What is wrong with me?

[Lilmnstr]

chest pains , light headed dizziness, Numb spot on left thigh upon awakening in am ,swollen feet ,shooting sensations in  chest like blood was squirting around and it woke me up out of sleep, painful shooting sensations from chest to neck and head and brain(especially during movies and excitement)Once it happened after I ran up a flight of steps,confused, like im in a fog difficult time understanding whats being said or going on(like as stroke), pain in left kidney region  chest pressure, sensation like a empty noodle in my chest contracting, heart skipping beats,palpitations, when wake up in am or in middle of the night feeling like my blood is stagnant in my lower extremeties like my legs are heavy and blood isint moving, headaches, when walking outside in the heat things move up and down (bouncing motion)and when I move my head side to side I can hear my blood squishing around in my head(I live in hot AZ), cramps in calves and when I push hard on the cramp in my calf  feel blood slowly move up my leg up my t orso and into my chest, hands go numb while sleeping, hairloss,elevated blood sugar, fullness and pressure in chest and neck upon standing and laying down, sound of blood squirting in neck when I sit or lay down,fatigue,feeling really crappy, pain above navel upon waking up going from front through my back and very uncomfortable to move around in my sleep, disturbances in hearing ,vaginal dryness, diarreah , humming noises when I wake up in the am like my blood is flowing then disrupted then starts flowing again,neck pain on both left and right side andsometimes on the back that runs up into the back of my head, my heart stops and starts while sitting then shortly after I get a little sweaty , heat intoleranceIn the summer all these things came on except the chest pain which I always have and the heart skipping beats sensation and then shortly after sweating  had lots of test but not enough room to post will post after this posts

[Kevin Pho, MD]

Your workup clearly has been comprehensive, and I can't think of any other major tests that could be done.  

I agree with the tilt table test.  Another opinion, preferably at a major academic medical center should be considered.

You may also want to consider rheumatologic testing, since diseases like lupus or rheumatoid arthritis can present with a wide constellation of symptoms.  Blood tests to evaluate for the ANA can be done.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
www.kevinmd.com

[Lilmnstr]

Continuing of my question......

Ive had the following tests...
stress tests normal
cardiolite (nuclear) stress test normal
3 echocardiograms normal
stress echo normal
ekgs normal
cardiac ct normal
massive blood tests normal
x ray of head chest and neck normal
mri of brain normal
3 ct of chest normal
blood tests to screen for diabetes = elevated blood sugar/borderline diabetic
ultrasound of legs(to look for clots) normal
2 ultrasounds of the abdomen =small non canceroous cyst on right kidney
hormone blood tests neg
lots of urine tests neg
24 hr heart halter neg
30 day heart halter neg
ct of aorta neg
mri of spine thorasic lumbar and cervical neg
mri of major blood vessels in the brain neg
nerve tests on arms ond legs neg
24 hr urine cortisol metanephrines and catecholamines normal
24 hr urine to check for mercury neg
eeg neg
Overnight oximetry (79)
EGD normal
sigmoidoscopy normal
sleep apnea sleep study
cbc=normal
iron low ferritin at 9
testosterone normal
prothrombin time and aPTT normal
creatine kinase, amlase and lipase normal
thyroid negative
lipids excellent
vitamin D low @ 16
DHEAS neg
cortisol normal
ANA and Lyme serology neg
Endomysial transglutaminase antibodies neg for sprue
EMG of left extremeties negative
I just completed a test where I had to blow into a tube and they tested my arterial pressure, along with a sweat test and alot of blood pressure test to check the autonomic nervous system which I passed,I now have a tilt table test scheduled for the 21st of this month with Mayo, which they determined I do have a mild sleep apnea at 5 episodes a hour and not enough to qualify but after I explained my scenario they went the "possible anxiety " route and got me qualified for a cpap machine. Do you think I may have Dysautonomia? I used to be Bulimic in the past and wondered if I tore nerves in my chest. What do you think?Kit-Kat
  PS I took Cymbalta 60 mg for the year 2007 and from time to time had a chest pain here and there,that summer I noticed my feet would get puffy  then I Nov 2007 i had sweating chest pains and from time to time swollen feet.Got of the cymbalta 1/2008