What Could Be The Reason For Nausea, Increased Heart Beat, Tingling Sensation In My Left Arm With Normal ECG,EEG,MRI Scans?

Posted on Tue, 18 Feb 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 18 Feb 2014 Answered on

Tue, 11 Mar 2014 Last reviewed on

Question : hi This is XXXXXXX I am From India, 29 years Old. Each nigh when i go to bed i feel nauseatic and my heart beat increases. I Did ECG, EEG and MRI scan of my brain. Everything was normal. I have been to three doctors but no one has been able to figure out the problem yet. I get a slight tingling feeling in my left arm. Also, a sharp pain in my back and left ribs. When i burp this pain usually fades away. Can you help me?

Answered by Dr. Manjeth Kumar G (1 hour later)

Brief Answer: Ulcers in stomach or duodenum. PPIs, Upper GI endo Detailed Answer: Hello, I have gone through your query and understand your concern. These problems seems to be due to Peptic ulcer. Sharp pain in back and the left side of chest are all radiating pain from stomach or duodenum. The felling of increase in heart beat is due to anxiety coupled with the peptic ulcer. Avoid going to bed immediately after taking food. If you are my patient, i would treat you with oral proton pump inhibitors for Omeprazole with antiemetics like Domperidone for couple of weeks. If there is no improvement, then i would refer you to Gastroenterologist for Upper GI endoscopy and further H. Pylori bacterial tests. If there is evidence of Ulcer in Stomach or duodenum and H.Pylori is positive, then he will prescribe Antibiotics with the above said Proton pump inhibitors. I would like advice you to Quit smoking if you are a smoker, Do skip meals, Have a habit of eating at regular time, Avoid spicy and fast foods, Eat plenty of fruits and green leafy vegetables, Drink plenty of water. Avoid coffee and tea. Try to go to bed at least 30 to 45 minutes after dinner. Thus you need examination and consultation of Gastroenterologist for your problems. Hope this helps. Please write back for further queries. Wishing you good health.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manjeth Kumar G (37 minutes later)

Dear Dr. XXXXXXX Thank you so much for your quick Response. Can you also let me know the reason for a tingling feeling in my left arm, can this also be and effect of ulcer? Also, during my previous checkups i have done some blood tests which reported deficiency of Vitamin B12 & D3. I am currently taking Methyl cobalamin injections for B12 Deficiency once a week which has been prescribed for 6 weeks by doctor. Regards, XXXX

Answered by Dr. Manjeth Kumar G (28 hours later)

Brief Answer: Probably due to Vit B12 Deficiency. Continue B12. Detailed Answer: Hello, Thanks for your reply. As you have Vitamin B12 deficiency, the tingling in left arm is most probably due to Vitamin B12 deficiency. It will go away once your vitamin B12 level is corrected. Thus continue Vitamin B12 injection as prescribed by your treating physician. In addition, Please take Proton Pump Inhibitors and follow the measures which i explained earlier. Hope this helps. Please write back if you have further queries. Wishing you good health.

Above answer was peer-reviewed by : Dr. Shanthi.E