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Drowsyness, shortness of breath and palpitations - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Sleep Disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   hi
Doctor :  
User :   hello
User :   please help with my symptoms
User :   i have been suffering from drowsiness during the day, shortness of breath and palpitations
Doctor :   please proceed with ur query
User :   20yr old male dont drink or smoke
Doctor :   may i know ur age , weight, height ?
User :   20yr old male, 10st, 5ft 8"
Doctor :   how long have u had these issues ?
User :   i have had the drowsiness for about 6 months
User :   shortness of breath for abour 3 months
User :   and palpitations are intermittent
Doctor :   how did they start ?
User :   progressively
Doctor :   do u have any medical diagnossis, like asthma , any prior pneumonia ?
User :   I have had blood tests which are all normal except high bilirubin, normal chest x-ray and normal thoratic ct scan
User :   no dx
Doctor :   have u had any Xray chest ?
Doctor :   ok
Doctor :   have u had any swelling of the foot ?
User :   no
Doctor :   any family history of such issues ?
User :   no
Doctor :   a pulmonary function test, PFT would be helpful in your case
Doctor :   as anatomically everything seems to be normal , this could be a functional disorder
User :   ok what is a pft?
User :   lung test?
Doctor :   yes , where u breathe into a machine to analyse your lung function
Doctor :   this can help to analyse if it is a restrictive or obstructive disorder
User :   ok what are the possible causes for my symptoms?
User :   i am worried about sleep apnea
Doctor :   interstitial lung diseases
Doctor :   are u having sleep issues ?
User :   no i sleep fine, but I dont understand why every day i feel like i have not slept at all
Doctor :   ANY Tiredness , ?
Doctor :   fatigue , sleeplessness, feeling sleepy all the day ?
User :   sleepy yes
User :   thats what i meant by drowsy
Doctor :   ok
Doctor :   you can get a sleep test done too to get a better perspective
Doctor :   A PFT AND A sleep study will helpto confirm the diagnosis
Doctor :   other tests that may help include a HRCT chest , skin test for TB,
Doctor :   A hrct can help in diagnosing ILD
User :   i have had a chest ct scan 2 weeks ago with contrast
User :   i have had no calls yet so i assume it is normal
Doctor :   I understand,
Doctor :   so u have had no results about the test
Doctor :   ok, in that case u can wait for them to come
User :   no but if there was something wrong they would call me i think?
User :   I am due to see my consultant in 2 weeks for the full results
Doctor :   yes they would
Doctor :   are u on any medications currently ?
User :   no but i do take supplements
Doctor :   ok
Doctor :   i would also recommend undergoing an EKG and an ECHO to rule out cardiac issues
User :   ok
User :   let me explain the palpitations
Doctor :   ok
User :   it feels like an abormal rhythm, it will beat normally but then when i breath in/out sometimes it beats again very quickly after the previous beat
User :   what is this a sign of?
Doctor :   it cannot be interpreted from the description
User :   my pulse rate goes very quickly for a second or two and then returns to normal
Doctor :   it could be a panic attack or due to anxiety related hyperaactive breathing
User :   like an "extra beat" and it takes my breath away
Doctor :   a EKG will be good to diagnose this condition
User :   i do think it could be anxiety
User :   also i have high bilirubin but my liver function tests are normal, could this be related
Doctor :   it could be the most probable
Doctor :   no
Doctor :   it is not related
User :   ok
User :   i am due to see the consultant in 31st jan, should i wait untill then or go to my gp
Doctor :   you can wait
Doctor :   there is no hurry
Doctor :   but if u feel the symptoms worsen a visit to ur GP will help
User :   ok... i am very fit but the sleepiness is affecting my ability to exercise
User :   is this concerning
Doctor :   no
Doctor :   this is not that troublling
Doctor :   a rest for a couple of days will take care of that
User :   ok, is there anything i can/do to combat the sleepiness
Doctor :   take some caffiene
Doctor :   or coffee
Doctor :   there are no medications that can prevent sleep, that are available without a prescription
User :   ok lastly
User :   will taking protein supplements and acai berry damage my body?
Doctor :   also physical activity may help to over come sleepiness
Doctor :   no they will not do any damage
User :   ok
User :   thanks for your help
User :   have a great day
Doctor :   i hope i ahve answered your queries
Doctor :   thanks and take care
Doctor :   bye for now
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