high blood pressure and exhaustion Posted: 05-26-08 18:09pm
Hello, I am a seventeen year old male,
6'2" at one-hundred and sixty pounds, and
have never used narcotics. About a week
ago I begin to experience a strange
sensation, as if my heart was beating
extremely quickly; I felt very scared and
panicked (in that one day I had over
thirty of these episodes; they occurred
while I was laying back or attempting to
sleep). During this time I had somewhat
high blood pressure (180/82@102BPM),
slight pain in my arms and chest, heart
palpitations (especially while lying
down), as well as extreme fatigue; I may
have also had a slight fever, but I could
not check my temperature accurately. I
have no history of anxiety (I believed
that these were panic attacks at first),
and I don't currently believe that these
episodes were anxiety attacks (I have had
one or two of these attacks before,
especially when deprived of sleep; I now
believe that these attacks were Paroxysmal
Nocturnal Dyspnea). Anyways, I was unable
to sleep for two days due to this very
strange sensation awakening me every time
I fell asleep. The next day, I saw a
Pediatrician at Kaiser Permanente and they
gave me an ECG (she also told me that I
needed to be tested for diabetes and
should have a sonogram; Kaiser has avoided
both), but nothing strange turned up.
I returned home and went to the hospital
later that day because I was still unable
to sleep because of these attacks and the
pain begin to worsen (my blood pressure
wasn't decreasing either). They gave me a
chest X-Ray, MRI, blood/urine test and
another ECG, the doctor said that nothing
strange turned up (she left a note telling
the cardiologist to check my left
ventricle), but that I needed to see a
cardiologist as soon as possible (she may
have said that she heard rubbing from
fluid buildup, but I am not certain, they
gave me some drugs before the MRI and my
perception was off). They prescribed me
some atenolol and anxiety medicine. I was
able to sleep initially due to the
injection at the hospital (I didn't stay
the night) and later by taking the anxiety
medicine at night and atenolol in the
morning (I still had the attacks for a few
days afterwards when sleeping, but they
were very dampened). The atenelol severely
increased exhaustion and gave me slight
depression.
About three days later I was able to see
another doctor at Kaiser Permanente, who
told me that I would be able to see the
cardiologist soon. After navigating the
bureaucratic jungle setup at Kaiser
Permanente over a period of several days,
I was finally able to get an appointment
with a cardiologist. Upon walking through
the door I was given an ECG which turned
up normal. I gave the reports and a disk
containing my X-Ray and MRI to the nurse,
who took them away to the cardiologist.
When the cardiologist entered the room she
told me that she found nothing abnormal,
checked my heart rate and blood pressure
(which was still high) and told me that I
had anxiety which contributed to my high
blood pressure (although I proclaimed that
my blood pressure has never been high).
She murmured that there may be something
wrong with my kidneys but that it wasn't
in her department. She also told me to
stop by the mental department to receive
anxiety medicine. She did nothing else,
kicked me out of the door and I didn't
even bother checking into the mental
department. In all, the appointment lasted
no more than fifteen minutes.
My blood pressure has been about
134/73@96BPM when lying down, but has been
as high as 166/62@71BPM when sitting up. I
have stopped taking the atenolol because
the pediatric cardiologist suggested that
I do so. I rarely get off of the couch and
have only worked up the energy to sit up
over the past few days. I have started
taking antibiotics in case I have a
rheumatic fever or a urinal track (or
possibly kidney) infection (which could be
likely since I am not circumcised) and
have started to feel allot more energetic
(probably entirely due to stopping the
atenolol). Although I still have chest
pain, feel fatigued and have developed a
very minor cough (the palpitations and
attacks have stopped almost entirely
though); I also sometimes feel as though I
have just finished running when exhaling.
My blood pressure is still very high
compared to before these attacks; I have
checked my blood sugar level (my dad has a
tester) and it's a little bit high, but
not enough to suspect diabetes (I do have
a family history though). I only take the
anxiety medicine before going to bed if my
blood pressure is too high. I have not
been drinking sugary or caffeinated drinks
during this whole period (although I did
drink plenty of tea before this; and
before that I was a heavy Coke-Cola and
Mountain Dew abuser, but fear of diabetes
stopped me).
I would describe myself as having average
health, I have not come down with any
identifiable illnesses over the past year
(besides Trichomonas, which is strange
because I have never even had sex) and am
not a very active person (I mow several
lawns every week, but don't workout or go
on jogs); although when I was in public
school I could easily stay ahead of
everyone during laps. I do have a nasty
habit of staying up late doing my
schoolwork every Sunday (I'm home
schooled, so I don't usually catch any
sicknesses). I do not have a history of
health problems.
Anyways, I am still taking the
antibiotics, and I believe that they are
working. What sort of action should I take
if the pain, tension, (which is evident
when I move my head or neck a certain way)
high blood pressure and exhaustion
insists? The Pediatric Cardiologist at
Kaiser Permanente doesn't believe that
there is anything wrong with me and I do
not want to go back to Kaiser anyways (the
indifference and bureaucratic obstacle
course there is almost shocking). My dad
says that he will reinstate his insurance
if I still don't feel good after a few
weeks.
According to your symptoms ("my heart was
beating extremely quickly") during the
attack you could be experiencing some type
of paroxysmal (sudden) tachycardia. Such
types of rhythm disorders may not be
caught (registered) during the examination
in doctor's office so you may need to wear
"holter"-apparatus that will monitor your
heart rhythm for 24 hours per day. You
don't need to make up heart disorders like
rheumatic fiver. What was the report from
ECG-examination? Atenolol is given for
tachycardia.
Did doctor propose you to wear "holter"
monitoring apparatus"?
Did you examine your kidneys? Some kidney
disorders (but not urinary tract
infection) cause high blood pressure.
How "little bit high" is your fasting
glucose level?