Conversation: The conversation between human and AI assistant.
[|Human|] Hi I am 40 yr old female..in the last 8 months ive had nausea, and dizziness also highblood pressure..in the last couple of months i have been expierencing shortness of breath also, and my creatine levels are 1.23 whats is actually going on..my dr says its vertigo but its not vertigo i know symptoms of vertigo...she really doesnt know whats going on but just told me to go to the e.r to be admitted for more test to be ran.
[|AI|]  Hello; thanks for the query. Presently, elevated creatinine levels & symptoms described appear unrelated. Though you should consult a Nephrologist for a detailed evaluation & treatment for elevated serum creatinine levels. The symptoms you are described can occur both in acute exacerbation of cardiac angina and during panic attacks. While panic attacks are relatively benign & easy to treat; angina misdiagnosed & ignored can be fatal. Hence, rule out any cardiac cause by doing blood cholesterol, ECG, Stress ECG testing (Bruce protocol) & other tests as relevant/advised by doctor. Once these are ruled out; we can do a detailed evaluation of her panic attacks. If these are indeed anxiety/panic attacks; then we can use SSRI Chat Doctor.  Along with rapid relief SOS anxiolytic like clonazepam, Mizoram etc. These along with certain relaxation techniques (deep breathing) can take care of her troubles very quickly. Do revert for any further help. Good luck