Question: Hello Doctor , I am a 23 year old male , generally fit and healthy , I do not smoke or drink and I have had a normal full blood test two weeks ago .
I was diagnosed with heart rhythm problem three years ago ( PVCs that's what doctors call them , skipped beats ) and I have had a Catheter Ablation a year ago , after the ablation my symptoms have improved a lot and my heart rhythm is normal most of the time but I do get isolated exrta beats from here and there daily , cardiologists told not to worry about them as long as they are not frequent , my heart has been checked with echo and Cardiac MRI , stress test , and all came back normal .
My Current problem is unexplained dizziness , throbbing headaches , feeling of passing out , weakness , feeling irritated , pinching chest pains . This has been going on for a long time not and they don't find anything wrong in the emergancy room .
I am a very emotional person , easily get nervous and anxious , There are neurological problems in my family , my grandma had Parkinson's Disease , my aunt had Schizophrenia , this makes me worried as I believe I might be suffering from some type of Neurologican disorder and that is causing my daily symptoms . I have noticed that my heart rate speeds up when I swallow , also when I have this dizziness it gets so much worse when I stand up from sitting down or laying down, I feel immediate worsening of my dizziness and throbbing pain gets worse too , I feel my heart beat everywhere in my head and neck , i think my heart rate goes up to 100 - 110 when i stand up , but I only notice this during dizzy spell attacks , I can wake up feeling normal and then slowly start to get symptoms and by end of the day I have severe dizziness and feel Like I am going to faint , I was thinking about gettting a Tilt table test done ? Does this sound like Dysautonomia ???? Thank You

Usually it starts with dizziness and then headache follows , and yes they are present at the same time. It will subside a bit when I lay down and get worse when I get up . There is no nausea or Vomiting feeling , throbbing speeds up when I stand up and that's when it hurts the most , it almost always starts in the evening time and will last hours , after getting sleep at night I do not feel rested , it feels like If I have not gotten any sleep . This morning my heart rate slowed down with standing up from laying down after 15 minutes , it got slow and forceful , heavy beats for couple of seconds until it returned to normal , I have had this happened three or four times before , one time at night I got out of bed really fast and immediately I felt my heart slowing down and beating exteremly heavy ..... Can you PLEASE help me out Doctor as I have gone to the emergency room many times and they never ever make any diagnosis .

Hi Again Doctor , Before I close the thread I'd like to ask you a few more questions please .
I have forgotten to tell you that often my dizziness is triggered by looking up , if I am shaving my face and I have to turn my head up or on sides there I get immediate dizzy spells , what could cause that? I will try to get a referral for Tilt table test but I did this test at home , I was laying flat for 30 Minutes monitoring my heart rate and had blood pressure cuff on my arm , while laying down after 30 minutes my blood pressure was 109/58 pulse 59 after standing up immediate readings were 135/74 pulse 98 , after few seconds pulse went down to 60 . Is that normal ???

GP has referred me for the Tilt Table Test but it is going to take two or three months to get an appointment , meanwhile she said I can try Stemetil 5mg or Sec 16 Mg three times a week , I looked up side effects of these medications that treat vertigo dizziness and they have cardiac side effects and that worries me , can you please give me a name of a good vertigo dizziness medication I can try before I go fot tilt table test , this is my final question thank You .