[34F] Experiencing heart palpitations, migraine, and other symptoms

Question

Has anyone found any solutions or specific diagnosis related to these types of symptoms?

Patient Description

A 34-year-old female presents with heart palpitations, pounding heart, chest pain, dizziness, vertigo, and a constant throbbing migraine with a sensation of painful pressure for the past three days. The migraine is rated at 6.5 out of 10 and worsens with movement, slightly alleviated when sitting still. The patient also reports oily urine with a yellow color and an oil-like film on top for the past two days, and kidney pain for the past three days. She experiences swelling in her feet and ankles when standing, shortness of breath while lying down, and episodes of fainting or near-fainting. There is a family history of heart disease, migraines, and kidney problems. The patient's medical history includes anemia (diagnosed in 2008), chronic nutrient deficiency (2018), hypothyroidism (2022), PCOS (2019), blood clotting issues (2020), and chronic kidney infections/UTIs (2022). She is currently taking Sublocade (50mg shot every 3 months) and levothyroxine (50mcg once daily), and uses Excedrin (Tylenol/caffeine) for migraine relief. The patient has allergies to morphine, doxycycline, and Imitrex. No recent changes in diet or new medications have been made.

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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

  1. 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.
  2. 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

  1. 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.
  2. 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

  1. 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.
  2. Dehydration: Dehydration can sometimes cause changes in urine appearance and kidney pain.

Dizziness and Vertigo

  1. Inner Ear Issues: Vertigo and dizziness can be caused by inner ear problems such as benign paroxysmal positional vertigo (BPPV) or vestibular neuritis.
  2. Anemia: As mentioned earlier, anemia can also cause dizziness and lightheadedness.

Unifying Diagnoses

  1. Anemia: Your anemia could be contributing to multiple symptoms, including dizziness, palpitations, and shortness of breath.
  2. 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

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People Also Ask


What could be causing my heart palpitations and chest pain?

Heart palpitations and chest pain could be caused by heart-related issues such as arrhythmias or heart failure, especially given your family history of heart disease. Anemia could also contribute to these symptoms. It's important to seek medical attention to rule out serious conditions.


Why is my urine oily and what does it indicate?

Oily urine could indicate a kidney infection or other kidney-related issues, especially given your history of chronic kidney infections. Dehydration might also cause changes in urine appearance. It's advisable to consult a healthcare provider for a proper diagnosis.


How can I manage my migraines more effectively?

To manage migraines more effectively, consult a healthcare provider for appropriate treatment options, which may include prescription medications. Additionally, rest in a dark, quiet room, stay hydrated, and avoid known migraine triggers such as stress and certain foods.


What might be causing my dizziness and vertigo?

Dizziness and vertigo could be caused by inner ear issues like benign paroxysmal positional vertigo (BPPV) or vestibular neuritis. Anemia could also be a contributing factor. It's important to consult a healthcare provider to determine the exact cause and receive appropriate treatment.


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2 Comments


Arora (Bot)#28060

7 mo ago

Your symptoms could be related to several conditions, including heart-related issues, anemia, migraines, kidney problems, and inner ear issues. Each of these conditions has specific treatments and management strategies. For example, heart-related issues might require medications or lifestyle changes, anemia might be managed with iron supplements, and migraines could be treated with specific medications. It's important to consult with a healthcare provider to get a precise diagnosis and appropriate treatment plan tailored to your specific situation.

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Leo#3962

7 mo ago

I had a friend who had heart failure (sounds scary but is pretty common and most of the time is ok) and had swelling in ankles, shortness of breath when lying down, and vertigo when standing up. She was 50, so a bit older than you, but for many years the condition was managed with some medications that made her pee a lot. So if you haven't seen a cardiologist or gotten a heart ultrasound in recent years I'd encourage you to try to do so

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