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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fatigue, Slurred Speech, Heart Palpitations And Chills?

Yesterday I became very fatigued all of a sudden, pale, slurred speech, and chilled. It lasted for about 2 1/2 hours, then I started to feel better. The previous week, I had numbing in my left arm, and some heart palpitations. I have no thyroid, and had only drank two glasses of water that day, and one large carb meal.
Fri, 22 May 2015
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Psychiatrist,  's  Response
Hello thanks for asking from HCM for your health related queries

I can understand your concern. The symptoms like sudden onset fatigue, palpitations, paleness, slurred speech, chills etc can occur due to thyroid disorders but you have already tested for that. Low vitamin B12 levels and anaemia also result in similar presentation. Get yourself checked for deficiencies of B12 or haemoglobin. If everything come normal then other possibility for your symptoms is anxiety. Episodic nature of these symptoms further strengthens our diagnosis. I will advise you to consult a psychiatrist for evaluation and treatment. Medicines like low dose benzodiazepines or beta blockers can help to reduce symptoms in such events. Clonazepam, Lorazepam or Propranolol etc can help in such symptoms. Please consult a doctor for prescription of these medicines.

Hope this helps you. Thanks and Take care
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What Causes Fatigue, Slurred Speech, Heart Palpitations And Chills?

Hello thanks for asking from HCM for your health related queries I can understand your concern. The symptoms like sudden onset fatigue, palpitations, paleness, slurred speech, chills etc can occur due to thyroid disorders but you have already tested for that. Low vitamin B12 levels and anaemia also result in similar presentation. Get yourself checked for deficiencies of B12 or haemoglobin. If everything come normal then other possibility for your symptoms is anxiety. Episodic nature of these symptoms further strengthens our diagnosis. I will advise you to consult a psychiatrist for evaluation and treatment. Medicines like low dose benzodiazepines or beta blockers can help to reduce symptoms in such events. Clonazepam, Lorazepam or Propranolol etc can help in such symptoms. Please consult a doctor for prescription of these medicines. Hope this helps you. Thanks and Take care