Nutritional deficiencies
Iron deficiency anemia (common at this age, especially in females with heavy periods).
Vitamin B12 / folate deficiency → can cause numbness, tingling, fatigue.
2. Low blood pressure causes
Dehydration, low salt intake, endocrine causes (
thyroid, adrenal).
Postural hypotension.
3. Cardiac issues
Though less common at 18, arrhythmia or structural heart disease must be ruled out.
4. Electrolyte imbalance
Low sodium, potassium,
calcium, magnesium can cause numbness, weakness, palpitations.
5. Psychogenic (anxiety/panic)
Can cause chest heaviness, breathlessness, tingling, but must only be considered after organic causes are excluded.
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✅ Suggested Next Steps
Investigations:
CBC (Hemoglobin, RBC indices → anemia check)
Serum Vitamin B12, Folate,
Vitamin D
Thyroid profile (
TSH, Free T4)
Electrolytes (Na, K, Ca, Mg)
ECG (to rule out arrhythmia)
If persistent, 2D Echo
Immediate measures:
Hydration: 2.5–3 L water/day, add ORS or coconut water.
Adequate salt intake (unless contraindicated).
Balanced diet: green leafy vegetables, fruits, pulses, dairy, eggs/fish (if non-veg).
Regular meals (avoid long fasting).
Warning signs (seek urgent care if):
Severe or sudden chest pain
Difficulty breathing at rest
Loss of consciousness or near-fainting
Rapid worsening of symptoms
You can consult me directly on Practo, or reach out via WhatsApp number:
Seven Zero Four Eight One Eight Seven Seven Seven Six ( 704818777six )
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