[33F] Experiencing nausea, headache, shortness of breath, and increased heart rate

Patient Description

A 33-year-old female has been experiencing persistent nausea rated 6/10 in severity for multiple days, which worsens with increased heart rate. Additionally, she reports a constant headache on the right side behind the eye, with a severity of 5/10 that started today. She also has shortness of breath described as a weight on her chest, rated 5/10 in severity, ongoing for 2 days. Her resting heart rate is elevated at 94 bpm, increasing further with activity. She has had chest discomfort but no fainting, with a few dizzy spells. No pre-existing conditions or chronic illnesses are reported, and she is not on any medications. The patient has an allergy to Phenergan.

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Arora's Assessment

What might be happening

Based on the information you've provided, several conditions could explain your symptoms:

  • Anxiety or Panic Disorder: These conditions can cause symptoms like an increased heart rate, shortness of breath, and nausea. They can also cause headaches and dizziness. However, these conditions are typically associated with periods of intense fear or discomfort, and it's unclear if you're experiencing these mental symptoms.

    • Treatment often involves a combination of therapy and medication. Lifestyle changes like regular exercise, a healthy diet, and good sleep hygiene can also help manage symptoms.
  • Hyperthyroidism: This condition occurs when your thyroid gland produces too much thyroid hormone, which can speed up your metabolism and cause symptoms like an increased heart rate, weight loss, and anxiety. However, you didn't mention weight loss, which is a common symptom of this condition.

    • Treatment often involves medication to reduce the production of thyroid hormone.
  • Heart Conditions: Certain heart conditions, like heart failure or arrhythmias, can cause symptoms like an increased heart rate, shortness of breath, and dizziness. However, these conditions are less likely given your age and lack of known heart disease.

    • Treatment depends on the specific condition and can range from lifestyle changes and medication to surgery.

Please remember that this is not a complete list of all possible conditions, and these conditions may not fully explain all of your symptoms. It's also important to note that these conditions are serious and require medical attention.

What you can do

Given the severity and persistence of your symptoms, you should seek immediate medical attention. It's important to get a proper diagnosis so that you can receive the right treatment.

In the meantime, try to rest and stay hydrated. Avoid any activities that make your symptoms worse.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Chest pain or pressure
  • Difficulty breathing or shortness of breath that's getting worse
  • Fainting or severe dizziness
  • A severe, sudden headache
  • Any other severe or worsening symptoms

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What could be causing my persistent nausea and increased heart rate?

Persistent nausea and an increased heart rate can be caused by several conditions, including anxiety or panic disorders, hyperthyroidism, or heart conditions. It's important to consult a healthcare professional for an accurate diagnosis.


Why am I experiencing a headache behind my eye and shortness of breath?

A headache behind the eye and shortness of breath can be symptoms of various conditions, such as migraines, sinus issues, or anxiety. Shortness of breath can also be related to heart or lung conditions. A medical evaluation is necessary to determine the cause.


Could anxiety or panic disorder be responsible for my symptoms?

Yes, anxiety or panic disorders can cause symptoms like increased heart rate, nausea, headaches, and shortness of breath. These conditions often involve periods of intense fear or discomfort. A healthcare provider can help determine if this is the cause.


What should I do if my symptoms worsen or I experience new symptoms?

If your symptoms worsen or you experience new symptoms like chest pain, severe dizziness, or difficulty breathing, seek immediate medical attention. It's crucial to get a proper diagnosis and treatment from a healthcare professional.


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