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What Causes Nausea, Palpitations And Sweating?

Posted on Wed, 12 Nov 2014

Question: Hi. I keep getting this butterfly sensation in my stomach, sweating and paplatations, plus the sensation of suddenly needing my bowls opening. Every time I'm hungry and go to eat I have extreme nausea and haven't eaten properly for almost a week.
Just been to A&E and they've basically told me that they don't k ow what it is.
I have an ongoing thyroid issue (graves) but all tests were normal.
I already take propanarol 80mg BD for previous SVT and have been on that for years. The drs said I was in sinus rythem today.
I'm getting some pain to side of my L breast and can feel my heart beating even though its a reasonable rate.
I had very loose stools this morning but that's the only episode.
They've sent me home with no plan and now I'm worried its a build up to something serious.
What do you think please.
Thanks
I had all TFTs yesterday and they are adamant that they are fine.
What else could it be if the TFTs ate correct? Could it still be thyroid even if the results appear normal?
Thanks

Answered by Dr. T Shobha Deepak (2 hours later)

Brief Answer:
To rule out Hypoglycemia

Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day

Dear Ms

Presence of Nausea, Palpitations and sweating in the presence of. Normal TFT , possibility of following needs to be considered

1. Hypoglycaemia : Low blood sugar can have such presentation

2. Presence of Acid peptic disease

3. Ischemic Heart disease

It is unlikely to be be due to Hyperthyroidism as your TFT was normal a day ago and you are already on Propranolol.

I would suggest you the following

1. Get an Electrocardiogram done
2. Random blood sugar/Fasting blood sugar

Do get back to me if you need any further assistance, will be glad to assist you.
Kindly keep me updated about progress

Take care

Best regards
Dr T Shobha Deepak
MBBS, MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Shobha Deepak (8 minutes later)

I ate a very small amount about 6hrs ago and my bm is 4 (just checked it, I'm a nurse with my own machine) and the ECG only showed sinus tachycardia.
What next?

Answered by Dr. T Shobha Deepak (13 minutes later)

Brief Answer:
Try antiemtic

Detailed Answer:
Hi
Dear Ms

If you still have symptoms I would suggest you the following

1. Antacid like Pantoprozole along with antiemtic like Domperidone : This should take of Nausea and vomiting

2. Thread mill test : TMT will be indicated if you still have recurring symptoms

3. Possibility of Endocrinopathy needs to be considered if you have recurring symptoms

Take care

Best regards
T XXXXXXX XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Shobha Deepak (46 minutes later)

Would I not have chest pain on walking if I had IHD?

Answered by Dr. T Shobha Deepak (13 hours later)

Brief Answer:
Absence of chest pain does not rule out IHD

Detailed Answer:
Hi
Dear Ms

In typical cases of IHD chest pain could be present. In some cases or atypical cases Chest pain could be absent. Absence of chest pain does not rule out IHD.

Take Care

Regards
Dr T Shobha Deepak

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar