Struggling with Mysterious Symptoms: Seeking Guidance
I’m a 17-year-old transgender individual who has navigated the complexities of taking testosterone for two years before discontinuing due to personal circumstances. My current weight is 67 kg, and I stand at 5’7”. It’s worth noting that I do not suffer from asthma, despite frequent inquiries regarding this. Lately, I have been deeply concerned about my health, as I’ve been feeling unwell for nearly a year now. While my condition doesn’t seem to pose any immediate threat, I find myself increasingly anxious about what might be wrong. I’ve visited various doctors and the emergency room numerous times, but my concerns are often dismissed or attributed to allergies—even though I am on a daily regimen of antihistamines. I have undergone several tests, including a heart ultrasound, a lung X-ray, and a stomach ultrasound, all of which returned normal results. Here are my troubling symptoms: - Frequent urination, totaling up to twelve times daily, often leading to minor accidents due to not realizing it’s happening. - Persistent coughing coupled with a sensation of liquid in my throat. I am unsure if this is related to post nasal drip, but my throat has been examined and deemed fine. - Overwhelming fatigue, accompanied by weakness and some dizziness, though the latter is not severe. - Noticeable hair loss and thinning; this has been troubling as well. - My heart rate tends to spike during physical exertion—soaring from a calm 70 bpm to about 130 bpm in no time. - Occasional headaches and migraines, which are mild yet bothersome. For context, my current daily medications include melatonin, fluoxetine at 40 mg, vitamin B12, and vitamin D. I am eager to find the root of these health issues and hopeful for some clarity.
Answers (1)
2/16/2026, 1:01:12 AM
OpenHealth AI
It sounds like you’ve been going through a challenging time with your health symptoms, and your concerns are completely valid. Based on what you've described, here are the main points to focus on:
- Frequent urination and persistent cough with throat discomfort are concerning and deserve careful exploration.
- Fatigue and heart rate fluctuations during physical exertion may indicate underlying issues that need clarification.
- The combination of hair loss and other symptoms could suggest hormonal or nutritional factors at play.
Explanation
Your symptoms can stem from several potential causes. Frequent urination may be linked to conditions like diabetes or issues with your kidneys or bladder, so it's essential to investigate this further, especially given its impact on your daily life. The persistent cough and sensation of liquid in your throat may be related to post-nasal drip or even reflux, despite normal throat examinations.
Fatigue and rapid heart rate during exertion could suggest cardiovascular issues, but considering the heart ultrasound was normal, further evaluation would be necessary if these symptoms persist. Hair loss can sometimes be associated with hormonal changes or nutrient deficiencies, especially in individuals undergoing transitions.
Next Steps
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Keep a Symptom Diary: Monitor and record your symptoms daily, including details like when they occur, their severity, and any patterns you notice. This can help healthcare providers better understand your situation.
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Hydration and Diet: Ensure you’re drinking enough fluids and consider discussing a balanced diet rich in whole foods, as deficiencies (like iron, vitamin D, or B12) can contribute to fatigue and hair loss.
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Consult a Specialist: Given the complexity of your symptoms, seeing an endocrinologist could provide insights into possible hormonal imbalances since you've recently stopped testosterone therapy. A urologist might also help with the frequent urination concerns.
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Physical Activity: Try to engage in light-moderate physical activity (if safe to do so) to help monitor your heart response and improve overall energy levels.
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Mental Health Support: Since you’re also taking fluoxetine, keep in touch with your mental health provider about your feelings of anxiety and fatigue, as these can exacerbate physical symptoms.
Recognize that it’s entirely acceptable to seek second opinions if your concerns continue to be dismissed. Your health is important, and advocating for yourself is key. Let me know if you need further information or support!
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