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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes pale nail beds, dizziness and palpitations?

Hi, I have noticed that my nail beds are very pale, and I have been experiencing extreme fatigue lately, I went to eat some ice cream earlier and it gave me palpations like I was going to have a panic attack. I have had some dizziness lately but nothing extreme. I seem to have had a headache permanently for about a fortnight now and I have had some blood loss recently which is unusual as I am on the depo injection and have been for over 10 years now. Any ideas?
Thu, 10 Jul 2014
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General & Family Physician 's  Response
Hello!
I read carefully your query and understand your concern.

If I were your treating doctor I would come out with some possibilities and would order some tests to exclude most common causes including :
-Anemia.You should run a complete blood count to evaluate red blood cells and hemoglobin .A hemoglobin under 12 mg/dl means you are anemic.
-Diabetes . You should run a sugar blood test. A fasting glucose over 126 mg/dl indicates diabetes.
-Thyroid conditions -Hypothyroidism (underactive thyroid gland).You should test your thyroid function :FT3,FT4,TSH.
Low FT3,FT4 and high TSH indicates hypothyroidism.
-Cardiac disease.You need a complete cardiac work up including physical examination ,ECG,Stress test ,heart ultrasound.

I suggest to consult a physician and get examined.

Hope my answer has helped.
Take care.
Dr.Rovena Murati
I find this answer helpful
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