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Light headed, dizzy, discomfort in left side chest, shortness of breath - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3622 Questions
User :   hello, my name is..I'm pretty sure I have heart palputations. I'm usually get dizzy, light headed, I can feel my heart beating, I feel a soreness on my left side just below my chest, plus I worry about it a lot and I think that might add to the problem. I'm in the military and have talked to 3 different doctors and they've blown it off as just high blood pressure. They did 2 EKG's on me, but didn't show anything but a healthy beat. I'm worried about what might happen to me and I want to stay in the military...this is really slowing me down physically for PT. Any advice is appreciated
Doctor :   Hi
User :   hell
User :   hello
Doctor :   Dr. XXXXXXXX here. let me read what you have typed.
User :   sure
Doctor :   what other sympyoms are you having?
User :   the sympyoms are off and on...light headed, dizzy, discomfort in my chest..left side below the peck
User :   sometimes shortness of breath
Doctor :   please provide your age, gender, location, occupation, height, weight, details of past medical illness if any
Doctor :   at the time of pain in chest does it radiate towards jaw or shoulders and down the left arm?
User :   25, male, 6', 190lbs, no past medical issues
User :   no...nothing in jaw or shoulder
Doctor :   do you have other symptoms like discomfort in upper stomach, belching, burping?
User :   no...never
Doctor :   are you on any medication?
User :   actually the last day I was on post I went to the clinic because of a stomach pain, I had a fever, and was dizzy
User :   I'm not taking any medication
Doctor :   when was your last blood pressure checked? and what was the reading?
User :   I use to chew tobacco a lot, but not hardly anymore...same with drinking
User :   last time was about 3 weeks ago...
User :   139 and 88 I think
User :   it comes and goes
Doctor :   for your age, it is high blood pressure.
Doctor :   are you on any medication for it?
User :   sometimes I think it's just in my head, but when I actually feel the missed beat I have time to gasp then its over
User :   they had me on it for a while, but said it wasn't doing anything for me
User :   hypertension is what they called it
Doctor :   what medication they had prescribed to you?
User :   hydrochlotothiazide
Doctor :   i recommend you a few things to do, or discuss with your physician and get them done
User :   yes
Doctor :   1) get your Blood pressure checked morning and evening and maintain an diary for 1 week
Doctor :   show it to the physician and if hydrocholorothiazide is not working for you, ask for replacement medication other than that if the pressure remains hight for more than 3-4 times readings.
Doctor :   2) the next time you have a missed beat or palpitations or chest pain, get an immediate ECG done along with a TMT /Stress test and ECHO.
Doctor :   3) diet modification with low salt, low protein and limited oil should be done
Doctor :   4) get blood work up with complete blood counts, lipid profile, thyroid profile and liver function tests.
Doctor :   5) practice relaxation techniques and meditation or yoga to calm your mind and get control of stress that might be a causative factor for your symptoms
Doctor :   have you followed what I have aid?
Doctor :   *said?
User :   yes...I've copied it al
Doctor :   please get back to me in case of having any doubts
User :   so could high blood pressure cause this?
Doctor :   yes it could be a cause, and if your blood pressure is found to be elevated, it should be brought under control
Doctor :   to prevent further symptoms and complications
Doctor :   using diet and medications
Doctor :   is there anything else you would like to ask me?
User :   right...I've tried exercise and I don't get the missed beats while running, but when I stop I get the symptoms again
Doctor :   ok
User :   another thing is after just lifting objects like a table or chair and moving it, my heart beat picks up a lot...
User :   same thing when I walk up stairs
Doctor :   all these symptoms do suggest elevated blood pressure and its effects
Doctor :   follow the above given suggestions
Doctor :   and focus on control of blood pressure
User :   right...will I ever get back to normal and be able to do the things I was doing not even 6 months ago
Doctor :   once the the exact problem is found out and appropriate treatent is on its way, you wil ne back to normal life
Doctor :   *be
User :   understood...thank you for your help
Doctor :   is there anything else you would like to ask me?
User :   no...just talking about it makes me feel better...I use to go out riding horses and drink and chew tobacco and have a good time with friends, but I can't handle it...I slow everyone down or just can't go all together
Doctor :   please fill the feedback form, say done when done
Doctor :   Thanks for consulting me. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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