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What Should Be Done For Stomach Issues Whit Dizziness And Increased Heart Rate?

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Posted on Sat, 19 Apr 2014
Question: I'm 48 (today) and I'm constantly feeling ill. I have issues with my stomach (had me gal bladder removed 3 years ago) and go through periods of diarrhoea and then constipation for seemingly no reason. I go through bouts of dizziness and increased heart rate. I've been a type 1 diabetic for nearly 25 years. My bloods are pretty good. My last HBA1C reading was 6.7 I take blood pressure (ex forge) and cholesterol (Lipitor) medication as well as my insulin. I had an 'episode' a few months ago but, when checked by the local emergency centre was advised I had no heart issues. I was advised that I might be suffering from anxiety attacks and although my life has been incredibly stressful over the last few years I don't feel particularly anxious. Im completely fed up and constantly down in the dumps. Can you help? some sound advise regarding lifestyle/medication would be gratefully received thanks in advance XXXX
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Answered by Dr. Shehzad Topiwala (13 minutes later)
Brief Answer: Endocrine Detailed Answer: I am sorry to note your symptoms. Do the following tests unless they have already been done: 1 CBC 2 TSH 3 Anti TPO and anti Thyroglobulin antibodies 4 Serum Cortisol at 8 am 5 Complete Metabolic Panel 6 Plasma Fractionated Metanephrines 7 IgA endomysial assay 8 Anti Tissue Transglutaminase 9 Anti Gliadin antibodies These will give us an idea what is causing the symptoms. Next time when you have such symptoms, please check your finger stick blood glucose with a monitor to ensure it is not a low glucose reaction
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Shehzad Topiwala (10 minutes later)
Thank you Dr. Topiwala FYI...I had a full Endocrinologist work up in October 2013 and other than the Doctor changing my insulin (from Actrapid to Humalog) which, by the way had a negative effect on my blood glucose levels, (I went back to the Actrapid on my own after 1 week) I was advised that there were no underlying health issues.
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Should Be Done For Stomach Issues Whit Dizziness And Increased Heart Rate?

Brief Answer: Endocrine Detailed Answer: I am sorry to note your symptoms. Do the following tests unless they have already been done: 1 CBC 2 TSH 3 Anti TPO and anti Thyroglobulin antibodies 4 Serum Cortisol at 8 am 5 Complete Metabolic Panel 6 Plasma Fractionated Metanephrines 7 IgA endomysial assay 8 Anti Tissue Transglutaminase 9 Anti Gliadin antibodies These will give us an idea what is causing the symptoms. Next time when you have such symptoms, please check your finger stick blood glucose with a monitor to ensure it is not a low glucose reaction