Dr. Zulfiqar Ahmed
Diabetology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 22-year-old male, and I am not taking any medicine. All blood levels were normal, blood cells were normal, thyroid stimulating hormone (TSH) was 0.9 (still within the normal range), and urine and stool tests were normal. X-rays of the chest, lungs, and heart were normal, and the ultrasound of lymph nodes in the neck and middle of the belly was normal (when I was sick). I have been to the doctor since I became unwell and could not work. After being diagnosed positive for the EBV virus, I felt weak and disoriented and had chest pressure and palpitations. However, I improved and was tested for Epstein-Bar genetic material (DNA), which revealed none. However, things were improving dramatically. But then I got a cold, and all of my symptoms returned; it has been two weeks, and the pressure and palpitations are worsening. Except that I am not dizzy. Is it angina, thyroid, or thymus? I drink a lot of water, get nine hours of sleep, am not stressed, and have gone to counseling for what physicians believe is anxiety. Kindly help.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
You are correct. Your blood tests are all normal. Chest X-rays reveal nothing unusual (attachment removed to protect the patient's identity). The Epstein-Bar should not have any long-term consequences. I am curious about your libido and whether you have measured your testosterone levels in the morning. Your thyroid function is also normal. If you have a chronic cough and are taking steroids, I believe it is a good idea to have lung function testing done. I am not sure what tests you have had for palpitations. Still, you should get at least a 48-hour Holter and echocardiography to rule out any heart abnormalities before categorizing worry as the origin of these symptoms. So, in short, I believe you can perform lung function tests, Holter, and echocardiography if you have not already.
I hope I have answered your question.
Let me know if I can assist you further.
Regards.
Patient's Query
Hello doctor,
Thank you for the reply.
I did a test for asthma, I checked for lung fluid buildup, and everything was fine. I did a Holter's exam and ECG a year ago, and everything was fine, but maybe doing it again would be beneficial. What lung function tests would you suggest? Kindly help.
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern.
Lung function tests are performed by blowing into various tubes, also known as spirometry. Do an echocardiography if you have not already. If everything is fine, we can speculate that anxiety produces these symptoms.
I hope I have answered your question.
Let me know if I can assist you further.
Regards.
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Diabetology
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