[29F] With burning sensation, leg swelling, heart palpitations, and vertigo

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Burning Sensation in Chest, Throat, and Head

• Gastroesophageal Reflux Disease (GERD): Given your history of acid reflux and the presence of heartburn and a sour taste in your mouth, GERD is a likely cause. GERD occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus.
• Anxiety or Panic Attack: Although you mentioned no recent stress, anxiety can sometimes manifest as a burning sensation in the chest and head. However, this is less likely given your other symptoms.

Leg Swelling

• Side Effect of Furosemide: While furosemide is used to reduce swelling, it can sometimes cause electrolyte imbalances that might contribute to swelling if not monitored properly.
• Venous Insufficiency: This condition occurs when the veins in your legs have trouble sending blood back to your heart, leading to swelling.

Heart Palpitations

• Electrolyte Imbalance: Furosemide can cause electrolyte imbalances, which can lead to heart palpitations.
• GERD: Sometimes, GERD can cause heart palpitations, especially if the acid reflux is severe.

Vertigo

• Benign Paroxysmal Positional Vertigo (BPPV): This is a common cause of vertigo, especially if the sensation is tilting. It occurs when tiny calcium particles clump up in the canals of the inner ear.
• Diabetes-Related Complications: Poorly controlled diabetes can sometimes lead to nerve damage, which might contribute to vertigo.

What you can do

Burning Sensation in Chest, Throat, and Head

• GERD Management:
  • Avoid foods and drinks that trigger reflux (e.g., spicy foods, caffeine, alcohol).
  • Eat smaller, more frequent meals.
  • Avoid lying down immediately after eating.
  • Elevate the head of your bed.
  • Over-the-counter antacids may provide temporary relief.
  • Consult your doctor for prescription medications if symptoms persist.

Leg Swelling

• Monitor Furosemide Use:
  • Ensure you are taking the medication as prescribed.
  • Keep track of your weight and swelling.
  • Discuss with your doctor if you notice any significant changes.
• Compression Stockings: Wearing these can help reduce swelling.
• Elevate Your Legs: When sitting or lying down, elevate your legs to help reduce swelling.

Heart Palpitations

• Monitor Electrolytes:
  • Ensure you are getting enough potassium and magnesium in your diet.
  • Discuss with your doctor about monitoring your electrolyte levels.
• Avoid Stimulants: Reduce intake of caffeine and other stimulants that might exacerbate palpitations.

Vertigo

• BPPV Exercises:
  • Epley maneuver or Brandt-Daroff exercises can help reposition the calcium particles in your inner ear.
  • Consult a physical therapist for guided exercises.
• Diabetes Management:
  • Keep your blood sugar levels under control.
  • Regularly monitor your blood glucose levels.

What you should look out for

Given the complexity and severity of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care more urgently include:

• Chest Pain: If it becomes severe or is accompanied by shortness of breath, seek emergency care immediately.
• Severe Swelling: If your leg swelling worsens or you notice swelling in other parts of your body.
• Severe Dizziness or Fainting: If your vertigo becomes debilitating or you experience fainting spells.
• Uncontrolled Heart Palpitations: If they become more frequent or severe.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.