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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness And Fatigue Along With Chest Discomfort?

I am a 33 year old woman. I have been very dizzy for the past few weeks. Also, I feel a flutter in my chest when I move my eyes and am very tired, even after getting 10 hours of sleep a night. There are times I feel like I am going to fall over from being off balance even if I’m just standing still. I feel like I am drunk all the time!!
Thu, 7 Jun 2018
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Cardiologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Regarding your concern, I would explain that your symptoms could be related to low blood pressure or orthostatic hypotension. A metabolic cause (thyroid gland dysfunction, vitamin D deficiency, chronic anemia, etc.) can not be excluded either. Coming to this point, I would recommend consulting with your attending physician for a physical exam and some tests:

- a resting ECG and a cardiac ultrasound.
- complete blood count for anemia.
- thyroid hormone levels for thyroid gland dysfunction.
- blood electrolytes.
- vitamin D levels.

In the meantime, I recommend you to closely monitor your blood pressure values. A Head Up Tilt test may be needed in case of suspicions on a possible orthostatic hypotension.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Dizziness And Fatigue Along With Chest Discomfort?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Regarding your concern, I would explain that your symptoms could be related to low blood pressure or orthostatic hypotension. A metabolic cause (thyroid gland dysfunction, vitamin D deficiency, chronic anemia, etc.) can not be excluded either. Coming to this point, I would recommend consulting with your attending physician for a physical exam and some tests: - a resting ECG and a cardiac ultrasound. - complete blood count for anemia. - thyroid hormone levels for thyroid gland dysfunction. - blood electrolytes. - vitamin D levels. In the meantime, I recommend you to closely monitor your blood pressure values. A Head Up Tilt test may be needed in case of suspicions on a possible orthostatic hypotension. Hope I have answered your query. Let me know if I can assist you further.