[34F] Experiencing heart palpitations, migraine, and other symptoms
Question
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms and history you've provided, here are some possible explanations for your condition:
Heart Palpitations, Chest Pain, and Labored Breathing
- Heart-Related Issues: Given your symptoms of heart palpitations, chest pain, labored breathing, and swelling in your feet and ankles, it is important to consider heart-related issues such as heart failure or arrhythmias. These symptoms can be serious and require prompt medical attention.
- Anemia: Your history of anemia could also contribute to symptoms like palpitations, dizziness, and shortness of breath, especially if your hemoglobin levels are low.
Migraine
- Migraine: Your constant throbbing headache with painful pressure is consistent with a migraine. Migraines can be triggered by various factors, including stress, hormonal changes, and certain foods.
- Hypertension: Severe headaches can sometimes be a sign of high blood pressure, which can also cause dizziness and chest pain.
Oily Urine and Kidney Pain
- Kidney Issues: The presence of an oily film in your urine and kidney pain could indicate a kidney infection or other kidney-related issues. Given your history of chronic kidney infections, this is a possibility.
- Dehydration: Dehydration can sometimes cause changes in urine appearance and kidney pain.
Dizziness and Vertigo
- Inner Ear Issues: Vertigo and dizziness can be caused by inner ear problems such as benign paroxysmal positional vertigo (BPPV) or vestibular neuritis.
- Anemia: As mentioned earlier, anemia can also cause dizziness and lightheadedness.
Unifying Diagnoses
- Anemia: Your anemia could be contributing to multiple symptoms, including dizziness, palpitations, and shortness of breath.
- Kidney Issues: Chronic kidney problems could be causing your kidney pain, changes in urine, and potentially contributing to your overall feeling of unwellness.
What you can do
Heart Palpitations, Chest Pain, and Labored Breathing
- Seek Immediate Medical Attention: These symptoms could be indicative of a serious heart condition. Please see a doctor as soon as possible or go to the emergency department.
- Monitor Symptoms: Keep track of when these symptoms occur and any activities that might trigger them. Use MDandMe to journal your symptoms and share this information with your healthcare provider.
Migraine
- Consult a Doctor: Since your migraine has been persistent and severe, it's important to consult a healthcare provider for appropriate treatment. They may prescribe medications specifically for migraines.
- Rest and Hydrate: Ensure you are resting in a dark, quiet room and staying hydrated. Avoid known migraine triggers such as certain foods, stress, and lack of sleep.
Oily Urine and Kidney Pain
- Hydrate: Drink plenty of water to help flush out your kidneys.
- Consult a Doctor: Given your history of chronic kidney infections, it's important to see a healthcare provider to rule out any serious kidney issues.
Dizziness and Vertigo
- Avoid Sudden Movements: Move slowly and avoid sudden changes in position to reduce dizziness and vertigo.
- Consult a Doctor: A healthcare provider can help determine the cause of your dizziness and vertigo and recommend appropriate treatment.
What you should look out for
Given the severity of your symptoms and the possibility of life-threatening causes, you should seek medical care as soon as you can. Reasons to seek care even more urgently include:
- Severe Chest Pain: If you experience severe chest pain, especially if it radiates to your arm or jaw, seek emergency medical attention immediately.
- Fainting or Severe Dizziness: If you faint or experience severe dizziness, seek medical attention.
- Worsening Kidney Pain: If your kidney pain worsens or you develop a fever, seek medical attention as this could indicate a serious infection.
Remember, while I can provide information and suggestions, I am not a doctor. It's important to consult with a healthcare professional to receive a formal diagnosis and appropriate treatment. Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
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7 mo ago