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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes nausea along with palpitations and pain in the neck?

I ve been feeling really nauseous for the past couple of weeks. It s on and off. I can t really eat a thing without feeling terrible. I also feel weak, light headed, I m shaking a lot, sometimes my heart beats faster than usual, and my neck and back hurts. What could it be? It s also impossible for me to be pregnant.
Sat, 9 Nov 2019
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General Surgeon 's  Response
HI and welcome to HCM. I understand your concern.

Heart palpitations can be bothersome or frightening. They usually aren't serious or harmful, though, and often go away on their own. Most of the time, they're related to stress and anxiety or to consumption of stimulants such as caffeine, nicotine, or alcohol. Anxiety is a feeling of apprehension, fear, or worry. In rare cases, palpitations can be a sign of a more serious heart condition. immediate medical attention is required if along with palpitations, there is experience shortness of breath, dizziness,chest pain, or fainting.

Lifestyle changes, including stress management and the avoidance of common triggers, can help prevent them.
It would be good to do some tests; stress test like treadmill test or stress echo which would make picture Crystal clear. Echo is also beneficial to see if heart contractility is fine.

So you continue medicine which you are receiving and get one stress test done.
You should also have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If bp is persistently more than 140/90 mmhg, then you should be on medicines for it. Regular exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. You need to take care of anxiety, use relaxation techniques like deep breathing, yoga, meditation etc.
Get your sugars tested once if not tested earlier..

Get back if you have any doubts. Regards
Wish you good health. Regards
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