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Chest Pain, Tingling In Left Arm, Lightheaded, Fatigued, Blacking Out, Rapid Heartbeat. Had Echocardiogram. Need To Worry?
My son is 22 a few days ago he was at the lab in school when he started feeling chest pains on the left side and tingling on the left arm he started feeling lightheaded, fatigued and hot then he blacked out when he went down he had a seizure like with shaking that lasted second someone came to his rescue woke up right away he felt like he was dreaming then he was having rapid heart beat, went to the ER all test came back normal he was tested for blood clots,had a echocardiogram, stress test, and tilt table where he got a little sick and was throwing up outside of that everything else was normal. Blood pressure was low.
Thu, 25 Jul 2013
Hello,
Thanks for the query to H.C.M. Forum.
When every tests are normal two possibilities are there.
Hyper acidity ( gastritis or overeating),
Anemia,
Exertion doe long standing.
As you mentioned that blood pressure was low.
Actually any one who got dizziness , his blood pressure will come down , this is a natural process and called as defense procedure of body ( as blood rushes to heart and brain as these two are vital organs for life).
Good luck.
Dr. HET
Thanks for the query to H.C.M. Forum.
When every tests are normal two possibilities are there.
Hyper acidity ( gastritis or overeating),
Anemia,
Exertion doe long standing.
As you mentioned that blood pressure was low.
Actually any one who got dizziness , his blood pressure will come down , this is a natural process and called as defense procedure of body ( as blood rushes to heart and brain as these two are vital organs for life).
Good luck.
Dr. HET
I find this answer helpful
Hi,
the seqence of symptoms you describe suggest a seizure. Though pre seizure symptoms are similar to heart signs -you say all the investigations including ECG were normal.
- The way the episode occured suggest -'? begining of epilepsy.' The following palpitation,vomitting weakness many atimes are common in such cases.
- I would suggest EEG done to rule out /confirm possibility of epilepsy./other causes of fainting .
- if diagnosed, usual prescription is anticonvulsent like clonazopams,Sodium valporate, acid . depending on dignosis, consulted Neurophysician would decide the T/t plan.
Epilepsy is no more a diease to be feared of, in these era of modern medicine. pl. don't worry. only thing is-
- he has to be regular in taking medicines & follow ups
- the treatment is a long one.(minimum for 5 years) so, to continue inspite of disappearing symptoms& acheive 5years seizure free years is important.
- avoid tensions,excessive exertion,fasting,risky actions like driving,being near fire- is to be avoided.
with few life style changes, patient can lead a normal/successful life.
Please be careful to be care free.
Thanks.
the seqence of symptoms you describe suggest a seizure. Though pre seizure symptoms are similar to heart signs -you say all the investigations including ECG were normal.
- The way the episode occured suggest -'? begining of epilepsy.' The following palpitation,vomitting weakness many atimes are common in such cases.
- I would suggest EEG done to rule out /confirm possibility of epilepsy./other causes of fainting .
- if diagnosed, usual prescription is anticonvulsent like clonazopams,Sodium valporate, acid . depending on dignosis, consulted Neurophysician would decide the T/t plan.
Epilepsy is no more a diease to be feared of, in these era of modern medicine. pl. don't worry. only thing is-
- he has to be regular in taking medicines & follow ups
- the treatment is a long one.(minimum for 5 years) so, to continue inspite of disappearing symptoms& acheive 5years seizure free years is important.
- avoid tensions,excessive exertion,fasting,risky actions like driving,being near fire- is to be avoided.
with few life style changes, patient can lead a normal/successful life.
Please be careful to be care free.
Thanks.
I find this answer helpful
1 user finds this helpful
Hi,
TMT,2D ,HUTT,are normal is sufficient enough to rule out any serious heart problem except cardiac arrhythmias , as it can cause rapid heart rate, fall in BP , black out and light headness, fatigue (however doesnt explain tingling) and many times they do terminate spontaneously , so by the time you do ECG , it has disappeared and hence you have normal ECG,. To rule out it you can get Holter 24 hrs monitoring or loop recorder if available.
If holter also is normal then you should think in direction of possible neurologic problem , consulting neurologist will be helpful in this regard.
hope this helps.
TMT,2D ,HUTT,are normal is sufficient enough to rule out any serious heart problem except cardiac arrhythmias , as it can cause rapid heart rate, fall in BP , black out and light headness, fatigue (however doesnt explain tingling) and many times they do terminate spontaneously , so by the time you do ECG , it has disappeared and hence you have normal ECG,. To rule out it you can get Holter 24 hrs monitoring or loop recorder if available.
If holter also is normal then you should think in direction of possible neurologic problem , consulting neurologist will be helpful in this regard.
hope this helps.
I find this answer helpful
2 Doctors agree with this answer
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