Persistent Fatigue, Dizziness, and Body Heat: Causes and Solutions - Family Medicine

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Chronic fatigue, dizziness, and body heat?


Hello Dr.
Liao, I have been experiencing frequent dizziness, sweating, and a feeling of heat for the past month.
When I look at things, I often feel lightheaded, and sometimes I feel fatigued with dry eyes.
My symptoms come and go.
Could this possibly be due to a parasitic infection? Which specialty should I consult, and what are the ways to improve my condition? I have been troubled by this for a long time.
Thank you for taking the time to respond.

Gǎnxiè yīshī dàdà, 20~29 year old female. Ask Date: 2018/04/15

Dr. Liao Yaopan reply Family Medicine


Hello, you have been experiencing symptoms for over a month.
Have you consulted a doctor yet? It is advisable to first seek an initial evaluation from your family physician, and then determine if a referral to a specialist is necessary based on the situation.
Please note that online consultations do not equate to in-person medical visits and cannot provide accurate diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2018/04/15

More Info


Hello! It sounds like you are experiencing a range of concerning symptoms, including persistent fatigue, dizziness, and episodes of sweating and heat sensations. These symptoms can be quite distressing and may significantly impact your daily life. Let's explore some potential causes and solutions.

First, it's important to understand that persistent fatigue and dizziness can stem from various underlying conditions. While you mentioned the possibility of a parasitic infection, there are many other factors to consider. Common causes of fatigue and dizziness include:
1. Anemia: A deficiency in red blood cells can lead to fatigue and dizziness. This can be due to iron deficiency, vitamin B12 deficiency, or other nutritional deficiencies.

2. Dehydration: Insufficient fluid intake can lead to dizziness and fatigue. It's essential to stay well-hydrated, especially if you are experiencing excessive sweating.

3. Thyroid Disorders: Conditions such as hypothyroidism or hyperthyroidism can cause fatigue, changes in body temperature, and dizziness. Thyroid function tests can help evaluate this.

4. Chronic Fatigue Syndrome: This condition is characterized by extreme fatigue that doesn't improve with rest and may worsen with physical or mental activity.

5. Anxiety and Stress: Psychological factors can manifest physically. Anxiety can lead to dizziness, fatigue, and a sensation of heat or sweating.
6. Vestibular Disorders: Conditions affecting the inner ear can cause dizziness and balance issues.
7. Cardiovascular Issues: Problems with blood circulation or heart function can lead to dizziness and fatigue.
8. Infections: Viral or bacterial infections can cause systemic symptoms, including fatigue and dizziness.

Given the range of potential causes, it would be advisable to start by consulting a primary care physician or an internist. They can conduct a thorough evaluation, including a physical examination and necessary laboratory tests, to rule out or confirm any underlying conditions. Depending on the findings, they may refer you to a specialist, such as an endocrinologist for thyroid issues or a neurologist for dizziness-related concerns.

In terms of management, here are some general recommendations that may help alleviate your symptoms:
- Stay Hydrated: Ensure you are drinking enough fluids throughout the day. Dehydration can exacerbate dizziness and fatigue.

- Balanced Diet: Eating a well-balanced diet rich in vitamins and minerals can help address any nutritional deficiencies that may be contributing to your symptoms.

- Regular Exercise: Engaging in light to moderate physical activity can improve overall energy levels and help manage stress.

- Sleep Hygiene: Ensure you are getting adequate and quality sleep. Poor sleep can significantly contribute to fatigue.

- Stress Management: Techniques such as mindfulness, meditation, or yoga can help reduce anxiety and improve overall well-being.

- Monitor Symptoms: Keep a diary of your symptoms, noting when they occur and any potential triggers. This information can be valuable for your healthcare provider.

If you suspect a parasitic infection, it’s essential to discuss this with your doctor, who may recommend specific tests to rule it out.
In conclusion, while your symptoms are concerning, many potential causes can be addressed with appropriate medical evaluation and lifestyle adjustments. Don't hesitate to seek medical attention to get to the root of your issues and find effective solutions. Wishing you the best on your journey to better health!

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