Not sure what's wrong

[mech72]

I am a 23 year old male, 5 feet, 10 inches, 165 pounds.  Before all this happened I was in great shape.  My bodyfat percentage was about 6%, I was deadlifting 380 pounds, and I could run 14 miles without much trouble.  My diet was very good and I ate oatmeal quite often.  I do not smoke, but I would binge drink on the weekends at school.  I just graduated from college and started a new job.  One night, about 5 months ago while still in school, I had palpitations, tightness in my chest, and shortness of breath.  The next day it was gone, so I thought nothing of it.  3 months later, I had the same thing happen again; I went to bed with these palpitations, woke up, and still had them.  At this point, I could barely walk without being short of breathe and having pain in my chest.  I figured maybe I was really stressed because I had been working 70 hours a week at work, so I called off, and went back to bed.  The next day I felt ok, but I decided to check my blood pressure at a pharmacy; it was 160/49.  At this point, I decided to go to the ER and get checked out.  I had a chest x-ray, ekg, and blood work done.  Everything was normal.  This happened at the start of august.  During August, I would have palpitations off and on.  I went to the ER two other times because my symptoms were so severe.  During my ER visit, my muscles all over my body were twitching.  The doctor suspected dehydration and said my potassium was slightly low.  I had a CT scan done the third time; everything was normal.  I decided to take two weeks off from work.  

Things seemed to calm down a bit and I went back to work.  One weekend I came home to visit and had the same thing again.  I went to the ER and they decided to keep me at the hospital for several days.  They gave me a nitroglycerin patch that went over my chest; it seemed to help.  I was on a holter monitor for 3 days and nothing abnormal came up.  They did a 24 hour urine analysis as well as arterial blood gas tests.  My carbon dioxide levels were at the top of the range used.  They did a sleep study and said my oxygen levels were dropping low in my sleep and that I stopped breathing about 400 times in my sleep; they said I was experience severe sleep apnea.  At this time, I was experiencing severe insomnia as well, sleeping only a few hours per night.  I saw a pulmonologist, everything was normal with my breathing tests.  I suspected angina or MVP based on some of my early symptoms, but saw a cardiologist, did a stress-echo test, and everything was great.  

The pulmonologist said my tonsils were huge, so I went to a nose ear throat doctor and she said my tonsils were the largest she’d ever seen and were most likely causing my sleep apnea.  I had my tonsils and adenoids (adenoids) removed; the doctor told me over 90% of my airway was blocked.  Since then I have been sleeping 8+ hours per night.  I plan to have a sleep study soon to make sure my sleep apnea is gone.

Now it seems I have changing symptoms every week.  I had been getting fatigued, dizziness, cold extremities, dry scalp, dry skin, and short of breath.  I had a TSH test done; it came back as 6 (my current TSH is 3.4).  I saw an endocrinologist, and had an adrenal test done.  It was normal and I just went on synthroid yesterday.  Last week I had a hypoglycemic experience which was relieved by eating.  This only happened once, and my blood sugar levels were below 100 on a full stomach at every ER visit; so I don’t think I’m hypoglycemic.  This was following by pain in my right kidney region.  I also started experiencing pain in my upper abdomen region.  The pain in my right kidney region disappeared after a day, but my stomach pain continued for a week.  I saw a doctor yesterday, and there was pain when he pushed on my upper abdomen.  He thinks its just a stomach acid issue.  He put me on prilosec and is checking to see if I have a bladder infection, and anemia; although I think the anemia would have shown up on the other blood tests done I had a month ago.  

My question is what do you think could be causing all of these symptoms?  I still have difficulty concentrating feeling dizzy or light headed, cannot do everyday activities without getting out of breath and getting a racing heart, I feel short of breath at rest sometimes, I don’t sweat when any of my symptoms occur, I can see a pulse on my stomach sometimes, I can occasionally feel a pulse in my head and on my nose near my eyes as well, I have pain between my upper shoulder blades off and on, I have blood shot and dry eyes, occasional aches everywhere, pain in my left pectoral area as well (and occasionally in the center of my chest).  My thoughts are that I could have stomach ulcers, sleep apnea, or something neurological.  I’m worried that I might have to quit my job over this, but think this is something that just might heal over a long period of time.  I would appreciate any feedback or ideas.  This past year I had gotten into lifting seriously and am wondering if my blood pressure got too high from it as I would sometimes take caffeine before lifting for energy; I also consumed a lot of caffeine to help me pull all nighters to study (sometimes 500-600 mg per day), but have not had caffeine in 2 and a half months.