What is the reason for nausea, chest pain and dizziness during periods?

Question

Hi doctor,

I am 37 years old. My height is 5.4 ft, and my weight is 250 lbs. I have 4 kids. I am having high blood pressure and also suffering from migraines. I am currently on my period. I woke up this morning about 6:30 AM and was fine. I started feeling tired when I drove my daughter to work at almost 12 pm, and when I got home,I started feeling sick. I felt uncomfortable with my stomach, dizzy, and like I had to vomit. Then, my heart felt like it hurt. I ended up vomiting, but I still feel sick, and my chest hurts on and off. I am also getting a hunger pain, but I am not hungry. I tried to vomit again, but nothing happened. I do not feel any shortness of breath, sweating, or any other pain anywhere else. I am currently on Propranolol-ER 60 mg and Losartan HCT 12.5 mg.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

This could be due to your periods. If you had similar symptoms during your cycle is in the past, then it is most likely breast tenderness and alteration in hormones causing nausea. However, keeping in mind that you have high blood pressure I would still like to rule out angina. Visit your doctor as soon as possible or in an emergency room or urgent care center. You would need an EKG of your heart and also the cardiac enzymes (blood tests) to rule out angina. Another possibility could be acute cholecystitis. You might be having an inflammation of your gallbladder, giving you nausea and sickness. Again, it would be highly recommended that you see your primary care physician, and a consideration of getting a right upper quadrant ultrasound would be beneficial. If the pain has no relationship with food, then acute cholecystitis can be easily ruled out.

Thank you.