• question-icon

    What causes dizziness, heart palpitations and fatigue?

Posted on Mon, 17 Jul 2017 in Hypertension and Heart Disease
Question: I am 67 years of age female. for the past 17 years or so, i have experienced 'attacks' at regular intervals, every month. my attacks are, dizziness, heart palpitations type feeling, hot flushes followed by exhaustion. These happen for a period of 12-24hrs once a month.
About 16 years ago I went to every specialist I could find, had heart monitor for 24 hrs which should I had 90 episodes in that period but my heart ECG is perfect.
I had a hysterectomy when I was 50 and one would think I would be through menopause by now, but I am still getting these attacks regularly - any ideas??
Answered by Dr. Ilir Sharka 50 minutes later
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello Annmarie,

Welcome on HCM!

I passed carefully through your medical history and would like to explain that, though some features like periodic appearance is not so characteristic, I would recommend you to discuss with your attending doctor on the possibility of a carcinoid syndrome, a neuro-endocrine tumor producing serotonin and other vaso-active amines (responsible for most of your actual symptomatology).

Special test should be done, including dosing of blood serotonine level, as well as histamine, catecholamines, 5-hydroxyindolacetic acid; and several imagine studies.

I believe that a thorough and careful clinical investigation would bring the expected results.

Hope to have been helpful to you!

In case of any further questions feel free to ask me again.

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Ilir Sharka 1 hour later
Thank you for your detailed response.
I will take the advice and will make an appointment with my doctor
Answered by Dr. Ilir Sharka 26 minutes later
Brief Answer:
You are welcome!

Detailed Answer:
I an glad to have been helpful to you!

Let me know about everything!

Wishing good health,

Above answer was peer-reviewed by : Dr. Kampana
Answered by
Dr. Ilir Sharka


Practicing since :2001

Answered : 7401 Questions


The User accepted the expert's answer

Share on

Recent questions on  Carcinoid

doctor1 MD

I am a carcinoid patient, had a small bowell resection 6 years ago and I am being treated with sandostatin lar 20 mg. each month. I am considering...

doctor1 MD

I have had black flecks, about the size of pepper or larger, in my urine for several months. The Dr. tested it and found no infections, no blood in...

doctor1 MD

I have had surgery to remove cancer from the right ascending colon (stage 1) and a neuroendocine carcinoid tumor from the small intestine (stage 3)...

doctor1 MD

Two years ago I had a lot of symptoms similar to those of carcinoid syndrome: sudden spike in blood pressure 170/105 (my blood pressure has always...

doctor1 MD

What causes a tremendous heat felt throughout my body lasting a few minutes. I feel really weird at the time although not necessarily nauseous....

doctor1 MD

Hello Doctor, My Father-in-law is diagnosed with carcinoid and now IHC report confirms it as neuroendocrine carcinoma. His external symptom is...

doctor1 MD

within the past 5 minutes my husbands skin has turned red and he say that he itches all over.Temp is 96.8 pulse 72 B/P 122 /78 he actually feels...

Get personalised answers from verified doctor in minutes across 80+ specialties

185 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Ilir Sharka
  • Q - What do the following stress tests, echo and holter monitor test result...

  • Q - Suggest alternative treatment for congestive heart failure

  • Q - Suggest treatment for hypertension and GERD

  • Q - Suggest treatment for high BP and tingling in arms

  • Q - What causes sharp pain in chest area relieved by burping?

  • Q - Suggest treatment for afib, severe sleep apnea and high heart rate?

  • Q - What causes shortness of breath with normal chest X-ray?

  • Q - What causes severe pain in my calf muscle in Tietze syndrome?

  • Q - What causes altered sense of smell when diagnosed with sinus tachycardia?

  • Q - Does page syndrome increase the risk of heart attack?