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Suggest treatment for lightheadedness and painful bowel movements

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Posted on Fri, 29 Jul 2016
Question: hello ive been waking up in the middle of the night feeling breathless and weak. I feel dazed as if its hard to talk and im exshauted. I had a sleep study and it came back perfect. im also having slightly painful bowel movements. and a pain around my adbomenal region that feels like a rubber band in my lower ribs and tummy. I had endoscopy that came back normal awhile ago. im not dehydrated as I drink a lot of water. im scared about waking up in the middle of the night feeling light headed as if ive been drowning underwater all night. I wake up2-3 times a night and always feel tired throughout the day. what could this be?
doctor
Answered by Dr. Kaushal Bhavsar (1 hour later)
Brief Answer:
Have you checked for diabetes and heart diseases?

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
This kind of sudden onset awakening, lightheadedness, breathlessness in middle of the night are seen in heart failure.
We should also rule out diabetes in your case because diabetes can also cause similar symptoms.
So please let me know
1. Have you investigated for heart diseases?
2. Have you checked for diabetes?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (1 hour later)
I had echo in January it was normal had ekg chest x-ray several over last few months and a calcium CT score of zero I also have good blood pressure

I should also mention that I am being treated for panic disorder and general anxiety disorder. I also have had several complete blood count all normal. Diabetes well I had a high reading of 180 doctor said it was due to elevated levels of cortisol in my blood. But I only have this breathless problem in the middle of the night during the day I go for some walks and I walk up and down stairs fairly easy. I do get panic symptoms when I try to exercise though I don't think I have heart disease I am bring tested for ehlers Sarkis syndrome.( Not sure if that's relevant )
doctor
Answered by Dr. Kaushal Bhavsar (8 minutes later)
Brief Answer:
No need to worry much for any major lung or heart related diseases.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So, your all reports are normal. So no need to worry for major heart or lung related diseases.
Since you are also suffering from anxiety and panic disorder also we should rule out psychiatric cause for your symptoms.
So please let me know
1. Are you having stressful life?
2. Are you consulting psychiatrist for this?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (19 hours later)
I went to er today for the symptoms they did blood work for thyroidand complete white blood count and ekg all came back normal. I do have stress in my life yes, and I am consotling a psych doc for general anxiety disorder and panic disorder, he does not know about these new symptoms though. I take Zoloft 150mg once a day and buspar 5mg once a day. could these symptoms be cancer or anything really serious?
doctor
Answered by Dr. Kaushal Bhavsar (1 hour later)
Brief Answer:
Since your all reports are normal, no need to worry for cancer or major ill

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.

So please let me know -
1. Do you feel more stress during these days?
2. Do you have have bad dreams in night?

No need to worry for major heart or lung related diseases as all of your reports are normal.
Yes, possibility of worsening of stress or panic disorder is the cause for your symptoms.


Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further.

Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Kaushal Bhavsar (1 hour later)
I do have stress in my life and do have bad dreams. I don't know if my panic disorder is getting worse as my symptoms during the day have improved. it only seems to be at night when I wake from sleep do things get bad. so idk if it is nesscsrly my panic disorder or maybe a side effect of meds?
doctor
Answered by Dr. Kaushal Bhavsar (6 minutes later)
Brief Answer:
It is mostly worsening of panic disorder.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, you are mostly having worsening of panic disorder which is causing all these symptoms.
So better to consult your psychiatrist and discuss all these.
You might need addition of new drug or increase the dose of current drug.
No need to worry for major illness.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Priyanka G Raj
doctor
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Follow up: Dr. Kaushal Bhavsar (48 minutes later)
I doubt my panic disorder is worsening as my symptoms over all have improved greatly reaction to med maybe finding when I take it perhaps but of condition is very unlikely I use to shake all day now I hardly ever now. I'm doubting this is worsening of panic disorder
doctor
Answered by Dr. Kaushal Bhavsar (20 minutes later)
Brief Answer:
Sudden onset waking up in night with breathlessness is a type of panic atta

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I agree that these symptoms might be due to side effect of psychiatric drugs.
But for me, these are more suggestive of worsening of panic disorder.
Sudden onset breathlessness, midnight awakening, bad dreams etc are symptoms of panic attacks.
So better to consult your psychiatrist and discuss all these symptoms and find out what psychiatrist has to say only these symptoms.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Priyanka G Raj
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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14949 Questions

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Suggest treatment for lightheadedness and painful bowel movements

Brief Answer: Have you checked for diabetes and heart diseases? Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. This kind of sudden onset awakening, lightheadedness, breathlessness in middle of the night are seen in heart failure. We should also rule out diabetes in your case because diabetes can also cause similar symptoms. So please let me know 1. Have you investigated for heart diseases? 2. Have you checked for diabetes? Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.