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Experiencing Nausea, Light-headedness, Fatigue And Shaky. Having High BP, Took No Medication. Suggest?

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Posted on Fri, 28 Jun 2013
Question: This afternoon and evening I experienced intermittent nausea, lightheadedness, some fatique and I felt shaky. My heart didn't feel like it was racing but I could feel it. My blood pressure was 150/67; 15 minutes later it was 141/67; an hour later it was 138/53. HR was 65, 66 and 62 respectively. I took no medication. At first I thought heart attack. Any ideas what this could be?
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Answered by Dr. Sukhvinder Singh (35 minutes later)
Respected Ma'm
1. The combination of nausea/ lightheadedness/ fatigue/ shakiness can all be related to disturbances of balancing mechanism of body, neurological issues, high blood pressure and less likely but yes, some heart problems (especially in very old people).
2. Your blood pressure and heart rate are fine but they may be , even if you have a heart attack or a neurological issue.
3. I would advise you to see your physician or visit emergency room (ER), as this may be a significant neurological problem. We can only discuss possibilities here but can not reach a conclusive diagnosis.
I would request you again to visit ER for further evaluation.
Feel free to discuss more.
Sincerely
Sukhvinder Singh
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sukhvinder Singh

Cardiologist

Practicing since :1998

Answered : 1306 Questions

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Experiencing Nausea, Light-headedness, Fatigue And Shaky. Having High BP, Took No Medication. Suggest?

Respected Ma'm
1. The combination of nausea/ lightheadedness/ fatigue/ shakiness can all be related to disturbances of balancing mechanism of body, neurological issues, high blood pressure and less likely but yes, some heart problems (especially in very old people).
2. Your blood pressure and heart rate are fine but they may be , even if you have a heart attack or a neurological issue.
3. I would advise you to see your physician or visit emergency room (ER), as this may be a significant neurological problem. We can only discuss possibilities here but can not reach a conclusive diagnosis.
I would request you again to visit ER for further evaluation.
Feel free to discuss more.
Sincerely
Sukhvinder Singh