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Suggest Treatment For Chest Pain And Dizziness When Diagnosed With Vitiligo
Question: My daughter has been experiencing chest pain and was told she has/had pericarditis, she feels exhausted, even after a full night's sleep, she has been experiencing periodic dizziness twice making her feel as she would pass out, this dizziness was in combination with a headache earlier this week. She is a physician and was concerned enough that she had a MRI. The MRI showed no abnormality. She has been training for marathons over the last few months. She ran a marathon last fall and the XXXXXXX last week. The dizziness hit during mile 3 of the XXXXXXX and she thought she would have to drop out. The dizziness manifests such that she can't see clearly and feels as though the ground is moving. Most significantly, she just doesn't feel like herself. I will add that she was recently diagnosed with vitiligo, which is of course, an autoimmune disease.
Brief Answer:
No symptoms regarding vitiligo
Detailed Answer:
Greetings and welcome to HCM. I understand your concern, as I carefully read your query.
Logically speaking, if there was anything happening in her heart, she could not run a marathon, I bet we all agree to that. Pericardium, the lining that surrounds the heart, normally contains up to 50 mL of liquid to help the friction. Pericarditis may happen due to many reasons, but under non-steroidal anti-inflammatory drugs, such as ibuprofen, it is perfectly treated.
Now, dizziness may be caused by many diagnoses. I would recommend a careful echo cardiogram, to evaluate the heart chambers and valves by means of structure, size and motility, to rule out any congenital defect and any valve defect that may be causing this. Also, understand me, this is more to exclude anything "wrong".
Also, the inner ear, is responsible for the equilibrium of the human body. Therefore, a consult with an otorhinolaringologist (ENT doctor) is advised. She is young, so even this is with lowest index of suspicion.
The last, but not least, this may be a panic attack. But, of course, this is reserved the last, if the above mentioned tests result that there is nothing organically wrong. In that case, a psychiatrist should be consulted, if the condition is affecting her quality of life.
I hope my answer is helpful. If you have follow-up questions, I would be happy to help.
Kind regards,
Dr. Meriton
No symptoms regarding vitiligo
Detailed Answer:
Greetings and welcome to HCM. I understand your concern, as I carefully read your query.
Logically speaking, if there was anything happening in her heart, she could not run a marathon, I bet we all agree to that. Pericardium, the lining that surrounds the heart, normally contains up to 50 mL of liquid to help the friction. Pericarditis may happen due to many reasons, but under non-steroidal anti-inflammatory drugs, such as ibuprofen, it is perfectly treated.
Now, dizziness may be caused by many diagnoses. I would recommend a careful echo cardiogram, to evaluate the heart chambers and valves by means of structure, size and motility, to rule out any congenital defect and any valve defect that may be causing this. Also, understand me, this is more to exclude anything "wrong".
Also, the inner ear, is responsible for the equilibrium of the human body. Therefore, a consult with an otorhinolaringologist (ENT doctor) is advised. She is young, so even this is with lowest index of suspicion.
The last, but not least, this may be a panic attack. But, of course, this is reserved the last, if the above mentioned tests result that there is nothing organically wrong. In that case, a psychiatrist should be consulted, if the condition is affecting her quality of life.
I hope my answer is helpful. If you have follow-up questions, I would be happy to help.
Kind regards,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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