[28F] Experiencing chest heaviness and neurological symptoms

Patient Description

A 28-year-old female has been experiencing a heavy sensation in the chest, described as feeling like an elephant sitting on it, making it difficult to breathe. This has been ongoing for two years, with intensity rated at 10/10. Relief is found by sitting and taking deep breaths. Shortness of breath varies with chest heaviness. She reports tremors, blurred vision described as hazy, and severe headaches around the top of the head and eyes, rated up to 10/10, lasting three years. Brain fog affects memory, and she feels tired often. Coordination and balance issues include walking into objects and dropping things, with numbness or tingling in legs and hands. She takes Excedrin up to three times daily for headaches and has no known medication allergies.

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Arora's Assessment

What might be happening

Your symptoms could be related to several potential issues:

  1. Cardiovascular Concerns: The heaviness in your chest and shortness of breath, especially when standing, could suggest a heart-related issue. Conditions like heart failure or angina might cause these symptoms. It's important to rule out any serious heart conditions.

  2. Neurological Issues: The shaking, blurred vision, headaches, and brain fog could indicate a neurological condition. Migraines can cause severe headaches and vision changes, while other conditions might affect coordination and cause tremors.

  3. Orthostatic Hypotension: Feeling lightheaded and experiencing symptoms when standing could be due to a drop in blood pressure upon standing, known as orthostatic hypotension.

  4. Chronic Fatigue Syndrome: The persistent tiredness and brain fog might be related to chronic fatigue syndrome, which can also cause headaches and concentration difficulties.

What you can do

Chest Heaviness and Shortness of Breath:

  • Seek Medical Attention: It's crucial to see a healthcare provider to evaluate your heart health. They may recommend tests like an ECG or echocardiogram.
  • Monitor Symptoms: Keep track of when these symptoms occur and any potential triggers.

Headaches and Neurological Symptoms:

  • Consult a Neurologist: A specialist can help determine if migraines or another neurological condition is present.
  • Manage Headaches: Continue using Excedrin as needed, but be cautious of overuse. Consider discussing alternative treatments with your doctor.

General Well-being:

  • Lifestyle Adjustments: Ensure you're getting enough rest, staying hydrated, and eating a balanced diet.
  • Symptom Journal: Use MDandMe to track your symptoms, which can help your healthcare provider identify patterns and potential causes.

What you should look out for

  • Worsening Symptoms: If you experience increased chest pain, severe shortness of breath, or fainting, seek emergency care.
  • New Symptoms: Any new or rapidly worsening symptoms should be evaluated by a healthcare professional.

Remember, it's important to consult with a healthcare provider for a formal diagnosis and appropriate treatment.

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2 mo ago

People Also Ask

What could cause a heavy sensation in the chest and difficulty breathing?

A heavy sensation in the chest and difficulty breathing can be caused by cardiovascular issues such as heart failure or angina. It's important to seek medical evaluation to rule out serious heart conditions.

How can migraines affect vision and cause other neurological symptoms?

Migraines can cause a variety of neurological symptoms, including blurred vision, severe headaches, and brain fog. These symptoms occur due to changes in brain activity and blood flow during a migraine attack.

What is orthostatic hypotension and how does it relate to feeling lightheaded?

Orthostatic hypotension is a condition where blood pressure drops significantly when standing up, leading to lightheadedness or dizziness. It can be managed by standing up slowly and staying hydrated.

What are some strategies to manage chronic fatigue syndrome symptoms?

Managing chronic fatigue syndrome involves lifestyle adjustments such as ensuring adequate rest, staying hydrated, eating a balanced diet, and tracking symptoms to identify patterns and triggers. Consulting with a healthcare provider for personalized strategies is also recommended.

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