Pulsatile Tinnitus! Carotid Artery? Or something else?

[Mouse87]

So a bit of background first:

34yo F, non smoker, don't drink (except a VERY occasional gin), been a bit of a couch potato since lockdown but reasonably active on and off before that, diet again hasn't been the best but working on getting that sorted.

Diagnosed with anxiety in 2013 which is when my palpitations started.

Since the start of 2019 so pre-pandmic I've had to deal with a lot of stress, losing 3 family members - one in quite awful circumstances, redundancy, house move, studying for a degree, changing jobs 3 times, and obviously the pandemic itself.

I'm just worried that all this stress has had some effect on my heart and I've got something that the Dr's haven't picked up.

Symptoms:

Palpitations

Chest tightness - this doesn't happen a lot

Breathlessness- can just be sitting doing nothing and BAM

Pain in left jaw

Pain in left neck

Pain left top of head

Pains down left arm

Nausea/vomiting in the mornings

Weight loss

High heart rate - resting has increased from around 76bpm to 81bpm

Pulsatile tinnitus- can hear heartbeat in ear. Mainly after going up the stairs but also just going from sitting to standing. Although not every time. This one worries me because it seems to suggest a blocked artery!

Reflux

Fatigue - sometimes can't even stop my eyes closing at work

Dizzy/light headedness

Recent tests:

Full bloods - all clear. Slightly raised RBC count but Dr didn't mention it???

Everything else fine. Lowest CRP (inflammation) reading I've ever had.

ECG: All clear

Thyroid: All clear

Also had an echo about 6 years ago and a halter monitor- all fine. So would a lot have changed since then?

Thursday was a particularly bad day for me. Nausea and vomiting acid/bile in the morning. Went to work and went really hot while sitting at my desk, also had sharp shooting pain in my left chest, sort of like all around my left boob. That subsided and kind of felt okay. After lunch, felt Breathless again, bit tight chested, heart rate was high all day! Really fatigued when I got home.

But yesterday I was fine pretty much.

These don't all happen at once and some are few and far between. But the weight loss has worried me.

I went through a bad patch a few months back, high anxiety, bad reflux, didn't eat much and dropped a lot of weight (I have another condition that make weight loss difficult so this was a shock) since then my weight has gone up and down. But seems to be sticking at one weight. Even after stuffing my face last night, i hadn't gained a pound!!!! Usually that would an instant 6lb on the scale!

I'm so scared I've got heart failure, clogged arteries or cancer or something horrible. The Dr's just do bloods and cos they're fine don't follow anything up. They just put it down to anxiety.

I take omeprazole in the morning and gaviscon before bed

I'm also on the mini pill - desogestrel.

I just don't know where to turn and feel like I'm going to drop down dead! Or they're going to discover something when it's too late

The pulsatile tinnitus is the biggest thing right now as everything I read points to something bad!!