I have heart palpitations, dizziness, hot face, and poor memory. What is the cause?

Hello,

Welcome to icliniq.com.

I have gone through all investigations. All reports are looking normal (attachment removed to protect patient identity).

Do you take alcohol or caffeinated drinks regularly? Do you suffer from anemia?

Possible causes of your symptoms may be anxiety neurosis, obstructive sleep apnea, gastro pharyngeal reflux with asthma, bronchial asthma, thiamine deficiency, and major depression. Do not worry. It may be a normal condition also.

Avoid alcohol consumption, spicy foods, especially at night, caffeinated and carbonated drinks. Do regular exercise and yoga. And take tablet Pantoprazole 40 mg before breakfast for two weeks. Do not sleep immediately after dinner. Keep the head end of the bed elevated.

Get it done spirometry, polysomnography, 24-hour esophageal pH monitoring, complete blood picture, serum electrolytes, serum calcium, and psychiatrist consultation.

Take tablet Alprazolam 0.25 mg once after dinner for five days, Thiamine 100 mg once a day for one month.

Review after one week with the above investigations.

Hello,

Welcome back to icliniq.com.

Through messages, I can only think of possible causes. But I need a detailed history and examination to conclude.

Anxiety neurosis can explain dizziness and palpitations. During the episode, you may experience palpitations, nausea, and chest tightness. Different people may present differently.

One more cause can be paroxysmal tachycardia, which needs 24-hour Holter monitoring. During that particular period, you may develop arrhythmia and may cause palpitations and dizziness. This is not detectable at the time of echo and ECG (electrocardiography).

It is possible that some acid may enter into the trachea during the episode of acid reflux and may trigger the above symptoms. In which you may develop sudden tightness in the chest, breathing difficulty, and dizziness.

Also, vestibular causes like BPPV (benign paroxysmal positional vertigo) and vestibular neuronitis may present with dizziness and vomiting on head movements. But it may not cause palpitations.

Cervical spine problems may also present, like dizziness and neck pain. But no palpitations.

Get done x-ray cervical spine, 24-hour Holter monitoring, and then we will conclude.

If you feel dizziness with head movements, please take tablet Vertin 16 mg thrice a day for five days.