Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Fatigue, Stiff Neck And Blurry Vision
Question: Im having lightheadedness, fatigue, weakness in arms and legs, pressure in heart area, stiff neck, blurry vision. These symptoms sometimes happen all at the same time ,sometimes a mixture of symptoms. Sometimes it happens in the morning after rising, sometimes during the day , sometimes in the evening. Sometimes L feel like Im going to pass out. Ive been having this problem for several years. Doctors have multiple tests run. MRI of my brain. Echocardiagram of heart (leaking valve) Sonograms of my neck ,legs,arms, multiple Catscans, stress tests , Xrays. Blood work always comes back normal except high cholesteral. Urine tests are fine. Blood pressure is 124/74. Pulse averages 70 to 80. Physical exercise seems to help with the symptoms. A friend has the same problem, doctor diagnosed as Pre-syncope. They replaced his heart valve but still has symptoms occasionally. Anyway, any help you could suggest would be appreciated.
Brief Answer:
It is necessary to rule out orthostatic intolerance.
Detailed Answer:
Hello!
Thank you for asking on HCM!
I passed carefully through your medical history, and would like to explain that coming to this point, after all these performed tests (cerebral, cardiac, blood work) have resulted normal, probably you need to investigate a possible presence of Orthostatic Intolerance. Several of your complains, like lightheadedness, fatigue, weakness blurry vision after rising,etc, coupled with normal results of the above tests are compatible with such a diagnosis. You have to discuss such an option with your attending cardiologist. To rule out, or confirm such a diagnosis some orthostatic provocative tests are necessary. The most prominent test is Head Up Tilt testing.
Even the pre-syncope diagnosis of your friend, may be part of such a disorder.
So just talk with your doctor, to decide the best diagnostic strategy available to follow.
Hope to have been helpful to you. Greetings! Dr. Iliri
It is necessary to rule out orthostatic intolerance.
Detailed Answer:
Hello!
Thank you for asking on HCM!
I passed carefully through your medical history, and would like to explain that coming to this point, after all these performed tests (cerebral, cardiac, blood work) have resulted normal, probably you need to investigate a possible presence of Orthostatic Intolerance. Several of your complains, like lightheadedness, fatigue, weakness blurry vision after rising,etc, coupled with normal results of the above tests are compatible with such a diagnosis. You have to discuss such an option with your attending cardiologist. To rule out, or confirm such a diagnosis some orthostatic provocative tests are necessary. The most prominent test is Head Up Tilt testing.
Even the pre-syncope diagnosis of your friend, may be part of such a disorder.
So just talk with your doctor, to decide the best diagnostic strategy available to follow.
Hope to have been helpful to you. Greetings! Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
DR. sharka, Thank you for the info and your advice. Now I just have to get my doctor to agree to have the tests run. I`m in the V.A. health program and is extremely slow at doing anything. Again, thank you for your help.
Brief Answer:
You are welcome!
Detailed Answer:
I wish you a good health! Dr. Iliri
You are welcome!
Detailed Answer:
I wish you a good health! Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
