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Avatar universal

still undiagnosed

im a 31 year old male. 6 months ago i had a hard heart palp that almost made me faint, never had heart palps before. now after 6 months, i have been feeling slowly, gradually sicker by the week.   i feel nauseated and very fatigued, my BP and pulse tend to be highly eratic especially under the Least of stressors.  At face value, it sure does seem like anxiety, and I'm not ashamed to admit that as I dont have much of an ego, but I can't ignore the fact that i feel so very ill even laying or sitting quietly in the peace of my own home - I feel the exact same, physically speaking at home with my loved one as I would in a crowded open area, though I haven't been going out too much because I need to lay down frequently.
During my stress test, my pulse was high eratic and exceeded 200 almost immediately, and I didn't get very far needless to say.  Though, the doctor thought I was just "out of shape"
Of note, just 6 months ago I could exercise with a pulse of 170 all day without sequalae

Once again to recap: i began having heart palps, aggrivated after intense exercise.  Exercise sessions leave me feeling beat up and even more ill.

The single most troublesome part of this whole situation is...I feel in a way like I have a nasty viral infection that Just won't go away, save sneezing etc..nausea, fatigue, chest discomfort, heart palps, tachycardia which is very sensitive to external stimuli. My rhythm is normal per Holter monitor. The heart palps often feel upper/left abdominal and sometimes I feel breathless during them.

Indeed, to the casual observer, I appear to have a severe anxiety disorder, which I do suspect this may be a component of my problems, but only as a result of the way I feel, not the cause. My symptoms wax and wane in intensity through the day. Sometimes eating a lot of carbs helps for the time being slightly. all the usual tests including echo and thyroid normal. PLEAse help
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242508 tn?1287423646
MEDICAL PROFESSIONAL
Steroids are not helpful, as least as far as we know.  Your body's natural defenses should take care of this infection, but the nerve repair process may take some time.  Not everyone recovers, however, some patients end up with some residual symptoms which they get used to.  There are some medications that can slow down the heart rate and lower the blood pressure response.  Examples include beta blockers and calcium channel blockers.  
Helpful - 0
Avatar universal
Is this remote viral hypothesis  somethign which is proven in science  or is it more along the lines of speculation?
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Avatar universal
Ahhh, So you do think I may have a remote viral infection set in my nerves some where?      Do you suppose it would be reasonable to ask my doctor about a short course of steroids?   How would I combat this infection,  or do something to find out if that is it or not?/          If not -- how would YOU treat this set of symptoms?  

Thanks in advance  if you have time for this follow up question -- this is extremely helpful to me
Helpful - 0
242508 tn?1287423646
MEDICAL PROFESSIONAL
Your symptoms are reminiscent of inappropriate sinus tachycardia, a condition of inappropriately high heart rate at rest and with exercise.  Typically this is related  to a remote viral infection which affects the autonomic system leading to these derangements.   Most of the time these symptoms resolve over time, up to 6 months.  Medical therapy is mostly ineffective but may help some with the palpitations and some of the anxiety associated with this syndrome.  
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Avatar universal
I also wanted to point out that that during the rare times I feel relatively decent,  I also feel very drowsy and sleepy, almost in an intense hypnosis and relaxed state, and  the sickness increases again if I start moving about.

I am also kind of wondering, I have also had a serious headache disorder for over 3 years now (chronic daily headache),    I know there is a connection between PFO's and heaches,  so this naturally leads me to wonder if there could be some other cadiac abnormality which could be causing my chronic headache disorder?  Sometimes I feel as if a new disorder or disease is going to be named after me.
Helpful - 0

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