apollo
  • male
  • 30 Years
  • 20/02/2025

I'm really worried about this ongoing lightheadedness I've been dealing with for the past 8 months. It's like I'm under the influence of something, almost like alcohol, but I'm not. I've had these scary episodes where my chest hurts and my blood pressure shoots up to 150100. The ER told me it was a panic attack, and it's happened twice now. I've undergone so many testsHolter Monitor, ECG, EKG, chest and heart CT scans, even a brain MRI and countless blood tests. Everything comes back normal, including checks for anemia and thyroid issues. They did find H. Pylori, and I finished a 14-day antibiotic course for that, but otherwise, doctors say I'm fine. Yet, I can't shake these feelings and symptoms. I'm 30, 6 feet tall, and weigh 90 kg, with blood pressure often around 13590. I've even had ECGs during the pain episodes. Can you help me figure out what might be going on here?

Doctor 1

Answered by 1 Apollo Doctors

It sounds like you have been through a thorough evaluation for your symptoms. Since all your reports have come back normal and your doctors have ruled out various possible causes, including panic attacks, it's important to consider other factors that may be contributing to your lightheadedness and other symptoms. One possible cause could be inner ear problems leading to vertigo-like symptoms. I recommend trying a medication called Meclizine (brand name Antivert) at a dose of 25-100 mg per day to help with your lightheadedness. Additionally, you may benefit from vestibular rehabilitation therapy to address any inner ear issues. It's also important to stay well-hydrated, maintain a healthy diet, and practice stress-reducing activities such as yoga or meditation. If your symptoms persist or worsen, it may be helpful to see an Ear, Nose, and Throat (ENT) specialist for further evaluation and management.

Dr. Shubham Suggests...

Consult a Cardiologist

Answered 04/07/2025

0

0

Sick? Talk to a doctor now
doc

Ask Apollo

AI powered Health Chatbot

Continue Chat
  1. Panic Attacks and Anxiety
    a. Consider consulting a mental health professional for anxiety management.
    b. Cognitive Behavioral Therapy (CBT) and relaxation techniques may help.

  2. Lifestyle Modifications
    a. Regular exercise and a balanced diet can improve overall well-being.
    b. Ensure adequate hydration and sleep.

  3. Follow-Up
    a. Regularly monitor blood pressure.
    b. Schedule follow-ups with your primary care physician to reassess symptoms.

  4. Further Evaluation
    a. Discuss with your doctor the possibility of vestibular disorders or other neurological evaluations if symptoms persist.

Answered 10/09/2025

0

0

More Cardiology Health Queries

View all

I'm really worried because my HSCRP levels are high, and I'm taking vaso. What kind of risks should I be aware of, and who should I talk to about this?

High levels of hs-CRP (C-reactive protein) indicate inflammation in the body, which can be a risk factor for cardiovascular diseases such as heart attack and stroke. Vaso refers to vasculitis, which is inflammation of the blood vessels. It is important to manage these conditions to reduce the risk of complications. You should consult with a Rheumatologist for the vasculitis and a Cardiologist for the high hs-CRP levels. The Rheumatologist may prescribe medications such as Prednisone for vasculitis, while the Cardiologist may recommend medications like Atorvastatin to lower cholesterol and reduce inflammation in the blood vessels.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I've been experiencing something concerning that Id like some input on. So, last week, I had this issue but after taking some medication, it seemed to go away. However, Ive been noticing that whenever I lift weights around 25kg, I get this tight feeling in my chest. Along with that, my heart seems to race really fast. When I used my mobile to check my heart rate, the numbers were all over the place like 104, 96, 87, 45, and 79 which seemed off. At first, I thought maybe the phone sensor was acting up, but it reads other people's heart rates accurately. In the mornings, my heart rate seems stable, usually between 65 and 76, but it gets weird in the afternoon and evening. Ive had an ECG, 2D echo, and blood tests done, and my doctor says everything is normal with my heart. Is it possible for there to be issues even if those tests show normal results? I'd appreciate any insight.

Based on your symptoms, it sounds like you may be experiencing episodes of arrhythmia, which are abnormalities in the heart's rhythm. One common type of arrhythmia is atrial fibrillation, which can cause symptoms like fast or irregular heartbeats. I recommend discussing with your doctor about the possibility of wearing a Holter monitor for 24-48 hours to capture your heart's rhythm during your daily activities. This can help in identifying any intermittent arrhythmias that may not be captured during a standard ECG. In terms of management, if significant arrhythmias are detected, your doctor may prescribe medications such as beta-blockers or anti-arrhythmic drugs to help control your heart rate and rhythm. Lifestyle modifications such as reducing stress, avoiding stimulants like caffeine, and maintaining a healthy weight can also be beneficial. It's important to follow up with your doctor regularly and keep track of your symptoms. If you experience any chest pain, severe shortness of breath, fainting, or dizziness, seek immediate medical attention.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I've been having some chest pain and got an echo done, and the report mentioned "normal diastolic dysfunction." I'm trying to understand what this means. Should I be worried about it being serious, or is it something normal? I'm a bit anxious about what this report could imply. Could you help clarify this for me?

See a specialist for accurate diagnosis and targeted treatment.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

Health Articles for you

View all

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.