Hello!
Thank you for asking on HCM!
Regarding your concern, I would like to explain that your symptoms may be related to
anxiety or withdrawal syndrome (due to stopping
smoking and drinking).
These are two habits which cause psychological and physical addiction.
The psychological addiction lasts longer and causes sleep problems, mood changes and
chronic fatigue.
I would recommend you to perform a routine
blood test (to exclude a possible chronic anemia), kidney and liver function tests, blood electrolytes and an ECG.
These tests are needed to exclude other possible causes that may mimic this clinical scenario.
A regular monitoring of your blood pressure would be useful to exclude a possible low blood pressure as the cause of your limitations during daily activity.
Psychotherapy may be very helpful in your situation.
Hope to have been of help!
Greetings! Dr. Iliri