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What Causes Recurring Dizziness With Upset Stomach And Irregular Heart Beats?
Question: I have been having a dizziness feeling off and on for a few weeks with upset stomach. My heart feels like it is beating irregularly the last few days. I am 44 6,2 205Lbs and in good physical condition. No smoking, Alcohol, or drugs. Gym 2-3 days a week. I scheduled a physical and stress test with my hospital. Any thoughts?
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this clinical scenario:
- a cardiac arrhythmia.
- low blood pressure
- other metabolic causes (thyroid dysfunction, chronic anemia, electrolyte imbalance)
- anxiety could also mimic all this clinical situation.
For this reason, I would recommend consulting with your attending physician for a physical exam and some tests:
- a resting ECG and cardiac ultrasound to examine your heart function and structure
- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during the day and exclude possible cardiac arrhythmia
- a chest X ray study
- some blood lab tests (complete blood count, thyroid hormone levels, blood electrolytes).
If all the above tests result normal, you should consider anxiety as the main cause of your symptoms.
Regarding cardiac stress test, considering the fact that you have not typical chest pain of coronary artery disease and you have no known cardiovascular risk factors (hypertension, diabetes, smoking, alcohol, dyslipidemia, etc.), I would not recommend it as a first line test.
Anyway, you are free to perform it if you wish.
Meanwhile, I would recommend you to closely monitor your blood pressure during the day and refer those values to your attending physician.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this clinical scenario:
- a cardiac arrhythmia.
- low blood pressure
- other metabolic causes (thyroid dysfunction, chronic anemia, electrolyte imbalance)
- anxiety could also mimic all this clinical situation.
For this reason, I would recommend consulting with your attending physician for a physical exam and some tests:
- a resting ECG and cardiac ultrasound to examine your heart function and structure
- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during the day and exclude possible cardiac arrhythmia
- a chest X ray study
- some blood lab tests (complete blood count, thyroid hormone levels, blood electrolytes).
If all the above tests result normal, you should consider anxiety as the main cause of your symptoms.
Regarding cardiac stress test, considering the fact that you have not typical chest pain of coronary artery disease and you have no known cardiovascular risk factors (hypertension, diabetes, smoking, alcohol, dyslipidemia, etc.), I would not recommend it as a first line test.
Anyway, you are free to perform it if you wish.
Meanwhile, I would recommend you to closely monitor your blood pressure during the day and refer those values to your attending physician.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you
Brief Answer:
You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
Best wishes,
Dr. Iliri
You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
Best wishes,
Dr. Iliri
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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