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Numbness in feet and hands,rapid heart beat,sweating - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
User :   I am a 37 year old female. I have been passing out since July of this year. I do have vasovagal syncope but now I have been passing out for no apparant reason. My blood pressure has been high as well. I have had several blood tests done, the holter test as well as the 24-hour urine tests and all came back normal. My doctor is "stumped". I have 3 children, ages 9, 8 and 18 months.
Doctor :   Hi,
Doctor :   ok,
Doctor :   Can you explain the episodes to me ?
User :   Hi - my feet and hands go numb and tingly. My hands went rigid one time. My heart races and I get very hot and sweaty and I can't talk. My bowels seem to get very loose.
Doctor :   ok, Have you got you Echocardiograph done ?
User :   I am on a waiting list for one right now.
Doctor :   your symptoms suggest the reason of the syncopal attack being from heart
Doctor :   since the holter is normal i consider the impulse conducting system and the rythm of the heart will be normal
Doctor :   but it do not rule out any structural and contraction system of the heart
Doctor :   which can be determined by an ECHO
Doctor :   hence it will be very useful in knowing the right cause
User :   Okay, so I should wait for the echo. When I was about 18 months old, I was in a car accident and had a skull fracture from the middle of my eyebrows to the crown of my head. Could this be affecting me now in this manner somehow?
Doctor :   yes, it could be a cause
Doctor :   but first you have to rule out the causes from the heart to consider the CNS to be involved
User :   What is CNS?
Doctor :   Central Nervous System
Doctor :   Brain and its appandages
User :   I have always had these episodes ever since I was little, but it was always related to some type of pain I was experiencing. Now I am passing out for no reason. My blood pressure got as high as 155/104. Very odd for someone like me who is fit and slim and active.
Doctor :   since the Blood Pressure reflects the heart contraction functioning i consider it to be the prime cause
Doctor :   Do you always have palpitation ( feeling ones heart beat )
User :   Only when I am in the middle of an episode.
Doctor :   ok,
Doctor :   this may not add up to suspection but yet it to considered
Doctor :   Echo will give a clear insight
User :   Should I be concerned about this condition? And what do I do in the meantime while I am waiting for the echo?
Doctor :   When is you Echo ?
Doctor :   your*
User :   I am waiting for the clinic to call me ...
Doctor :   ok, monitor your pulse , do not strain where your pulse goes more than 90/min
Doctor :   keep yourself in well aerated places
Doctor :   Restrict salt and water intake
User :   I just took my pulse and blood pressure today and my pulse is 95, which is what it usually is.
Doctor :   ok, go for some relaxation exercises like meditation
Doctor :   and aerobics
Doctor :   bring down the pulse rate
Doctor :   well keep it around 80 to 90
Doctor :   i advice you to manually check the pulse regularly
Doctor :   chek when ever you feel you getting strained
User :   I am recharging my chat ...
Doctor :   please continue
User :   I am a figure skating coach and I have 3 kids. It's impossible to keep my pulse rate down...
Doctor :   as i said it is till you get the Echo done and confirm the cause
Doctor :   once the cause is mad you will be put on medications
User :   Okay ... if it turns out that it's not my heart, how could the CNS be affecting me in this way?
User :   If put on medication, what kind and for what?
Doctor :   the medications will be depending on the type of affection in the heart
User :   You said to restrict salt and water. I understand the salt but why the water?
Doctor :   and the commonest cause in the CNS would be Aneurisms ..
Doctor :   Aneurisms are damaged blood vessels commonly due to trauma
User :   Are these possible aneurisms occuring now or have they already occured?
Doctor :   they are swollen up blood vessels
Doctor :   no, they are the possibilities,
Doctor :   if at al the syncopal attacks are due to CNS cause most common would be aneurisms
User :   so the aneurisms could be occurring now?
Doctor :   May be
User :   and if they are they would cause the fainting episodes?
Doctor :   yes,
User :   How do we find out if this is the problem? What kind of tests need to be done?
Doctor :   a CT scan of the Brain will rule out
User :   Now I am really freaking out. Should I get this scan done a.s.a.p?
Doctor :   it will be a second priority
Doctor :   first rule out the heart cause by the ECHO
Doctor :   if it turns normal a consultation with a cardiologist for detailed Cardiac examination
Doctor :   if after al these the heart cause is not made out then its the time for a CT scan of the brain
User :   What could be wrong with the structure of my heart that would be causing this?
Doctor :   well there are numerous causes which cause fainting

Doctor :   i could not be specific without having a examination done
Doctor :   there are so many other parameters which need to be looked into , hence i mentioned you may need a consultation wit a cardiologist after the ECHO
User :   My doctor referred me to a cardiologist but wanted the echo done before I go see him.
Doctor :   as i said
User :   Is there any way I could print out this entire conversation?
Doctor :   no, since all this information is confidential , you are not allowed to make a copy of it
Doctor :   but this conversation will be in your account to view
User :   Okay ... where are you just out of curiosity?
Doctor :   Thanks for consulting me , kindly provide your feedback

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