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What causes severe fatigue, dizziness, blurred vision, bloating and heartburn?

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Posted on Thu, 19 May 2016
Question: I reportedly have a biological family history of pulmonary hypertension. I was treated for random asthma and breathing difficulty as a child. I've always had issues with yawning excessively, fatigue, dizziness, blurred vision, abdominal bloating, heartburn, chest pressure and borderline pain that has most recently become very frequent. My ankles arms and hand swell at random and I just can't breathe fully fairly regularly. I travel by car among three states for work and am currently in a hotel away from home. I'm growing more concerned about these recent escalations and am trying to decide how much time I have to see a dr or how urgent an appointment should be. Do I leave work and head home to the Oklahoma Heart Hospital, a general ER or can this wait until Monday so I don't miss work tomorrow and Friday? Sorry so much info... Just very concerned. Thank you.
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Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello XXXXXXX

Welcome on HCM!

I understand your concern and would like to explain that your current clinical symptomatology (excessive fatigue, dizziness, breathlessness, limbs edema, abdominal bloating, chest discomfort, etc.) is compatible to heart failure with right side decompensation (right heart failure).

Whether this right heart failure is caused by a chronic pulmonary disease (bronchial asthma, or hereditary pulmonary hypertension, etc.) or cardiac disease (congenital heart disease, ischemic heart disease, etc.) it remains to be decided by medical review of your clinical status.

Coming to this point, a careful differential diagnosis should be done.

Several medical tests are necessary in this regard:

- Resting ECG,
- Chest X ray study,
- Cardiac ultrasound,
- Arterial blood gas analysis,
- Pulmonary function test (PFT),
- Complete blood count,
- Liver and renal function tests,
- Blood electrolytes level,
- Thyroid hormone levels,

You need to discuss with your doctor or the nearest ER doctor about this issues.

If pulmonary hypertension remains a strongly suspicious responsible cause of the actual symptomatology, probably a cardio-pulmonary catheterization would be necessary.

Regarding the urgency of your contact with the doctor, I would say that it is necessary not to delay much further this important review of your aggravated health status.

If you work demands are not exhaustive (too much physical engagements, increased psychological stress, etc.) and your breathing problems are not limiting, then probably you can wait until the weekend to see your doctor.

But, in my personal opinion, I advise you to find a window (probably after work time) and ask for a preliminary fast medical review to the nearest ER service (just to assure that a severe homeostatic derangement is not present [severe acid-base or hydro-electrolytic disorder]).

I recommend you discussing with your attending physician on the above mentioned issues.

Hope you will find this answer helpful.

In case of any further uncertainties, feel free to ask me again!

Kind regards,

Dr. Iliri

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

Cardiologist

Practicing since :2001

Answered : 8612 Questions

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What causes severe fatigue, dizziness, blurred vision, bloating and heartburn?

Brief Answer: I would explain as follows: Detailed Answer: Hello XXXXXXX Welcome on HCM! I understand your concern and would like to explain that your current clinical symptomatology (excessive fatigue, dizziness, breathlessness, limbs edema, abdominal bloating, chest discomfort, etc.) is compatible to heart failure with right side decompensation (right heart failure). Whether this right heart failure is caused by a chronic pulmonary disease (bronchial asthma, or hereditary pulmonary hypertension, etc.) or cardiac disease (congenital heart disease, ischemic heart disease, etc.) it remains to be decided by medical review of your clinical status. Coming to this point, a careful differential diagnosis should be done. Several medical tests are necessary in this regard: - Resting ECG, - Chest X ray study, - Cardiac ultrasound, - Arterial blood gas analysis, - Pulmonary function test (PFT), - Complete blood count, - Liver and renal function tests, - Blood electrolytes level, - Thyroid hormone levels, You need to discuss with your doctor or the nearest ER doctor about this issues. If pulmonary hypertension remains a strongly suspicious responsible cause of the actual symptomatology, probably a cardio-pulmonary catheterization would be necessary. Regarding the urgency of your contact with the doctor, I would say that it is necessary not to delay much further this important review of your aggravated health status. If you work demands are not exhaustive (too much physical engagements, increased psychological stress, etc.) and your breathing problems are not limiting, then probably you can wait until the weekend to see your doctor. But, in my personal opinion, I advise you to find a window (probably after work time) and ask for a preliminary fast medical review to the nearest ER service (just to assure that a severe homeostatic derangement is not present [severe acid-base or hydro-electrolytic disorder]). I recommend you discussing with your attending physician on the above mentioned issues. Hope you will find this answer helpful. In case of any further uncertainties, feel free to ask me again! Kind regards, Dr. Iliri