- 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?
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
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Ask Apollo
AI powered Health Chatbot
-
Panic Attacks and Anxiety
a. Consider consulting a mental health professional for anxiety management.
b. Cognitive Behavioral Therapy (CBT) and relaxation techniques may help. -
Lifestyle Modifications
a. Regular exercise and a balanced diet can improve overall well-being.
b. Ensure adequate hydration and sleep. -
Follow-Up
a. Regularly monitor blood pressure.
b. Schedule follow-ups with your primary care physician to reassess symptoms. -
Further Evaluation
a. Discuss with your doctor the possibility of vestibular disorders or other neurological evaluations if symptoms persist.
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I've been having this chest pain for a few days now and sometimes when I'm trying to sleep, I get these heart palpitations and feel short of breath. It honestly feels like I'm going to die, and it's making it hard for me to get any sleep. I went to a general physician recently and explained everything. The doctor just checked my pulse and listened to my heart with a stethoscope and said theres nothing to worry about. But can I actually trust that? I keep feeling like something's wrong with my heart, but the doctor didnt suggest any tests. Should I get some tests to check my heart health, or am I overthinking this? What would you advise?
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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.