[66F] Experiencing dizziness, palpitations, and temperature sensitivity in feet

What might be happening

Based on your symptoms and medical history, the following conditions could be possible:

• Orthostatic Hypotension: This condition is characterized by a sudden drop in blood pressure when you stand up from a sitting or lying position, which can cause dizziness or lightheadedness. It's more common in older adults and can be exacerbated by certain medications, such as beta blockers like Metoprolol.

  • Treatment typically involves lifestyle changes, such as standing up slowly and ensuring adequate hydration. In some cases, medication adjustments or additions may be necessary.

• Hyperhidrosis: This is a condition characterized by excessive sweating that's not necessarily related to heat or exercise. You might sweat so much that it soaks through your clothes or drips off your hands.

  • Treatment can involve prescription antiperspirants, medications, or even surgery in severe cases.

• Peripheral Neuropathy: This is a result of damage to your peripheral nerves, often causing weakness, numbness, and pain, usually in your hands and feet. It can also cause sensations of coldness or unusual sweating in the affected areas.

  • Treatment typically involves managing the condition causing the neuropathy. In some cases, medications can help relieve the symptoms.

• Arrhythmia: This is a condition characterized by an irregular heartbeat, which can feel like a racing heart or palpitations. Given your history of PSVT and use of Metoprolol, this could be a possibility.

  • Treatment can involve medication, lifestyle changes, or potentially procedures to correct the rhythm.

Please note that these are possibilities based on the information provided and are not a definitive diagnosis.

What you can do

1. For the lightheadedness, try to stand up slowly from a sitting or lying position. This gives your body more time to adjust to the change in blood pressure.
2. Stay hydrated and avoid alcohol, which can both trigger and exacerbate symptoms.
3. Keep a symptom diary. Note when your symptoms occur and what you're doing at the time. This can be helpful information for your doctor.
4. Continue taking your medications as prescribed, but make sure to let your doctor know about all the symptoms you're experiencing.

What you should look out for

Please seek immediate medical attention if you experience:

• Chest pain or discomfort
• Severe shortness of breath
• Fainting
• Rapid or irregular heartbeat that doesn't resolve in a few minutes
• Severe or worsening symptoms

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.