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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Headache, Stomach Pain, Tightness Of Chest And Nausea Inspite Of Having Irregular Heartbeat And Premature Beats

Hi! I am a fifteen year old female athlete, I play basketball year round and am in very good shape. I first started experiencing these symptoms when I was ten years old during a basketball game, as I got older they began to happen more frequently. The symptoms occur nearly every game yet the severity varies, the more severe it is depends on the intensity of the game and how much I play. Most common symptoms are: -headache -upper stomach pain -hard time focusing In more severe episodes I also experience: -tightness of chest -nausea -achy all over The day after an episode i feel: -fatigued (even after much sleep) -headaches -achy (particularly kidney area) -sometimes nausea Severity of the episode determines severity of day after symptoms. Daily symptoms: -fatigue -hard time falling asleep -aches (kidney area) I have been to a cardiologist who had an ultra sound, EKG, and stress test and which only detected an irregular heartbeat, premature beats. I also have very low blood pressure. Before games I hydrate very well, drink Gatorade during games, and this year I tried eating a power bar before the game which did not help. Please help!
Mon, 29 Jun 2015
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Cardiologist 's  Response
Hello!

Thank you for asking on HCM! I understand your concern.

Your symptoms seem not to be related to any cardiac disorder. Anxiety can be the cause of all your problems.

I would like to explain that anxiety can cause an increase in the plasma levels of catecholamines, which can cause cardiac arrhythmia, gastro-intestinal symptoms (an irritated bowel syndrome), headache, loss of attention etc.

The fact that these symptoms occur during games is indicative for this diagnosis.

I would recommend you to consult with your GP for a careful physical examination and perform a complete check up (routine blood test, kidney and liver function tests, blood electrolytes, thyroid hormone levels, chest x ray), to exclude other possible causes of these symptoms.

Hope to have been helpful!

An anxiolytic drug (alprazolam) may be helpful in this situation.
I would also recommend magnesium supplements as magnesium deficiency has also been related to this clinical scenario.

Greetings! Dr. Iliri
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Suggest Treatment For Headache, Stomach Pain, Tightness Of Chest And Nausea Inspite Of Having Irregular Heartbeat And Premature Beats

Hello! Thank you for asking on HCM! I understand your concern. Your symptoms seem not to be related to any cardiac disorder. Anxiety can be the cause of all your problems. I would like to explain that anxiety can cause an increase in the plasma levels of catecholamines, which can cause cardiac arrhythmia, gastro-intestinal symptoms (an irritated bowel syndrome), headache, loss of attention etc. The fact that these symptoms occur during games is indicative for this diagnosis. I would recommend you to consult with your GP for a careful physical examination and perform a complete check up (routine blood test, kidney and liver function tests, blood electrolytes, thyroid hormone levels, chest x ray), to exclude other possible causes of these symptoms. Hope to have been helpful! An anxiolytic drug (alprazolam) may be helpful in this situation. I would also recommend magnesium supplements as magnesium deficiency has also been related to this clinical scenario. Greetings! Dr. Iliri