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What Causes Dizziness, Heart Palpitations And Nausea?
Hi, I have been feeling odd all day, it started this morning, i suddenly became dizzy and shaky, had palpatations, nausia and cold sweats and i felt like i was going to pass out. I felt better after about half an hour, but its been happening on and off all day, i ve had this before, years ago, but i can t remember what caused it?
Mon, 28 Sep 2015
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that your symptoms seem to be related to a low blood pressure or orthostatic hypotension.
Have you measured your blood pressure during these episodes?
I recommend to closely monitor your blood pressure in sitting and standing position. A decrease in your blood pressure more than 20mm Hg when standing up, compared to sitting position would be indicative of orthostatic hypotension.
A head up tilt test would be necessary to rule in/out this disorder.
But I would also recommend consulting with your GP for a careful physical examination, a resting ECG and some blood lab tests :
- complete blood count (for chronic anemia)
- kidney and liver function tests
- thyroid hormone levels
- cortisol plasma levels (adrenal gland function)
- fasting glucose (for possible hypoglycemia)
- blood electrolytes, etc.
to exclude other possible metabolic causes related to this symptomatology.
Hope to have been helpful!
Best regards,
Dr. Iliri
Welcome and thank you for asking on HCM!
I understand your concern and would explain that your symptoms seem to be related to a low blood pressure or orthostatic hypotension.
Have you measured your blood pressure during these episodes?
I recommend to closely monitor your blood pressure in sitting and standing position. A decrease in your blood pressure more than 20mm Hg when standing up, compared to sitting position would be indicative of orthostatic hypotension.
A head up tilt test would be necessary to rule in/out this disorder.
But I would also recommend consulting with your GP for a careful physical examination, a resting ECG and some blood lab tests :
- complete blood count (for chronic anemia)
- kidney and liver function tests
- thyroid hormone levels
- cortisol plasma levels (adrenal gland function)
- fasting glucose (for possible hypoglycemia)
- blood electrolytes, etc.
to exclude other possible metabolic causes related to this symptomatology.
Hope to have been helpful!
Best regards,
Dr. Iliri
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