What Could Be Causing My Persistent Discomfort?

Q: What Could Be Causing My Persistent Discomfort?

Sofina： It may be related to menopause, with common symptoms including hot flashes, lower back pain, skin itching, vaginal dryness, frequent urination, emotional instability, anxiety, suspicion, and insomnia. <br>It is recommended to undergo a health check-up at a teaching hospit

What kind of disease is this?

Your question: Hello Doctor, I have been feeling a warmth in my nasal cavity since mid-April last year, similar to the discomfort experienced at the onset of a cold.
At the same time, I also feel a bit dizzy.
Recently, I have been experiencing a tightness in my chest along with a burning sensation.
There was a period when I was able to adapt to these feelings, but recently the discomfort has returned.
Due to this constant feeling of unease, I have been less patient with my children, which has led to challenges in their education.
Sometimes I think it might be better to wait until I have a serious illness to understand the cause (like cancer or a sudden illness).
I kindly ask for your guidance on which hospital in central Taiwan I should visit.
Note: My pulse is around fifty beats per minute, I exercise regularly, and my eating and sleeping patterns are normal.
Thank you.

sofina, 40~49 year old female. Ask Date: 2005/08/15

Dr. Huang Jianling reply Physical Fitness

Sofina: It may be related to menopause, with common symptoms including hot flashes, lower back pain, skin itching, vaginal dryness, frequent urination, emotional instability, anxiety, suspicion, and insomnia.
It is recommended to undergo a health check-up at a teaching hospital (adults over 40 should have a health check every three years).
You can bring your health insurance card and identification to the registration desk at major hospitals to inquire, and then visit the obstetrics and gynecology department to check for menopausal syndrome.
Sincerely, Dr.
Huang Jian-Ling, Family Medicine Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2005/08/15

More Info

It sounds like you are experiencing a combination of physical discomfort and emotional distress that is affecting your daily life, particularly your interactions with your children. Your symptoms, including a sensation of heat in your nasal passages, dizziness, chest tightness, and a burning sensation, can be concerning and may indicate an underlying medical condition that requires attention.

First and foremost, it is essential to understand that persistent physical symptoms can often be linked to both physiological and psychological factors. The sensations you describe, such as the heat in your nasal passages and chest discomfort, could be related to several potential causes, including:
1. Allergic Reactions or Sinus Issues: The feeling of heat in your nasal passages could be due to allergies or sinusitis. Allergies can cause inflammation in the nasal passages, leading to discomfort and a sensation of heat. Sinus infections can also cause similar symptoms, including dizziness and pressure in the head.

2. Gastroesophageal Reflux Disease (GERD): The burning sensation in your chest could be related to acid reflux, where stomach acid flows back into the esophagus, causing discomfort. This condition can also lead to a sensation of tightness in the chest.

3. Anxiety and Stress: Emotional factors can significantly impact physical health. Chronic stress and anxiety can manifest as physical symptoms, including dizziness, chest tightness, and a general feeling of discomfort. If you are feeling overwhelmed, it could be contributing to your physical sensations.

4. Cardiovascular Issues: Given that you mentioned a low pulse rate (around 50 beats per minute), it is crucial to consider cardiovascular health. While a low resting heart rate can be normal for some individuals, it can also indicate an underlying issue, especially if accompanied by other symptoms like dizziness and chest discomfort.

5. Thyroid Dysfunction: Thyroid issues can lead to various symptoms, including changes in heart rate, energy levels, and overall well-being. It might be worth checking your thyroid function through blood tests.

Given the complexity of your symptoms and their impact on your emotional well-being, I recommend that you seek medical attention from a healthcare professional. It would be beneficial to visit a primary care physician or a specialist, such as an ENT (ear, nose, and throat doctor) for your nasal symptoms, or a cardiologist for your heart-related concerns. They can perform a thorough evaluation, including physical examinations, blood tests, and possibly imaging studies, to determine the underlying cause of your discomfort.

Additionally, it might be helpful to consult with a mental health professional. If anxiety or stress is contributing to your symptoms, therapy or counseling could provide you with coping strategies and support. Mindfulness practices, such as meditation or yoga, may also help alleviate some of the emotional distress you are experiencing.

In summary, your persistent discomfort could stem from a combination of physical and emotional factors. Seeking medical advice is crucial to identify the root cause and develop an appropriate treatment plan. Remember, addressing both your physical health and emotional well-being is essential for improving your overall quality of life and your ability to engage positively with your children.

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