26 yo, can you help me?

[Tarfk]

Hi, Im 26 yo, male, caucasian, 163 pounds. I've been experiencing extreme fatigue, dizziness/lightheadedness, brainfog, poor sleep, blurry vision, headaches, nausea for the last 6 months. This last month I started to measure my blood heart rate and I noticed it's like going below 60 even when I'm standing up, or lunching, for example. The problem is, I'm not an athletic person at all. Specially these last 6 months I wasn't able to do any exercise because of my fatigue. My cholesterol HDL is 24 mg/dL , LDL is 170 mg/dL, and my total cholesterol/HDL ratio is 8.8:1. Is it really bad? Can it be a coronary artery disease?

Anyway, tomorrow I get the results from my Holter that I did last Wednesday. So you guys have any similar experience?

[Hidden]

I hope you get good results and find out the cause of your fatigue etc. have you had basic blood tests for anaemia and vitamin D levels too? I had low vit d and high blood sugars revealed after similar issues to you, put those right and feel human again. Take care 🦊x

[Tarfk in reply to Hidden]

All normal. I had several blood tests and they are all normal.

[Happyrosie]

i believe that you need to see a doctor.

[Tarfk in reply to Happyrosie]

It's scheduled. I want to know if someone has a similar experience. I'm not seeking for medical advice here.

[Happyrosie in reply to Tarfk]

OK Tarfk - your original post seemed to be asking for suggestions as to a diagnosis, so that’s hat some people have given.

[Lowerfield_no_more]

Your HDL is low and your LDL is high relative to UK standards as below (use 38.67 as a conversion factor)

nhs.uk/conditions/high-chol...

Your heart rate is not abnormally low, indeed my resting heart rate is between 50-55.

Your weight is not excessive unless you are of very short stature.

Otherwise I suggest you discuss with your physician who will know more about your medical history and symptoms and will hopefully be able to provide a professional diagnosis of your apparent malaise rather than by a simple comparison to someone else.

[Tarfk in reply to Lowerfield_no_more]

I'm 174 cm tall. But im not athletic, isn't my resting rate supposed to be higher? I never had that resting rate that low.

[Lowerfield_no_more in reply to Tarfk]

Even some of those who are top athletes or those who are in amateur sport or who are regular gym goers can have heart disease, or are disposed to a 'bad' lipid profile. That said regular exercise is recommended for everyone since it strengthens the heart muscle, as well as other health benefits. And your BMI appears fine.

[leach234]

Blurry vision and headaches could be the symptoms of a brain tumor. Those were the symptom my Uncle had. Get it checked out ASAP.

[Tarfk in reply to leach234]

Already had brain MRI, it's fine.

[Hidden]

Could be some of these symptoms are onset of type 2 diabetes, i had some of these in my 30s and am type 2

[Tarfk in reply to Hidden]

It's weird, my Glicemia it's 76. I don't have thirst at all.

[Botolph]

Gosh, reading some of these replies I’ll bet you wish you’d never asked. But I am interested and trust you’ll let us know how you get on and what the doctor has found out from your test. Hope you get peace of mind.

[Tarfk in reply to Botolph]

Seriously! Someone reasonable here! 😆

[Silvasava]

Could be dehydration? That will make you feel lightheaded, low BP and tired?

[Tarfk in reply to Silvasava]

Yeah, I thought so. But I started drinking a bunch of water and it didn't change :=

[Silvasava in reply to Tarfk]

I take an electrolyte tablet in water on occasions that seems to help

[serenfach]

Going by your symptoms, did they test your thyroid? Absolute classic symptoms to show your thyroid is struggling.

[Tarfk in reply to serenfach]

Yeah, I'm taking levothyroine 50mg now. It's below 4, my TSH, rn.

[Bluehope81]

Not medical advice, opinions and suggestions only.

Highly unlikely to be CAD, extremely unlikely, it takes decades to progress and lay the foundations. On a standard western diet, fatty streaks are seen developing in the teenage years and early 20's but still take another decade before the process develops into calcium strata, which can be detected, and from that another decade minimum or two/three decades before it obstructs the vessels. In conclusion extremely unlikely , although anything is possible in medicine, but you should not concern yourself when it can be so many other things.

Thyroid, Liver, CF, ME, Heart timing issue - hence your Holter monitor, Brain Tumour, Rare infection. there are literally hundreds of things it could be.

I would ask for a CAC scan purely to put your mind at rest with CAC/CAD. Please continue to push for full blood paneling, and testing on any areas you and your doctor think it might be.

[RailRover in reply to Bluehope81]

I agree it's highly unlikely, but the possibility cannot be excluded until properly investigated. I spent some time in coronary care units after heart attack and bypass surgery, and I met young people in their 20s who had been admitted in emergency after cardiac events. Shocking, but it happens.

[Bluehope81 in reply to RailRover]

Thanks for your reply, I always like to say anything is possible when it comes to our bodies, and you are right the OP should continue to rule everything out, I would imagine a lot of those young people would have been there for strokes, AF events, conduction issues, sudden cardiac shock etc, I doubt it would have been a CAD event, but anything is possible there was once a case study, on a 25 yr old who had a CAC score of 650, but I have to stress this is an outlier in the millions, and generally speaking the OP on the balance of probabilities doesn't have CAD, but should get it ruled off.

[RailRover in reply to Bluehope81]

I should have been clearer, apologies. In hospital, I met 3 younger people who had suffered heart attacks caused by coronary artery blockage and were recovering after stenting as emergency treatment. 2 were men, 1 was an obese 26 year old, but the other was a 31 year old keep fit enthusiast who had collapsed after a fell race. The third person was a 34 year old mother of two.

It was quite shocking. Yes, it is rare, but apparently not in the millions to one nowadays. A study in Norway, a people not noted for their obesity, found that the incidence of heart attack to be 97.6 per 100,000 age 40-49, 16.9 per 100,000 age 30-39, and 2.1 per 100,000 age 20-29.

Main indicators in the young are family genetics, drug abuse and obesity.

[Tarfk in reply to RailRover]

My doctor thinks my bradychardia can be normal "for young people" . I think that's bullshit. I'm symptomatic.

[Jedi14]

After my stents and new medications, my heart rate went from 60 down to 50, it has remained like that ever since.

[serenfach]

If you take Levo, your TSH should be below 1. See if you can find any results for T3 and T4, they should be in the upper third of the range. TSH of 4 means you are underdosed. Levo at 50mg is the starter dose, and should be checked every 12 weeks to see if you need to alter your dose. The GP should do this automatically, but they dont.

You can get your blood done by post. If you do this, it is well worth getting your vitamins and minerals checked at the same time. You say the tests were normal, but normal for who? Doctors say they are normal if they are just a smidge above dire! Most blood tests do not include some minerals and it is surprising how awful you can feel if one of these is below optimum.

I hope you find the answers and feel better soon.