Hello,
Thank you for your query.
Based on your symptoms, I would like to rule out thyroid hormone imbalances (due to inadequate therapy), heart pathology (
atherosclerosis, rhythm disturbances).
I would:
- get a detailed medical, personal and family history.
- do a thorough clinical exam. check for edema (water retention), signs of cardiac compromise.
- get an electrocardiogram, and
echocardiogram, chest x-ray
-run blood tests (
complete blood count, TSH, free T3, free T4,
lipid profile, blood glucose panel, kidney & liver function tests). And a urine analysis
-do a sleep study if indicated, to rule of
obstructive sleep apnea.
Based on the above results and findings, we could arrive at a diagnosis and treatment plan.
To answer your query, I recommend that you consult a physician who could run these tests and examine you to rule out
heart disease. If present, you would then need to see a cardiologist.
Any chest pain should be immediately checked out.
History of GERD and medications for the same should be reviewed and treatment continued only if necessary as long term treatment of
Proton pump inhibitors (Commonly used to treat GERD) can affect kidneys.
My recommendations :
- quit smoking /alcohol (if you do)
-eat well balanced and nutritious diet especially that rich in fiber, and coloured fruits and vegetables
-stay well hydrated
-moderate exercise (after consulting with your doctor)
- Have a strict sleep routine and get about 7-8 hrs of continuous sleep..
Hope this helps. Please let me know if there is anything else I can help you with.
Wish you good health