I'm really concerned about some health issues I'm experiencing. My recent CT scan indicated pulmonary artery hypertension at 30 MM, and they recommended a 2D Echo, which thankfully came back normal. But I still have some symptoms like shortness of breath, particularly while eating, and I feel uneasy. Sleep hasn't been an issue, as I can sleep well without any breathing support. However, I find myself experiencing syncope and unsteadiness frequently, especially when standing or walking. There's also this constant fatigue despite eating well and staying at home. My blood reports show eosinophilia at 12.9 and 9.2, a CRP level of 5.5, an ESR of 28, and fatty liver. Im trying to stay active with workouts, but I just feel so low on energy. It's strange and unlike anything Ive felt before. On top of that, I've had mucus from my throat for about 8 years due to sinus, but no cough or runny nose. I've been managing it with natural remedies instead of medication. Could my birth control pills for PCOS be contributing to all of this? Should I be looking into more tests, or might natural remedies be a good option for now? I've already sought advice from four online consultations, but Im still worried.

Dr Ranjith Darla

General Practitioner

• MBBS
• 3+ Yrs

Consult Now

Based on your symptoms and test results, it is important to address the Pulmonary artery Hypertension, syncope, fatigue, and elevated eosinophils. The birth control pills for PCOS may also be contributing to your symptoms. Here is a suggested plan: 1. Pulmonary artery Hypertension with 30 MM: - Start treatment with a medication like Sildenafil (Revatio) to help reduce pulmonary artery pressure. The usual dose is 20 mg three times a day. - Follow up with a cardiologist for further evaluation and management. 2. Syncope and unsteadiness: - Consider a referral to a neurologist for evaluation of your symptoms. - In the meantime, increase your fluid and salt intake to help with orthostatic symptoms. 3. Elevated eosinophils and inflammation markers: - Given your elevated eosinophils and CRP, further evaluation for underlying inflammatory conditions may be needed. - Consider a trial of corticosteroids like Prednisone to help reduce inflammation. The usual starting dose is 20-40 mg per day. 4. Fatty Liver: - Follow a healthy diet low in saturated fats and sugars. - Consider a liver support supplement like Ursodeoxycholic acid (UDCA) to improve liver function. 5. PCOS and birth control pills: - Birth control pills can sometimes worsen conditions like pulmonary hypertension. Consider alternative methods of contraception. - Consult with an endocrinologist for a review of your PCOS management and potential adjustments to your treatment plan. It is important to follow up with your healthcare provider for further evaluation and management. Regular monitoring of your symptoms and test results is crucial in determining the effectiveness of the treatment plan.

Answered 04/07/2025