Feeling Lost and Overwhelmed: Seeking Guidance
I want to start by saying sorry for the disorganized nature of this message. I’m an 18-year-old female who has been struggling with health issues for approximately two years, and things seem to be getting worse. Despite my efforts, my doctors appear unresponsive, repeatedly sending me for blood tests that consistently show mild anemia. I’ve dealt with this mild anemia for as long as I can remember, and while it has improved somewhat over the years, I still face numerous challenges. I also carry some mental health diagnoses, including borderline personality disorder, depression, anxiety, and PTSD, but thankfully, those conditions have been getting better since their initial diagnosis. I’m currently on birth control and sometimes take Omeprazole, which helps with my nausea. Now, onto my main concern… I struggle to work more than 10 hours each week. The instant I stop being active, I drift off to sleep, regardless of whether I'm reading or gaming. Right now, I estimate that I sleep between 12 and 18 hours a day and can’t seem to reduce it. I’m perpetually fatigued, to the point where I fail to take proper care of myself; on many days, I can barely get out of bed except when I need to use the bathroom. When I finally manage to get up and move around, I often experience nausea (along with occasional dizziness) and heart palpitations. I feel lightheaded frequently, even in a seated or lying position. I react more strongly to temperature changes compared to others, whether hot or cold. Stretching can trigger cramps, primarily in my back and calves, and I frequently suffer severe pain in the left side of my chest and abdomen, along with some mild migraines. My joints and lower back are consistently aching, and I tend to wake up in a sweat, even if I started the night feeling chilly. I’m at a loss for what to do next, as I’ve seen numerous doctors who just don’t seem to understand. My health issues are impacting my work, relationships, social life, overall happiness, and even my personal hygiene. I feel like I’m losing my sanity while my doctors remain unconcerned about my condition. At this point, I find myself hoping that something catastrophic happens just to get someone to pay attention. Should I continue fighting for answers, or is this all in my head?
Answers (1)

7/8/2025, 2:01:47 AM
OpenHealth AI
I'm sorry to hear that you're feeling this way, and it’s understandable to feel lost when dealing with a combination of complex health issues. It sounds like you’re experiencing significant fatigue, physical discomfort, and challenges in various aspects of your life. The symptoms you describe, especially the severe fatigue and lightheadedness, deserve careful attention and further understanding.
Main Points:
- Your persistent symptoms, especially severe fatigue and dizziness, warrant further evaluation.
- There may be underlying conditions contributing to your symptoms beyond mild anemia.
- It’s important to advocate for yourself and seek comprehensive understanding and treatment.
Explanation: Your experience of extreme tiredness and physical symptoms—such as heart palpitations, nausea, dizziness, and pain—can stem from several potential causes. While mild anemia can contribute to fatigue, it could also be related to other chronic conditions such as chronic fatigue syndrome, fibromyalgia, or even autoimmune disorders. Your history of mental health conditions may complicate the picture but doesn’t negate the legitimacy of your physical symptoms.
It’s crucial to look at the whole picture of your health, including both physical and mental aspects. The symptoms of fatigue and pain can interact with your emotional well-being, making it feel even more overwhelming.
Next Steps:
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Document Your Symptoms: Keep a detailed log of your daily symptoms, noting what you experience, how long they last, and any triggers you identify. This can help you explain your issues better to healthcare providers.
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Seek a Specialist: If you haven’t already, consider seeing a specialist, such as a rheumatologist or an endocrinologist, who can take a closer look at your symptoms. They can help rule out conditions like fibromyalgia or autoimmune disorders.
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Nutritional Support: Since mild anemia could still impact your energy levels, focus on a balanced diet rich in iron (like beans, spinach, and lean meats) and vitamins. Consider discussing with your doctor a multivitamin or specific supplements to support your energy levels.
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Prioritize Self-Care: Try to build a daily routine that includes gentle physical activity. Even short walks or mild stretching can help improve circulation and may enhance your energy over time.
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Mental Health Check-in: Since mental health plays a prominent role in your overall well-being, maintaining regular contact with a mental health professional can be valuable. They can also assist you in managing stress and coping better with your physical symptoms.
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Emotional and Physical Self-Advocacy: If you feel that your doctors are not responsive, it’s okay to seek a second opinion or request more comprehensive testing for other potential issues. You deserve to be heard and to get the attention your health requires.
Remember that reaching out for support, whether it's family, friends, or support groups, is also a very important part of coping with these challenges. It’s commendable that you are actively seeking guidance—keep fighting for your health. You're not alone in this journey.
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