Unexplained Symptoms: Seeking Answers After Months of Doctor Visits

I've been dealing with strange symptoms for over a month now and have visited various hospitals and specialists without finding any answers?

Hello, Doctor.
I've been experiencing very strange symptoms over the past month.
I've seen various doctors and undergone numerous tests at major hospitals, but all the doctors say my tests are normal.
Once, due to severe discomfort, I even went to the emergency room where I underwent a series of tests, but they also said there was nothing wrong.
They just gave me an anti-nausea injection and prescribed some antacids before sending me home.

The unexplained symptoms I've been experiencing this month are: (1) I feel weak every morning upon waking, and I have a sensation of something stuck in my throat.
However, after a thorough examination by an ENT specialist, they confirmed there is no inflammation in my throat.
(2) Sometimes before meals and sometimes after, I experience acid reflux accompanied by a brief feeling of nausea, but I can't vomit.
Additionally, there are times when I haven't eaten for a long time, and even though I'm not hungry, I suddenly feel weakness in my limbs.
Gastroenterology tests, including blood sugar levels, have all come back normal.
(3) Occasionally, I also experience sudden limb weakness (similar to how one feels during a severe cold), and my neck sometimes feels uncomfortably tight, as if bound by a rope.
Recently, I've been getting headaches every afternoon, and during these episodes of weakness, my heart sometimes races (with a heart rate exceeding 110 beats per minute), along with an inexplicable feeling of heart fatigue.
However, I've undergone extensive tests in cardiology, and everything came back normal.
I would like to ask the doctor what further tests I should undergo to determine the cause of this strange illness.
Almost all the doctors have told me that I'm healthy, but I sometimes feel inexplicably unwell, which leads to panic.
I am increasingly anxious every day, especially thinking about news reports of sudden cardiac deaths in seemingly healthy individuals.
My heart feels more fearful every day! Please help me with my concerns.
Thank you!

Mr. Wang, 40~49 year old female. Ask Date: 2021/08/13

Dr. He Dongjin reply Cardiology

Hello, since you have undergone a series of tests and everything is normal, there is no need to worry about the risk of sudden cardiac death.
Don't scare yourself; those who experience sudden death may not have had any tests done and may only appear healthy.
We have conducted a comprehensive set of examinations, all of which returned normal results, so there is no need to be concerned about sudden cardiac death.
Living in constant fear can lead to autonomic nervous system dysregulation.
It might be a good idea to consult a psychosomatic specialist.
Changhua Hospital cares about you.

Reply Date: 2021/08/13

More Info

Dear Patient,
I understand that you are experiencing a range of unexplained symptoms that have persisted despite numerous medical evaluations and tests. It can be incredibly frustrating and distressing to feel unwell without a clear diagnosis, especially when you have sought help from various specialists and undergone extensive testing. Your symptoms, including fatigue, a sensation of a foreign body in your throat, nausea, and episodes of weakness, can be indicative of several underlying issues, some of which may not be immediately apparent through standard medical examinations.

Firstly, it is essential to acknowledge that the human body can manifest psychological distress through physical symptoms, a phenomenon often referred to as somatization. Stress, anxiety, and depression can lead to a variety of physical complaints, including fatigue, gastrointestinal disturbances, and even sensations of tightness or discomfort in the throat and neck. Given that you mentioned feelings of panic and fear, it may be beneficial to explore whether anxiety or stress could be contributing to your physical symptoms.

In your case, the following steps may help in further understanding your condition:
1. Comprehensive Evaluation: Consider seeking a comprehensive evaluation from a specialist in psychosomatic medicine or a psychiatrist who can assess the interplay between your mental and physical health. They can help determine if your symptoms are related to anxiety, depression, or another psychological condition.

2. Cognitive Behavioral Therapy (CBT): Engaging in therapy, particularly CBT, can be effective in addressing anxiety and stress-related symptoms. This type of therapy helps individuals identify and change negative thought patterns and behaviors that may be contributing to their distress.

3. Lifestyle Modifications: Implementing lifestyle changes such as regular exercise, a balanced diet, adequate hydration, and sufficient sleep can significantly impact your overall well-being. Mindfulness practices, such as meditation or yoga, may also help reduce anxiety and improve your physical symptoms.

4. Further Testing: If you feel that your symptoms warrant it, discuss with your healthcare provider the possibility of further testing. This could include a referral to a neurologist to rule out any neurological conditions, or an endocrinologist to check for hormonal imbalances that could be causing fatigue and weakness.

5. Monitoring Symptoms: Keep a detailed diary of your symptoms, noting when they occur, their severity, and any potential triggers. This information can be invaluable for your healthcare providers in understanding your condition and tailoring a treatment plan.

6. Support Groups: Connecting with others who experience similar symptoms can provide emotional support and practical coping strategies. Consider looking for local or online support groups for individuals with unexplained symptoms or chronic illness.

7. Medication Review: If you are currently taking any medications, discuss with your doctor whether they could be contributing to your symptoms. Some medications can have side effects that mimic or exacerbate physical complaints.

It is crucial to maintain open communication with your healthcare providers about your concerns and the impact these symptoms have on your daily life. If you feel that your current providers are not addressing your needs adequately, seeking a second opinion or finding a new provider who specializes in complex cases may be beneficial.

Lastly, remember that you are not alone in this journey. Many individuals experience unexplained symptoms, and with the right support and treatment, it is possible to find relief and improve your quality of life. I encourage you to take proactive steps in seeking the help you need and to advocate for yourself in the healthcare system.

Wishing you the best on your path to understanding and healing.

Sincerely,
Doctor Q&A Teams

[Your Institution/Practice]

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