[49M] With fatigue, shortness of breath, and irregular heartbeats

What might be happening

It is likely that your symptoms are related to multiple issues, including existing diagnoses. If you have more questions, we can continue chatting.

Causes of your extreme fatigue, shortness of breath, and fluctuating heart rate:

• Atrial Fibrillation (AFib): Given your history of AFib, it's possible that your irregular heartbeats and fluctuating pulse rate are contributing to your fatigue and shortness of breath. AFib can cause the heart to work less efficiently, leading to these symptoms.
• Heart Failure: Although your heart ultrasound looked good, heart failure can sometimes present with symptoms like fatigue, shortness of breath, and dizziness. It's important to rule this out, especially given your family history of heart disease.
• Medication Side Effects: Some of your medications, such as Lisinopril and Duloxetine, can cause fatigue and dizziness as side effects.

Causes of your insomnia:

• Stress and Anxiety: Chronic conditions and the stress they bring can contribute to insomnia. Duloxetine, while used to treat depression and anxiety, can sometimes cause sleep disturbances.
• Medication Side Effects: Both Duloxetine and Tramadol can affect sleep patterns.

Causes of your lightheadedness:

• Blood Pressure Fluctuations: High blood pressure and the medications used to treat it can sometimes cause dizziness or lightheadedness, especially if your blood pressure drops too low.
• Dehydration: Lack of appetite and possibly not drinking enough fluids can contribute to lightheadedness.

What you can do

Fatigue, shortness of breath, and fluctuating heart rate:

• See a doctor as soon as possible: Given the severity and sudden onset of your symptoms, it's important to consult a healthcare provider. They may perform tests such as an ECG, blood tests, or a stress test to evaluate your heart function.
• Monitor your symptoms: Keep a journal of your symptoms, including when they occur and what you were doing at the time. This can help your doctor identify patterns and potential triggers.
• Medication review: Discuss your current medications with your doctor to see if any adjustments are needed.

Insomnia:

• Sleep hygiene: Establish a regular sleep schedule, avoid caffeine and electronics before bed, and create a comfortable sleep environment.
• Consult your doctor: Discuss your insomnia with your healthcare provider. They may recommend alternative treatments or adjustments to your current medications.

Lightheadedness:

• Stay hydrated: Ensure you are drinking enough fluids throughout the day.
• Monitor your blood pressure: Keep track of your blood pressure readings and share them with your doctor.
• Avoid sudden movements: Stand up slowly from sitting or lying positions to reduce the risk of dizziness.

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 shortness of breath: If you find it increasingly difficult to breathe, seek immediate medical attention.
• Chest pain: Any new or worsening chest pain should be evaluated by a healthcare provider immediately.
• Fainting or severe dizziness: If you experience fainting or severe dizziness, seek medical help right away.

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