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    What causes dizziness, heart palpitations and fatigue?

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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??
doctor
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
doctor
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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
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,

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

Cardiologist

Practicing since :2001

Answered : 7401 Questions

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