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What Causes Fatigue Along With Dizziness And Heaviness In The Chest?
64 year old female. Feeling very tired and lightheaded and dizzy with heart burn and heaviness in chest. Yes tension sometime makes jaw tight. Went to my yearly physical and did a complete blood work. It came back low B and D. BP last year was 150 this year 135. No medicine for this.. Had a heart Scan and had some blockage on left side but not major fell into 75 % for my age. My primary care doctor told me to take baby aspirin and prescribe Atorvastatin. Still feeling light headed around 4 to five times per day.. Should I go to a cardiologist or just ride it out.
Wed, 7 Jun 2017
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
It would be good to see a cardiologist since most common causes are cardiac. However, feeling lightheaded and ill is not a very specific finding, meaning it could be a manifestation of many different conditions, so more info or tests might be necessary. Also, it is not clear since when have the issues appeared and whether you have had any tests.
One possibility for lightheadedness would be anemia, which commonly manifests with dizziness and tiredness. Heart rhythm and function abnormalities would also lead to insufficient blood supply to the brain and other organs so would also justify those symptoms.
Another possibility would be metabolic alterations, like diabetes, altered kidney or liver function, electrolyte abnormalities. Hormonal causes like thyroid dysfunction or nutritional ones like vitamin B12 deficiencies must be considered as well.
If the symptoms have appeared only very recently it might be a simple transitory viral infection which are generally transitory and need only rest and hydration.
The list can go on for long, as I said those symptoms can be found in numerous conditions, only listed some of the most common ones.
So, I would start evaluation with some routine cheap tests to screen for anemia, infections and metabolic issues like complete blood count, erythrocyte sedimentation rate, glucose, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 levels, and EKG.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ivan R. Rommstein
I have reviewed your query and here is my advice.
It would be good to see a cardiologist since most common causes are cardiac. However, feeling lightheaded and ill is not a very specific finding, meaning it could be a manifestation of many different conditions, so more info or tests might be necessary. Also, it is not clear since when have the issues appeared and whether you have had any tests.
One possibility for lightheadedness would be anemia, which commonly manifests with dizziness and tiredness. Heart rhythm and function abnormalities would also lead to insufficient blood supply to the brain and other organs so would also justify those symptoms.
Another possibility would be metabolic alterations, like diabetes, altered kidney or liver function, electrolyte abnormalities. Hormonal causes like thyroid dysfunction or nutritional ones like vitamin B12 deficiencies must be considered as well.
If the symptoms have appeared only very recently it might be a simple transitory viral infection which are generally transitory and need only rest and hydration.
The list can go on for long, as I said those symptoms can be found in numerous conditions, only listed some of the most common ones.
So, I would start evaluation with some routine cheap tests to screen for anemia, infections and metabolic issues like complete blood count, erythrocyte sedimentation rate, glucose, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 levels, and EKG.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ivan R. Rommstein
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