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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can You Deal With Sluggish Feeling, Tiredness And Breathlessness?

Hi my name is Rosa and I am 57 yo with history of diabetes, high blood pressure, have had 4 mini strokes, seizures, heart problems due to strokes. I have been feeling sluggish, tired, out of breath, even just walking from my lving room to bedroom, calmy and do not feel when I have abowel movement. This has been going on four 3 days now.
Mon, 27 Aug 2018
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Internal Medicine Specialist 's  Response
Hi,

As you have diabetes and blood pressure. Firstly u should monitor both blood pressure and blood sugar levels ..and check if they are in normal limits .. and correct them if they are not in control. And as your having heart disease it might sometimes lead to heart failure and symptoms causing tiredness and breathlessness. Hence i suggest u to once consult cardiologist and get your 2D echo done once and take further treatment.

Hope I have answered your query. Let me know if I can assist you further.
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Cardiologist Dr. Ilir Sharka's  Response
Hello,

It is important performing a comprehensive differential diagnosis between different causes that may lead to this clinical scenario: coronary artery disease, heart failure, low blood pressure, dehydration, chronic anemia, etc.

For this reason, I would recommend consulting with your attending physician for a physical exam and some tests:
- a resting ECG and a cardiac ultrasound
- NT pro BNP values
- cardiac enzymes
- a chest X-ray study
- complete blood count for anemia
- blood electrolytes for possible imbalances
- kidney and liver function tests
- fasting glucose.

An exercise cardiac stress test may be needed to investigate for coronary artery disease.

Hope I have answered your query. Let me know if I can assist you further.
I find this answer helpful

Note: For further queries related to coronary artery disease and prevention, click here.
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How Can You Deal With Sluggish Feeling, Tiredness And Breathlessness?

Hi, As you have diabetes and blood pressure. Firstly u should monitor both blood pressure and blood sugar levels ..and check if they are in normal limits .. and correct them if they are not in control. And as your having heart disease it might sometimes lead to heart failure and symptoms causing tiredness and breathlessness. Hence i suggest u to once consult cardiologist and get your 2D echo done once and take further treatment. Hope I have answered your query. Let me know if I can assist you further.