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Sudden onset of sweats, nausea, tachycardia, arm pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   My 23y/o girlfriend is experiencing a sudden onset of sweats, nausea, lightheadedness, slight tachycardia (around 90 bpm), and arm pain/weakness. She has never experienced this before. She is healthy, only medication is birth control.
Doctor :   hi
Doctor :   Dr AAAAAAA here
User :   Hello
User :   Can you figure this out?
Doctor :   since when she is taking the birth control? and which one she is taking at present?
User :   She is taking Cryselle, Shes been on it for a year and a half.
Doctor :   is she on any other medication?
User :   No
Doctor :   is she regular on the pills? or has she missed any of them in between?
User :   No, she is a religious taker, same time, same dose, everyday. Her last pill on her pill cycle was saturday. Her first inactive day was sunday. Shes anticipating her period tomorrow.
Doctor :   ok. then the symptoms that she is experiencing could be due to pre-menstrual s\effects of hormone withdrawal
Doctor :   wait and watch for these signs: heart beat increasing more than 100, chest tightness radiating to arm pain, blurry vision, severe abdominal cramps
Doctor :   nausea and vomiting, headaches, mood swings
Doctor :   if she has any of these developing, then she will need medical attention along with hormonal levels tested to see if things are fine
User :   Thats strange. Shes been on this pill for a year and a half and never experienced this before. But I will watch her, if these symptoms progress, would an ER trip be necessary or wait for the clinic to open up tomorrow?
Doctor :   if these symptoms progress, then visit to ER might be necessary
Doctor :   these symptoms can appear anytime, as side effects, few women can get after few months of use, few experience them after long term use
Doctor :   it depends on how each one's body reacts to them
User :   Okay, thank you doctor.
Doctor :   is there anything else I can help you with?
User :   She also has a history of slight hypotension and migrane headaches. She stands up quickly she gets lightheaded for a brief moment, could she have orthostatic hypotension?
Doctor :   yes, it could be due to hypotension. she should drink plenty of water and fruit juices to make sure she is well hydrated
Doctor :   along with this a balanced diet also is essential with less intake of caffeinated beverages
User :   Okay, thanks.
Doctor :   is there anything else you would like to ask me?
User :   No, that's all.
Doctor :   thanks for consulting me. bye for now.
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