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Dr. Andrew Rynne

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Feels light headed, off balance and high heart rate. Occasional smoker. Cause and cure?

Hello, just a question am always feeling light headed and off balance, occasionally my heart rate speeds up to the point I think I am having a heart attack , I am an active person, eat heathy, decaf coffee but only occasional cigarette, also when I darkened room with tv on it can send me dizzy, I know it sounds like a lot of different things and am by no means a hypochondriac, just thought I would ask Thanks Mark
Thu, 7 Mar 2013
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  Anonymous's Response
's  Response
Hi
Welcome to the Health Care Magic

Dizziness is vague term - if there is definite sense of rotation, it is vertigo.
If it is from getting up from bed, it may be from postural hypo-tension.. Did you check your BP?
It can be from anaemia – what is your haemoglobin? / Has an ECG been done?
Hopefully, ECG, blood pressure, blood counts and other investigations have been done and are normal?

The body's balancing mechanism is in the inner ear. An ENT (Ear Nose Throat) specialist is the one to see - especially in the presence of tinnitus. They have special tests to confirm or exclude the contribution of the ear - which probably is the case with you. If there are no clues, you may have to see a neurologist.

Regarding the heart - EKG / HOLTER (24 to 48 hour ambulatory monitoring) / ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – will all be necessary for further assessment and assistance. The treating doctor may suggest them depending on need, based on his assessment of the situation

Take care
Wishing you speedy recovery
Good luck

Psychiatrist Dr. Jonas Sundarakumar's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

Your symptoms of light-leadedness and irregular heart beats could be due to the following possibilities:
1) A cardiac problem
2) Other medical problems like high blood pressure, abnormal blood sugars, anemia, etc.
3) An anxiety-related problem

It is important to have a proper medical evaluation - which will include a detailed physical examination and certain investigations (like ECG and some blood tests) - in order to detect any medical problems causing this. Further treatment should be targetted according to the findings on evaluation. If all investigations are normal, then the possibility of an anxiety-related cause should be considered and addressed accordingly.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist
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