucinations and facial tics related to past medications. I entered puberty very early, with breast development beginning at age 8, menstruating by 10, and reaching my final height by 13. I was informed only recently that I had elevated cholesterol levels during childhood and adolescence. Additionally, I have a naturally lower blood pressure due to genetics. Persistent symptoms include: a menstrual cycle that has been overdue for over 200 days, abnormal facial hair growth, a deeper voice, significant abdominal weight gain, and numerous stretch marks on my abdomen, arms, forearms, groin, and behind my knees. I've noticed skin darkening around my neck, forearms, back of my knees, under my breasts, and in my armpits, alongside ongoing acne and notable pubic fat. I experience hypoglycemic episodes between meals, particularly aggravated while on Metformin. Additionally, I feel excessively fatigued, get winded easily, suffer from random chest pains, and have heart palpitations. My appetite has decreased, yet weight continues to increase. I also deal with edema in my forearms and lower legs, resulting in tightness from clothing such as socks and fitted pants, causing noticeable indentations. Unexplained purple bruises on my legs haven’t healed, leaving me feeling unwell upon waking. Other complaints include back pain, dizziness upon standing, brain fog, intense sugar cravings, and tremors with shaking hands as well as blurred vision. I recently had a blood test due to my symptoms, but I won’t be able to access the results or consult with my doctor until Thursday. Securing an appointment or any medical assistance in my area presents significant challenges unless the situation becomes dire—often taking weeks or longer. In-person consultations are infrequent, with most interactions conducted via brief phone calls. Over the last couple of days, my condition has deteriorated more than ever before. I am persistently trembling, and every time I either stand or sit up, my vision blurs and darkens. My heart races, my breathing intensifies, and I experience episodes of dizziness. I’ve been unable to attend school and can barely get out of bed or even sit in a chair. Whenever I attempt to speak, my voice quivers and slurs, almost as if under strong influence or extreme cold. I made an effort to attend school today but struggled to operate scissors, hold a pencil, or walk through the hall without feeling faint. Everyday tasks, like washing my hair, induce severe pain and make me feel incredibly weak. Each journey to the bathroom feels like an exhausting marathon, and I find myself sleeping excessively, battling overwhelming fatigue. Additionally, I feel constant pressure in my abdomen and have an insatiable thirst. While it may appear to be a cold, it doesn't feel like one. At this stage, I am at a loss for what actions to take. My appointment is on Thursday, but I doubt it will yield more than just the lab results. I am genuinely frightened that I might face a medical crisis, as these symptoms do not resemble a mere cold. Is there any medication I should discuss with her or any specific tests I should request? Seeking emergency care could be an option, but I'm apprehensive they will likely dismiss me unless I am in a critical state, and I’m wary of lengthy waiting times only to be told that I’m taking up space. I am open to any suggestions or guidance. My primary concern is to understand what is happening with my health.

Answers (1)

4/2/2025, 2:50:47 AM

OpenHealth AI

I understand that you are feeling overwhelmed and frightened by your current health situation. Your symptoms and health history indicate several complex issues that require careful attention. It’s important to take your concerns seriously and prioritize your well-being as you seek further evaluation and support.

Key Points:

1. Symptom Observation: Your symptoms, including excessive fatigue, dizziness, heart palpitations, changes in menstrual cycle, unexplained bruising, and hypoglycemic episodes, suggest that you might be experiencing an underlying medical condition that needs immediate attention.

2. Upcoming Appointment: Your scheduled appointment on Thursday is crucial, and it's an opportunity to discuss your current symptoms in detail. Ensure you are prepared to convey all relevant changes and concerns.

Roadmap to Action:

1. Document Your Symptoms: Keep a detailed record of your symptoms, including when they occur, their severity, and any triggers you notice. If possible, track your blood sugar levels if you have access to a glucose meter.

2. Specific Questions for Your Doctor: Prepare a list of questions and topics to discuss during your appointment. Consider asking about:

   • Potential conditions such as Polycystic Ovary Syndrome (PCOS) or adrenal issues, given your symptoms and hormonal changes.
   • The need for imaging studies (like an ultrasound of your abdomen) or blood tests that check hormone levels, thyroid function, and inflammation markers.
   • Re-evaluation of your medications and whether adjustments are needed based on side effects and current symptoms.

3. Stay Hydrated and Rest: Given your fatigue and dizziness, it's important to drink fluids regularly to stay hydrated. Focus on resting as much as possible to conserve your energy.

4. Emergency Room Consideration: If your symptoms worsen before your appointment—particularly the trembling, severe dizziness, heart racing, or difficulty with everyday tasks—consider visiting an emergency room for evaluation. You deserve to be heard and assessed, even if you’re worried about wait times.

5. Support Networks: Reach out to close friends or family members for support. Discuss your feelings with them, especially if you are feeling anxious or scared. They might also help you prepare for your appointment and convey your concerns if you’re unable to articulate them during your visit.

Final Thoughts:

Your health concerns are significant, and it’s important to address them systematically and thoroughly with a healthcare professional. Trust that seeking help is justified and crucial. You are not alone in this, and with the right support and medical evaluation, you can work towards identifying the underlying issues and improving your overall health. If you have any further questions or concerns, feel free to share.