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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lethargy, Pounding Heart, And Excessive Sweating?

Dear Doctor, I am 73yrs old,I do take blood pressure tablets,I have experience highs of 245 over 110, lows of 90 over45.I have had blood tests done all seem to be o.k. But lately Iseem to be having no energy, the heart seems to be hiting very hard,I sweat alot around the neck, and forehead, even when I am in bed, also I feel very hot inside my body which makes me feel very listless and tired. My weight is 80kl height 5ft 9inch
Fri, 28 Apr 2017
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Pulmonologist,  's  Response
Hello thanks for posting here.
i have gone through your description.
Since you suffer from high blood pressure, some of the above symptoms like pounding heart, hot inside body can be due to high BP during those episodes. Feeling of tiredness, fatigue, listlessness can be caused by a number of factors. Going by your history and my experience, i consider the following probabilities here. First is vitamin D deficiency which can cause tiredness, fatigue. Get your vitamin D levels checked and if it's low, correct it by taking vitamin D supplements usually the once a week tablets. This will drastically reduce your symptoms in 2-3 weeks.
next possibility is heart disease which can also lead similar symptoms. Don't worry, it's better to be safe than sorry. Since you have a high blood pressure history, and your age is 73, i advice you to undergo a cardiac check up which should include a ECG, 2D echo and a treadmill test. These tests are very sensitive to evaluate cardiac disease.

So to summarise i would advice you to do a vit D levels, fasting and post lunch blood sugars, ECG, 2 D ECHO and treadmill test.
wishing you good health
regards
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What Causes Lethargy, Pounding Heart, And Excessive Sweating?

Hello thanks for posting here. i have gone through your description. Since you suffer from high blood pressure, some of the above symptoms like pounding heart, hot inside body can be due to high BP during those episodes. Feeling of tiredness, fatigue, listlessness can be caused by a number of factors. Going by your history and my experience, i consider the following probabilities here. First is vitamin D deficiency which can cause tiredness, fatigue. Get your vitamin D levels checked and if it s low, correct it by taking vitamin D supplements usually the once a week tablets. This will drastically reduce your symptoms in 2-3 weeks. next possibility is heart disease which can also lead similar symptoms. Don t worry, it s better to be safe than sorry. Since you have a high blood pressure history, and your age is 73, i advice you to undergo a cardiac check up which should include a ECG, 2D echo and a treadmill test. These tests are very sensitive to evaluate cardiac disease. So to summarise i would advice you to do a vit D levels, fasting and post lunch blood sugars, ECG, 2 D ECHO and treadmill test. wishing you good health regards