Persistent Nausea and Symptoms of Tricuspid Valve Prolapse - Cardiology

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Persistent nausea, dizziness, and discomfort can be distressing symptoms, and it’s understandable that you are seeking clarity and relief. Based on your description, it seems you have been diagnosed with tricuspid valve prolapse (TVP), which can sometimes be associated with various symptoms, including those you are experiencing.

Understanding Tricuspid Valve Prolapse:
Tricuspid valve prolapse occurs when the tricuspid valve, located between the right atrium and right ventricle of the heart, does not close properly. This can lead to blood leaking backward into the atrium, a condition known as regurgitation. While many people with TVP may not experience significant symptoms, some individuals can have symptoms such as palpitations, dizziness, fatigue, and in some cases, gastrointestinal symptoms like nausea.

Symptoms and Their Management:
Your symptoms of persistent nausea, dizziness, and chest discomfort could be linked to the hemodynamic changes caused by the prolapse. The fact that these symptoms have been persistent for over a month and occur in various situations (eating, traveling, attending classes) suggests that they are significantly impacting your quality of life.

1. Medication:
You mentioned that your doctor prescribed Inderal (propranolol), a beta-blocker that can help manage symptoms related to anxiety and palpitations. It’s good to hear that you have experienced some relief with this medication. If nausea persists, it may be worth discussing with your doctor the possibility of adding an anti-nausea medication or adjusting your current treatment plan.

2. Lifestyle Modifications:
- Diet: Eating smaller, more frequent meals may help reduce nausea. Avoiding heavy, greasy, or spicy foods can also be beneficial.

- Hydration: Staying well-hydrated is essential, especially if you are experiencing nausea. Sipping on clear fluids can help.

- Rest: Ensure you are getting adequate rest and managing stress, as fatigue and stress can exacerbate symptoms.

3. Monitoring Symptoms:
Keeping a symptom diary can be helpful. Note when symptoms occur, their severity, and any potential triggers (such as certain foods, activities, or stressors). This information can be valuable for your healthcare provider in tailoring your treatment.

4. Follow-Up Care:
Since your symptoms have persisted, it may be beneficial to follow up with your cardiologist or a gastroenterologist. They can perform further evaluations to rule out other potential causes of your symptoms, such as gastrointestinal issues or anxiety disorders, which can sometimes mimic cardiac symptoms.

5. Consideration of Other Conditions:
It’s also important to consider that other conditions, such as anxiety or vestibular disorders, could contribute to your symptoms. If you feel that anxiety is a significant factor, cognitive-behavioral therapy (CBT) or other forms of counseling may be beneficial.

In conclusion, while tricuspid valve prolapse can be associated with various symptoms, persistent nausea and discomfort warrant further investigation and management. It’s crucial to maintain open communication with your healthcare providers about your symptoms and any changes you experience. They can help you navigate this condition and improve your quality of life. Remember, you are not alone in this, and there are options available to help you feel better.