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Ask Dr. Chip Your Own Question
Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 32253
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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I suffer from this nearly every month. I wake up sweating,

Customer Question

I suffer from this nearly every month. I wake up sweating, have a sensitivity to noise, I lay in bed, then I have very bad stomach pains, I can feel my heart in my chest, then within 3 hours I start vomiting and shake uncontrollably. I sip water and vomit again every 3 to hours. I'm dizzy and out of breath even walking to the toilet. This continues for 2 to 3 days where I don't eat, then I have to eat a few spoons of food every half hour. Day 4 apart from being exhausted I am fine. Any suggestions? I went to the doctors last week, had blood tests and all seems to be fine. I'm 44, could it be to do with my periods, which can be extremely heavy now?

Kind regards

Rachel
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Chip replied 3 years ago.
Hi. I don't know what your doctor checked, but I would check your thyroid function, cortisol levels, estrogen. pregesterone FSH and LH levels. and I'd get a glucose tolerance test to look for hypoglycemia. This could be pre menopausal but it might well be low thyroid or low cortisol levels. One last thing--I'd do a full cardiac workup with ECG, echocardiogram, stress test and Holter monitor. I can't tell you specifically what the problem is but all those tests would cover the differential diagnosis for your symptoms
Expert:  Dr. Phil, MD replied 3 years ago.
Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

I would like to provide another opinion

This seems like a form of migraine triggered by your periods or hormone changes associated with them

I would consider getting evaluated by a neurologist for a migraine workup. There are many forms of migraine and not all include a severe headache.
Customer: replied 3 years ago.
If I am suffering from silent migraines due to my hormone changes, is that associated with stomach pain too? And can it happen any time of the month? Thanks

Rachel
Expert:  Dr. Phil, MD replied 3 years ago.
The hormone changes are more likely to cause stomach pains but yes they can happen any time of the month especially if it's migraines
Expert:  Dr. Chip replied 3 years ago.
Hi--let me step back in here. I seriously doubt migraines as a cause here not with this lasting for days as you said. Before seeing a neurologist you really need the other possibilities I mentioned checked out