Hello,
I passed carefully through your question and would explain that it is necessary evaluate her heart function and exclude possible
heart failure, which may mimic this clinical situation.
Gastro-esophageal reflux may mimic this situation too, although the
dizziness is not typical of this disorder.
Coming to this point, I would recommend performing a cardiac
ultrasound and NT-pro BNP levels to investigate for heart failure.
Other tests to consider would be:
- A chest X ray study
- Blood electrolytes
- Kidney and liver function tests
I would also recommend trying an anti-acid or PPI (
Omeprazole,
Pantoprazole, et cetera). If her symptoms improve, a fibro-gastroscopy may be necessary.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ilir Sharka