Main Complaints (since 2 years). Recurring dizziness, brain fog, and memory issues. Episodes of breathlessness - #11003
Main Complaints (since ~2 years): • Recurring dizziness, brain fog, and memory issues • Episodes of breathlessness (especially after bathing or going outside) • Fatigue and poor mental stamina • Symptoms worsen after physical or social activities No major improvement despite normal reports • Symptoms interfere with daily life, focus, and enjoyment
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Hello dear Please be aware See it seems cognitive impairment with dementia and schizophrenia or mood changes. This will require in person consultation. Kindly get following tests done for confirmation MRI EMR Ct scan Cpk ( brain) Do get evaluation with neurologist for better clarification Regards
Hello Dysautonomia is possible cause for your symptoms or ent / neurologist related Medical Work-up to Recheck
Orthostatic vitals (BP/HR lying then standing): screens for POTS.
Vitamin B12, D3, Ferritin, HbA1c if not done.
ENT/Neurology consult to rule out vestibular migraine / inner ear dysfunction.
Hydration & Salt: Drink 2.5–3 L/day, consider slightly higher salt intake (if no BP/heart issue).
Pacing: Don’t push through fatigue; use “energy budgeting” (activity-rest balance).
Gentle exercise: Start with recumbent exercises (cycling, stretching, yoga) instead of upright cardio.
Breathing retraining: Slow diaphragmatic breathing can reduce breathlessness + dizziness.
Sleep hygiene: Strict routine, no late-night screen, dark room
Physiotherapy for autonomic conditioning (gradual exercise plan).
Cognitive Behavioral Therapy (CBT) for coping with brain fog & anxiety cycles
Seek help urgently if symptoms become severe
Your symptoms suggest a chronic condition that may involve neurological, cardiovascular, or post-viral causes such as dysautonomia or chronic fatigue syndrome. Normal reports do not rule out functional issues that need deeper evaluation. Please consult a neurologist and a cardiologist for proper evaluation and treatment.
Considering your symptoms of dizziness, brain fog, memory issues, breathlessness, fatigue, and the worsening after physical or social activities, we could potentially be dealing with a few underlying issues. Chronically recurring symptoms like these, especially if they significantly interfere with daily life, point toward conditions that might require detailed investigation. One possibility is that they’re related to autonomic dysfunction, such as Postural Orthostatic Tachycardia Syndrome (POTS) or Chronic Fatigue Syndrome (CFS). POTS for instance causes a range of symptoms similar to what you’re describing due to the abnormal increase in heart rate that happens with standing. Chronic Fatigue Syndrome also would align due to the severe fatigue and post-exertional malaise. Another possibility includes respiratory issues, like asthma, especially if asthma tends to be triggered after certain activities like bathing or exposure to outdoor stimuli. Hypothyroidism or other hormone imbalances should also be ruled out given the cognitive issues and fatigue. I recommend discussing these possibilities with your doctor, who will likely suggest some specific tests or refer you to a specialist. A thorough cardiovascular exam, checking your thyroid hormones, and maybe even a tilt-table test to evaluate for dysautonomia could be useful. Trials of lifestyle adjustments, like increasing fluid and salt intake along with compression garments, might help relieve symptoms temporarily, but the underlying cause needs addressing for sustained improvement. If symptoms are causing significant life interference, pushing for a thorough evaluation with a specialist could lead to a more accurate diagnosis and targeted interventions.
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