Dizzyness driving my crazy

[k8k]

Hello,

This is my history.
28 yr old female
may 2012 - sleeve gastroectomy (abn ECG, inverted T wave V1-V3 - not picked up by nurse) lost approx 30kgs in 7 months. 33kg to date.
Oct 2012 - Severe dizzyspells inside my head (not room spinning), falling over, nausea. MRI on brain - ok.
Oct 2012 - Hospital admission for abnormal ECG(inverted T wave V1-V3) (they thought i was having a heart attack)
I had a massive spell/fit where my arms raised in the air and i couldnt talk.
Nov 2012 - Saw cardiologist, diagnosed me with labrinthitis and normal for me ECG. Echocardiogram ok. dizzyness ceased after few weeks.
Feb 2013 - dizzyness and lightheadness started again, it getting worse I have now blacked out 3 times, first 2 with warning, 3rd no warning. no palipations, no dizzyness before the 3rd black out - dizzy after then 10 minutes later gone.
May 2013 - ongoing dizzy spells but lightheadness all the time, had a 24hr blood pressure, BP 100/70 avg. (In past I have always been 120/80). ECG revealed flattening of the T waves V2-V3.
24hr Holter monitor revealed rare supraventricular ectopic beats.

I quit smoking 4 weeks ago, I have chest pain alot, it seems to be getting more severe and sharper this can be followed by thumping/incresed HR but only half the time. It doesnt matter even im lying down, sitting doing nothing, standing. 2 days ago I had severe pain across my chest whilst sitting down followed by a lightheadness where it feels it just goes black for a second then the dizzy feeling starts. I am a medical scientist so i test my own blood periodically, my electrolytes, liver/renal function, Zinc, Mg, Homocysteine, B12, Iron, are all normal. B-HCG/D-dimer/TNT neg.

I would like to know it this is labrynthitis or is there something more, maybe losing to much weight to quickly has triggered something? My symptoms seem to be getting worse. I constantly feel I am in a state of drunkeness and things dont seem real and the chest pain comes and goes but starting to hurt more.
I will be seeing a cardiologist again because of the ECG changes and the holter results. But I have no idea what it could mean and the GPs cant tell me any information as they have not seen it before and are not specialists.

Could you please give me any indication what might be going on? It is really starting to affect my life, especially driving.

Medications i take are;
Somac 40mg daily since May 2012 for gastric sleeve surgery
Escitopram 10mg since daily Jan 2013 for depression
Champix  - 6 weeks for smoking
Mutivitamin - daily

Family History;
Grandfather - heart attack
Father - abnormal heart beat - had paddles to stop and restart his heart to make it beat normally.

[achillea]

You have been seen by both a cardiologist and a neurologist, and many essential tests have been done, with on,y a diagnosis of stress.  Panic or sustained anxiety can produce dizziness (personal experience), but your symptoms seem far too severe to be explained by that.

The chest pain is a mystery to me, but so many of your other symptoms seem to point to a neurological problem.  Has anyone mentioned "vertebrobasilar insufficiency" to you?

[Smiley2000]

Hi there,

I read your posts and it is rather complicated and I don't know much about seizures but just a thought:  has anyone considered doing a Tilt table test to test you for POTS?

[k8k]

I had a sleeve gastrectomy, where the remove 80% of ur stomach & basically leave u with a tube

[k8k]

Thank u, I will look into this & see if this is why I have started to have full body seizures now. ... Lucky me. Lol

[k8k]

Thank you. I recently experienced 30+seizures over 4 days last weekend. I have been released from hosp 3 days ago. Mri head/heart ok. Eeg for epilepsy normal (however I was only having muscle twitches not seizures when it was recorded after I finished having seizures) I have been unable to walk unaided & very bad imbalance & brain scatter & memory loss. Neurologist said it was from stress?? I still have moments I think I going to have another. I feel awful

[achillea]

Interestingly, if you google the phrase "fainting after sleeve gastrectomy," you will get a LOT of hits.  I mean, a lot of them.  Try it.

It looks as though two things might be involved.  One is well known:  It is the phenomenon called the 'dumping syndrome,' the too-quick emptying of the now-small stomach into the small intestine.  This can cause many of the symptoms you describe, and handling the problem involves a very strict diet and eating routine.

Second, and apparently quite rare, it looks as though this particular surgery could sometimes muck with the vagal nerve, producing vasovagal symptoms like a tendency to faint, as well as perhaps transient changes in heart rhythm:

http://www.sages.org/meetings/annual-meeting/abstracts-archive/swallow-syncope-after-laparoscopic-vertical-sleeve-gastrectomy-first-reported-case/

[Flycaster305]

You might consider condensing your post so that it is understandable by lay people.  
I'm just a heart patient, but know that inverted T-waves are as common as rude people in a checkout line using there cell phones.  
I'll say this, drugs like champix are difficult on your system, but whatever it takes to quit smoking, if it works, stay with it.  Smoking will kill you, the drug won't.
Hang in there.