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Palpitations and low BP - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2549 Questions
User :   Hi, I've had chronic dry cough, intermittent (1 yr) and have noticed palpitations w/in past several months. I will now cough after palpitations begin. I've dismissed it before as allergies but being a nurse, I know it's been too long now and the coughing after palpitations is disconcerning to me. Do I need to be f/u with these s/s? Thanks.
Doctor :   Hi
User :   good morning
Doctor :   May I ask you few questions to know about you?
User :   sure
Doctor :  
Please give your Age, Gender, Location, Occupation, Marital status, Height, Weight and Waist circumference
User :   43,f/m,RN,divorced, 5'5,140lbs, 28"
User :   sacramento ca
Doctor :   Do you have any other medical problems?
User :   yes
Doctor :  
May I know what problems?
User :   hypothyroid,fibromyalgia
User :   both well controlled
Doctor :  
Do you have history of Allergies/ Diabetes/ High Blood pressure/ Thyroid/ Heart disease/Asthma/ paralysis /Breathing problems.
User :   seasonal allergies, borderline hyperglycemia on glucophage
User :   oh-PCOS
User :   hypoglycemia, sorry
Doctor :   Ok
Doctor :  
Have you told your Doctor about this palpitations? ever?
User :   no
User :   brushed it off
User :   you know us nurses..
Doctor :  
Is your thyroid
Doctor :  
problem under good control?
User :   yes very good control. been on same dose meds for years.
Doctor :  
As this is a potential cause for palpitations
Doctor :  
User :   yes
Doctor :  
How is your BP?
User :   WNL
User :   actually little low
Doctor :  
Do you smoke?
User :   no
Doctor :  
Any other habits?
User :   none
User :   rarely drink
Doctor :  
Do you have Hypo or Hyper glycemia?
Doctor :  
May I know the values?
User :   borderline hyper; goes up post prandial
User :   varies from 90-200
User :   high values post prandial
Doctor :  
Doctor :  
Are you in any kind of sress?
User :   thus, the metformin
Doctor :  
User :   no more than I have been for years!
User :   so no to your answer
Doctor :  
Ok since there is shortage of time
Doctor :  
I would advise you to
Doctor :  
take a Heart disease screening
Doctor :  
Start with ECG
User :   ok
Doctor :  
If necessary an Echocardio
User :   ok thank you very much
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