What causes weight loss, forgetfulness, and shortness of breath in a 21-year-old female?

Question

Hello doctor,

I am a 21-year-old female currently experiencing weight loss, forgetfulness, and shortness of breath. I can feel my heart beating. Following a thyroid scan recommended by my primary care physician, it was revealed that I have an enlarged right lobe with no nodules. In addition, my blood work showed slightly elevated T4 levels. My primary care physician has advised me to see an endocrinologist, but the earliest available appointment is next week. I cannot afford to wait, with my symptoms potentially worsening. What should I do next? Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern. Based on your symptoms and test results (attachments removed to protect the patient's identity), it sounds like you may have hyperthyroidism. Hyperthyroidism is caused by an overproduction of thyroid hormones by the thyroid gland. This can lead to a variety of symptoms such as weight loss despite an increased appetite (polyphagia), heat intolerance or sweating, palpitations or an irregular heartbeat (arrhythmias), tremors or shakiness, nervousness or anxiety, irritability or mood changes, and shortness of breath (dyspnea). Your primary care physician has recommended that you see an endocrinologist, a medical specialist who focuses on hormonal disorders. While you are waiting to see the endocrinologist, there are a few things you can do to manage your symptoms:

Limit your intake of foods that contain caffeine, as this can exacerbate symptoms of palpitations and nervousness.
Practice stress-reduction techniques, such as meditation, deep breathing, or yoga, to help manage symptoms of anxiety and irritability.
Get enough sleep to help manage symptoms of fatigue and forgetfulness.
Consult with your primary care physician about medications that can help manage symptoms of hyperthyroidism until you see the endocrinologist.
Monitor your symptoms closely and keep track of any changes or worsening symptoms. This can help provide valuable information to your endocrinologist during your appointment.

Remember to prioritize your health and well-being during this time. If your symptoms become severe or you experience any unexpected or concerning symptoms (such as chest pain or difficulty breathing), seek medical care immediately.

I hope I have answered your query.

Thank you.