
Suggest Treatment For Nausea And Anxiety

What could be the reason for this? I would say it has been going on for maybe 2 years.....occurrences infrequent enough that I forget them. But today was twice.
I would recommend as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
I carefully passed though your question and would explain that it is important performing a comprehensive differential diagnosis of different causes that may lead to your symptomatology:
- a cardiac arrhythmia
- low blood pressure or orthostatic hypotension
- partial epilepsy seizures
- anxiety.
For this reason, I would recommend consulting with your attending physician for a physical exam and perform some tests:
- a cardiac ultrasound to examine your cardiac function and structure
- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during the day and exclude possible arrhythmia
- some blood lab tests to exclude possible metabolic disorders that may trigger these symptoms : a complete blood count for anemia, thyroid hormone levels for thyroid dysfunction, blood electrolytes for possible imbalance
- an EEG, if all the above tests result normal, in order to rule in/out possible partial epilepsy.
Meanwhile, I recommend you to closely monitor your blood pressure in sitting and standing up position and refer those values to your doctor. A Head Up Tilt test may be needed if suspicions of orthostatic hypotension are raised.
You should discuss with your doctor on the above tests.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri

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