[28F] Experiencing dizziness, migraines, and chest pains with a history of PCOS and high blood pressure

What might be happening

Based on the symptoms you've described, several conditions could be considered:

• Anxiety or Panic Disorder: These conditions can cause a variety of physical symptoms, including dizziness, chest pain, palpitations, and insomnia. Anxiety can also exacerbate symptoms of other conditions, such as migraines and gastrointestinal issues.

  • Treatment typically involves a combination of cognitive-behavioral therapy and medication.

• Migraines: Your description of severe, one-sided headaches associated with light sensitivity is characteristic of migraines.

  • Treatment can involve both preventive measures and medications to take when you have a migraine.

• Gastroesophageal Reflux Disease (GERD): This condition, in which stomach acid backs up into the esophagus, can cause a burning sensation in the stomach and chest pain.

  • Treatment usually involves lifestyle changes and over-the-counter or prescription medications.

• Premenstrual Syndrome (PMS) or Premenstrual Dysphoric Disorder (PMDD): These conditions can cause a variety of physical and emotional symptoms in the two weeks before a menstrual period, including breast pain and mood changes.

  • Treatment can involve lifestyle changes, over-the-counter remedies, and prescription medications.

• Polycystic Ovary Syndrome (PCOS): This condition, which you've been diagnosed with, can cause menstrual irregularities and other symptoms.

  • Treatment can involve lifestyle changes and various medications to manage symptoms and prevent complications.

Please note that these are potential explanations for your symptoms based on the information you've provided, but they are not definitive diagnoses. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

1. Schedule an appointment with your primary care provider to discuss your symptoms. They can perform a physical examination and order any necessary tests.
2. Keep a symptom diary. Note when each symptom occurs, its severity, and any potential triggers. This can help your healthcare provider identify patterns and make a diagnosis.
3. Practice good sleep hygiene. This includes maintaining a regular sleep schedule, creating a quiet and comfortable sleep environment, and avoiding caffeine and electronics before bed.
4. Try over-the-counter remedies for your symptoms. For example, antacids or acid reducers may help with your stomach discomfort, and nonsteroidal anti-inflammatory drugs (NSAIDs) may help with your migraines and breast pain.
5. Consider seeking help from a mental health professional. They can provide strategies to manage anxiety and improve your sleep.

What you should look out for

Seek immediate medical attention if you experience:

• Severe chest pain or pressure, especially if it's accompanied by other symptoms such as pain in the arm or jaw, shortness of breath, or sweating. These could be signs of a heart attack.
• A severe headache or migraine that's different from your usual migraines.
• Any new or worsening symptoms.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.