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Have chronic episodes of lightheadedness, dizziness, spine pain, fatigued. What does this mean?

Hello, I am a 39 year old male. 5 -8 , 170lbs. For the past 3 years I have had chronic episodes (weekly) of light headedness and feeling of fainting (have not fainted). It seems that when these episodes occur, I have pain in my xyphoid, pain in my spine (between shoulder blades) or a short fluttering feeling in my chest. I am frequently fatigued. I am diabetic and check my blood sugar regularly, so I can rule out hypoglycemia . I had been to an ER twice in the early stages of these episodes. After x-rays, ecgs and blood work I was released with no diagnosis. I have had numerous ecgs over the past years. I have had a 24 hour and 6 day halter monitor. I was given a stress test with echocardiogram . All tests appeared normal. I know the Doctors I ve seen have done the proper testing, but we still haven t determined cause. These episodes are quite scary and do generate some anxiety when they occur. I know you don t have enough information for diagnosis, but am hoping you can give some additional insight into further testing that should be done to rule out heart related issues or other possible causes of these episodes. I am not an anxious, stressed or depressed person:)
Asked On : Thu, 17 Jan 2013
Answers:  1 Views:  143
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Diabetologist 's  Response
Hi. first of all u need not to be worried at all as you have mentioned that, x rays, ecg, holter and stress echo reports are all normal, so one can easily rule out a heart disease. The episodes of fainting sensation and light headedness can be due to ear problem also, for example a condition kown as benign positional vertigo or some other ear ilness. You need to consult an ENT specialist for that. Also you should undergo an xray of neck to rule out cervical spondylosis as it can also lead to faintness. Your fatigue may be related to uncontrolled diabetes. A thyroid function test may be necessary as hypothyroidism also leads to fatigue. Lastly very uncomonly a lliver function test may be required.
Answered: Thu, 24 Jan 2013
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