Question: I am a 40 years old married female with no children. I have a history of breast cancer in 2010 and underwent modified radical mastectomy , chemo and radiation. now I am on tamoxifen and baby aspirin.
My complains are as follows:
1. Ever since 2010 I have been complaining from palpitations and rapid heart beat. I did a holter in 2012 and came normal. As well I did 100s of EKGs and 10 ECHO and all are normal. I wake up at night because of strong -pounding heart beat. I as well feel electric vibes in my chest, and buzzing sensation too. It happens only at night during my sleep. My resting heart rate is high 80s and high 90s
I am thin 42 kg and 167 cm tall I did not lose weight.
I have a history of GAD, OCD, Panic disorder and IBS
I have acidity and I feel tightness in my upper stomach. My blood pressure is always low 90/60 and this is my normal. I wake up deprived of energy, and feel tired all day. I feel pain in my muscles, especially my legs. I get tired fast when climbing the stairs or doing moderate activity. I use to exercise and walk half an hour, but after 20 min of walking I start to feel stabbing pain in my right side of chest where surgery is, so I quit.
I feel pain in my chest muscles and sometimes stabbing pain like needles in my chest and back.
I did chest x-ray came back normal, blood work normal and ultra-sound normal. I as well complain from inability to hold my urine, and despite the fact that I rush to the toilet yet I make a few drops. I also have hemorroids as the doctor said 3 degree, but I do not have any pain, I also don't feel anything apart from a small baloon that comes and goes.