The Student Room Group

Cardiac and neurological symptoms..

Well after seeing the other thread on blood pressure I got the impulse to ask about my health troubles...I've been having some quite serious blood pressure issues lately (went to the emergeny room on christmas eve and it was through the ceiling at 170 over 110). The symptoms started a while back with tachycardia and shortness of breath (which have since subsided a bit but i'm on propranolol). I've been to the cardiologist and neurologist and mostly my tests have turned out ok including both electro and echocardiograms - still waiting on the catecholamine test (for endocrine tumours) and my check up with the neurologist about something he saw on the MRI (Brain and C-Spine) in my neck. Had some weird sensory symptoms like weakness and numbness in the fingers and arms but the MRI and contrast MRI showed no sign of brain abnormalities. Any thoughts people? :redface:

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Reply 1

a little help here..? :smile:

Reply 2

Well considering most of us aren't doctors, ideas may not be very forthcoming :smile:

Reply 3

Well, if none of them tests have shown anyhting, then pbviously there is nothing major to worry about it. Mabe you were a little stressed when you had your blood pressure done? That can make your blood pressure high!

Reply 4

beach surf babe
Well considering most of us aren't doctors, ideas may not be very forthcoming :smile:


heh sorry.. I've just been a tad worried about this for a while - didn't think about posting this for a while - but I'm just looking for some fresh ideas as specialists are all well and good but they usually have their heads rather too stuck on their area of specialism.

Reply 5

xxSAMMIxx
Well, if none of them tests have shown anyhting, then pbviously there is nothing major to worry about it. Mabe you were a little stressed when you had your blood pressure done? That can make your blood pressure high!


I could put it down to stress on the day - but it's been bouncing up and down all over the place since then. I'm also pretty worried about the numbness in the fingers - even with a clean MRI the symptoms are still present. Argh... when I first got the tachycardia and couldn't breath I seriously thought I was dying.. scary stuff... I thought heartfailure. Then with the finger symptoms I thought MS... Everybody seems to be putting this down to stress (was worried about Cambridge at the time) - but the symptoms are all too real to be psychosomatic...

Reply 6

lucho22
I could put it down to stress on the day - but it's been bouncing up and down all over the place since then. I'm also pretty worried about the numbness in the fingers - even with a clean MRI the symptoms are still present. Argh... when I first got the tachycardia and couldn't breath I seriously thought I was dying.. scary stuff... I thought heartfailure. Then with the finger symptoms I thought MS... Everybody seems to be putting this down to stress (was worried about Cambridge at the time) - but the symptoms are all too real to be psychosomatic...


Ok, i can see why you are worried... Such high blood pressure cannot be attributed to stress... there is bound to be an underlying cause for it...

In any case, it doesn't sound like multiple sclerosis to me - it would not cause hypertension and the cardiac problems complaining about...

The numbness in your fingers sound to me like a sign of hypertension... but you are seeing experts in their field and there is little more i can tell you... I wouldn't want to speculate anymore... There are numerous causes of high blood pressure and it is really up to the cardiologist to find out...

http://en.wikipedia.org/wiki/Secondary_hypertension

Reply 7

Revenged
Ok, i can see why you are worried... Such high blood pressure cannot be attributed to stress... there is bound to be an underlying cause for it...

In any case, it doesn't sound like multiple sclerosis to me - it would not cause hypertension and the cardiac problems complaining about...

The numbness in your fingers sound to me like a sign of hypertension... but you are seeing experts in their field and there is little more i can tell you... I wouldn't want to speculate anymore... There are numerous causes of high blood pressure and it is really up to the cardiologist to find out...

http://en.wikipedia.org/wiki/Secondary_hypertension


Thanks lot for your reply :smile: - I can strike a few of the illnesses described off the list such as renal failure and anaemia as well as a couple of the others that are on the list as the symptoms aren't consistent (like cushing's) - but Conn's syndrome (or Hyperaldosteronism) do seem quite consistent barring the tachycardia which i manisfested. I'm being tested for Phaeochromocytoma at the moment but the results aren't in as they take a long time for the catecholamines to process.

Rep coming your way!

Reply 8

Um... my mum works in cardiac care and tbh I think you might be too young to be worrying about anything majorly serious! From the symptoms you posted, it sounds to me like hypertension.

I would go see your doctor about that.

DBx

EDIT: Just saw what Revenged posted :biggrin:

Reply 9

All patients lie is the first thing House would say. Then he would do a differential diagnosis. You would then be cured - except if you have late-stage rabies. Which is unlikely. Therefore, House + Your Illness = Cured. Simple.

Reply 10

lucho22
I could put it down to stress on the day - but it's been bouncing up and down all over the place since then. I'm also pretty worried about the numbness in the fingers - even with a clean MRI the symptoms are still present. Argh... when I first got the tachycardia and couldn't breath I seriously thought I was dying.. scary stuff... I thought heartfailure. Then with the finger symptoms I thought MS... Everybody seems to be putting this down to stress (was worried about Cambridge at the time) - but the symptoms are all too real to be psychosomatic...

some confusing stuff there undoubtably, but nothing anyone here is going to be better at figuring out than a cardiologist and neurologist.
If there is something going on, I'd lay my money on neurology.

Reply 11

sophisti_kate
All patients lie is the first thing House would say. Then he would do a differential diagnosis. You would then be cured - except if you have late-stage rabies. Which is unlikely. Therefore, House + Your Illness = Cured. Simple.


Haha yeh good old House... If only such a person existed.. My bizarre symptoms are worthy of an episode on the show :p:

Reply 12

whats the echocardiogram like have one next week

Reply 13

Jamie
some confusing stuff there undoubtably, but nothing anyone here is going to be better at figuring out than a cardiologist and neurologist.
If there is something going on, I'd lay my money on neurology.


Yeh - I would as well because both ekg's and echo's were perfectly normal. But my MRI was clean except for a suspected lipoma in my neck. The only other option is endocrine - but I'll have to follow that one up.

Reply 14

law123
whats the echocardiogram like have one next week


Ah that's nothing...it's like a 10 minute heart scan (using an ultrasound machine like the ones to look at a foetus). It looks for abnormalities in the heart and in the surrounding arteries leading to the major organs. It's no big deal. The MRI is the horrible one...45 minutes without moving a muscle inside a tube with an ear-splitting noise...argh..and then the injected me with some dye crap halfway through...

Reply 15

lucho22
Thanks lot for your reply :smile: - I can strike a few of the illnesses described off the list such as renal failure and anaemia as well as a couple of the others that are on the list as the symptoms aren't consistent (like cushing's) - but Conn's syndrome (or Hyperaldosteronism) do seem quite consistent barring the tachycardia which i manisfested. I'm being tested for Phaeochromocytoma at the moment but the results aren't in as they take a long time for the catecholamines to process.

Rep coming your way!


Ok, thanks... I can happily tell you that I have never heard of any of those conditions before except anaemia...

but one thing i'll tell you is take care when trying to diagnose yourself over the internet...

I had an ear infection a few months ago and it lasted for about a month... but during that time i was in a pretty bad state... none of the anti-biotics i took stopped the infection and i ended up with a massive lump behind my ear, lost my hearing and had discharge coming out of my ear all the time...

I went through all the google and wikipaedia I could find... In the end I thought I had mastoiditis (where you get infection spreading to the mastoid bone behind your ear) and was terryfied that my middle ear infection had spread to my inner ear and that was why i had such bad hearing loss... So after this peroid of self-diagnosis I felt like I was going to die... Of course I never had mastoiditis - it was a swollen lymph node - and my middle ear infection never spread to my inner ear... so take care when you try to diagnose yourself... I may have matched the list of symptoms in wikipaedia - but there is much more too it than that... and after a while, you'll see that many of the symptoms are essentially the same...

So in a way, it is good to be very stupid when you are ill for a long time... If you live in blissful ignorance and have complete trust in doctors you can cope with being ill much better... Neither of which I have... I coped with being ill by carrying on as though there was nothing wrong with me... and I was extremely reluctant to take any form of pain killer unless i was desperate for it... my mentality was that it only hurt if i stopped to think about it - so my answer was not to stop basically... and that month was one of the most productive period work wise in my life...

I am going on a complete tangent... but am basically making the point that doctors can only do so much... and although you may be annoyed that they haven't found the cause - understand that there are doing the best they can... This is not always true - but from what you are telling me it does seem so in this case... and secondly, try and carry on as though things are normal... i found that this helped me more than sitting on a computer trying to find out what was wrong and getting it drastically wrong and thinking i was going to die from some horrific condition... okay, it wasn't quite that serious, but you know what i mean...

so the moral of the story is have some faith in the docs, try to carry on just as though you were not ill, have a positive attitude and understand problems of self-diagnosis using wikipaedia...

Reply 16

Revenged
Ok, thanks... I can happily tell you that I have never heard of any of those conditions before except anaemia...

but one thing i'll tell you is take care when trying to diagnose yourself over the internet...

I had an ear infection a few months ago and it lasted for about a month... but during that time i was in a pretty bad state... none of the anti-biotics i took stopped the infection and i ended up with a massive lump behind my ear, lost my hearing and had discharge coming out of my ear all the time...

I went through all the google and wikipaedia I could find... In the end I thought I had mastoiditis (where you get infection spreading to the mastoid bone behind your ear) and was terryfied that my middle ear infection had spread to my inner ear and that was why i had such bad hearing loss... So after this peroid of self-diagnosis I felt like I was going to die... Of course I never had mastoiditis - it was a swollen lymph node - and my middle ear infection never spread to my inner ear... so take care when you try to diagnose yourself... I may have matched the list of symptoms in wikipaedia - but there is much more too it than that... and after a while, you'll see that many of the symptoms are essentially the same...

So in a way, it is good to be very stupid when you are ill for a long time... If you live in blissful ignorance and have complete trust in doctors you can cope with being ill much better... Neither of which I have... I coped with being ill by carrying on as though there was nothing wrong with me... and I was extremely reluctant to take any form of pain killer unless i was desperate for it... my mentality was that it only hurt if i stopped to think about it - so my answer was not to stop basically... and that month was one of the most productive period work wise in my life...

I am going on a complete tangent... but am basically making the point that doctors can only do so much... and although you may be annoyed that they haven't found the cause - understand that there are doing the best they can... This is not always true - but from what you are telling me it does seem so in this case... and secondly, try and carry on as though things are normal... i found that this helped me more than sitting on a computer trying to find out what was wrong and getting it drastically wrong and thinking i was going to die from some horrific condition... okay, it wasn't quite that serious, but you know what i mean...

so the moral of the story is have some faith in the docs, try to carry on just as though you were not ill, have a positive attitude and understand problems of self-diagnosis using wikipaedia...


I know what you mean about wikipedia - it's pretty morbid stuff. I need to chill out because I know stressing probably would exacerbate any underlying condition. I think I might email the cardiologist to ask his some questions though as I only saw him once before he ordered the tests. The neurologist I'm seeing on the 5th of next month - I'll get to see funky pics of my brain. Then I'll see how to proceed. Thanks a lot for taking the time to reply :yy: ,

Best wishes,

Luciano

Reply 17

lucho22
Yeh - I would as well because both ekg's and echo's were perfectly normal. But my MRI was clean except for a suspected lipoma in my neck. The only other option is endocrine - but I'll have to follow that one up.

ECG :wink: in this country at least.

Really though, nobody on here is going to know more than the consultants who have already reviewed you. The more you try to diagnose yourself with weird and wonderful problems (watching House is NOT a good basis for medical education, as I keep telling my boyfriend :p: ) the more you'll worry about these things. Rest assured that if nothing has shown up on investigations, either you'll develop more symptoms which will give them more clues, or it'll resolve itself.

The BP alone could just be "White Coat Syndrome" and although it is all obviously distressing for you, if the cardiologists were worried, they'd have you in hospital, so don't stress yourself :smile:

Reply 18

Could it be a panic attack? High blood pressure, fast heart beat, shortness of breaht, waekness/numbness...all symptoms.

Or in terms of BP a case of 'White Coat Syndrome'? My Mam has normal BP any other time apart from when she goes to the doctors to get it checked, resulting on her being on BP tablets for a year.

The good thing is that your other test results have come back ok, so thats something less to worry about :smile:

Reply 19

Helenia
ECG :wink: in this country at least.

Really though, nobody on here is going to know more than the consultants who have already reviewed you. The more you try to diagnose yourself with weird and wonderful problems (watching House is NOT a good basis for medical education, as I keep telling my boyfriend :p: ) the more you'll worry about these things. Rest assured that if nothing has shown up on investigations, either you'll develop more symptoms which will give them more clues, or it'll resolve itself.

The BP alone could just be "White Coat Syndrome" and although it is all obviously distressing for you, if the cardiologists were worried, they'd have you in hospital, so don't stress yourself :smile:


I don't think it's white coat hypertension. I had to go to the emergency room because I had tightness in my chest and couldn't breathe on Christmas eve.

Well here's the full story for those of you who can be bothered to read:

The symptoms started about a week before that with numbness in the middle finger on my right hand. My hands began to get really cold. Then a couple of nights later I got up from the computer at about 2 a.m and my heart started racing (i mean really pumping like crazy) - I was gasping for breath. Went to bed and woke up with things just the same shortness of breath and almost passed out a couple of times during the day. Went to the GP who diagnosed me with tachycardia and high blood pressure (140 over 110) caused by anxiety and prescribed Propranolol and an anti-anxiety pill called Xanax (the patronising bastard fobbed me off with old people medicine and crazy people medicine). This cured the tachycardia. But I was still feeling really bad with a general malaise and the numbness had spread over both hands and my arms were really weak lifting things that I usually found no problem were a real effort (still feeling a bit like this and my fingers are still feeling funny). Got back to London and had the episide before Christmas dinner where it felt like the blood was going to pop out of the arteries in my neck and again I couldn't breath properly with tightness in the chest (but this time no tachycardia). Got a reading of 170 over 110 which made the nurse in the UCLH emergency room give me a startled look. Then they got me to take an ECG and hooked me up to a heart monitor - took neurological symptoms and blood tests which all came back normal. Then I went to the Cardiologist after new year who ordered more tests (Echo and Catecholamine) and referred me to a Neurologist at the Queen Square National Hospital of Neurology and Neurosurgery (on the day I got my Cambridge pooling...:frown: ). He sent me for an MRI (Brain and C-Spine) where they had me interminably in that infernal tube (injecting me with Magnevist imaging agent). Results came back with a suspected lipoma in my neck(which he said not to worry about but to get checked when I got back). I am awaiting the Catecholamine test which should be in tomorrow...

This has been going on a month now - so I really doubt that it's all anxiety...