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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Headaches, Burning In Chest, Trembling, High BP. Anemic. Cure For Symptoms?

Hi. I have been experiencing headaches, burning in the chest and excessive trembling. I also feel as if I am about to faint. I took my blood pressure and its a bit high. Although the symptoms have lessened, I am still very concerned. I have felt this way before and was told that it may be a migraine attack. However, I am very doubtful. Please help me by giving me your professional opinion. I am 33 years old and my weight is about 210. I am 5ft 11/2 inches. I have also been diagnosed as being anemic and have been taking iron supplements.
Wed, 16 Oct 2013
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General & Family Physician,  's  Response
Thank you for asking on HCM.
Your symptoms are less likely be due to migraine. They are more likely due to the effects of the anemia.
In migraine, the headache is throbbing, usually one sided, accompanied by nausea, vomiting or blurring of vision. It lasts for hours to days.
In anemia, due to low hemoglobin in the blood the widespread symptoms occur in the body through various mechanisms.
If I was your treating physician, I will do the following:
1. Ask history of acid reflux or gastric burning. Any history of gastric ulcer.
2. Take a blood complete picture and check you fresh Hemoglobin level.
3. Monitor Blood Pressure and if B.P is more than 140/90 mm Hg, at 2 different occasions, consider starting an anti-hypertensive medicine.
4. Review your anti-anemia medicines and bring suitable changes to improve your hemoglobin level.
5. Investigate the cause of your anemia.

I hope you find this helpful.
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Headaches, Burning In Chest, Trembling, High BP. Anemic. Cure For Symptoms?

Thank you for asking on HCM. Your symptoms are less likely be due to migraine. They are more likely due to the effects of the anemia. In migraine, the headache is throbbing, usually one sided, accompanied by nausea, vomiting or blurring of vision. It lasts for hours to days. In anemia, due to low hemoglobin in the blood the widespread symptoms occur in the body through various mechanisms. If I was your treating physician, I will do the following: 1. Ask history of acid reflux or gastric burning. Any history of gastric ulcer. 2. Take a blood complete picture and check you fresh Hemoglobin level. 3. Monitor Blood Pressure and if B.P is more than 140/90 mm Hg, at 2 different occasions, consider starting an anti-hypertensive medicine. 4. Review your anti-anemia medicines and bring suitable changes to improve your hemoglobin level. 5. Investigate the cause of your anemia. I hope you find this helpful.