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Spokane, Washington  Est. May 19, 1883
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Request cardiovascular workup

Peter Gott United Media

Dear Dr. Gott: I know you are familiar with ringing in the ears. I have a condition called “pulse in the ear.” It started with a very high-pitched ringing in my ear. I saw an ENT specialist, who ordered a series of tests that included a hearing test, CAT scan, carotid studies and an MRI. All of these were normal. It cannot be heard by a stethoscope. Sometimes the pulse is very fast, but it can be very slow. It also has different sounds. I have no history of high blood pressure. My sleeping has changed drastically since this condition started. I have avoided all air travel. I would appreciate any advice or help in correcting this condition so my life can be normal once again.

Dear Reader: Your awareness of your pulse has yet to be diagnosed. Yes, you had an appropriate ear-nose-and-throat testing to check for cancer and other ENT problems, but now you should focus on your cardiovascular system.

In my opinion, you need a Holter monitor or event monitor to document any heartbeat irregularity. Although you may be suffering from something as benign as tinnitus, I worry that your awareness of your heart beating could reflect a cardiovascular condition that needs to be addressed. Ask your primary-care physician or your ENT specialist to order the further testing, and, by all means, keep me informed.

To give you related information, I am sending you a copy of my Health Report “Coronary Artery Disease.” Other readers who would like a copy should send a long, self-addressed, stamped envelope and $2 to Newsletter, P.O. Box 167, Wickliffe, OH 44092. Be sure to mention the title.

Dear Dr. Gott: I am a retired school superintendent, age 60, and have developed recent tremors and weakness in my legs. Whenever I am standing and not walking, my legs want to tremble, and I get the feeling I may fall. This started approximately four months ago, and it can happen in any setting, whether around people or not. I was diagnosed with hemochromatosis a few years ago and I am monitored regularly for this.

My family doctor, for the present, has taken me off caffeine products, thinking they could be contributing. So far, that has made no difference. Can you advise?

Dear Reader: Although your symptoms could reflect something as benign as the normal consequence of the aging process, such as poor circulation, they may be secondary to a neurological disorder that could be serious, such as multiple sclerosis or micro-emboli (mini-strokes).

I suggest that you request a consultation with a neurologist, a specialist in nerve disorders, who will examine you and perform tests to discover the cause of your weakness and tremors. Let me know what he or she concludes.

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