Conversation: The conversation between human and AI assistant.
[|Human|] my 8 year old daughter has been having tremors, diagnosed with pineal cyst, thornwaldt cyst, anxiety, migraines, and yesterday was told she has a heart murmur and stress rash. My question is when she breaks out in this rash it is only when upset and she gets blue around lips, fingers, and tingly in legs and arms, dizzy. I worry that she is going to pass out. I worry that the doctor is just not coming to the right conclusion for her, should I get a second opinion. she has been going through all of this for 3 years.
[|AI|]  Hi, The main reason for all these symptoms can be heart problem. And rashes, blue lips and all above-mentioned symptoms can happen when heart is not pumping enough oxygenated blood to the body or any of heart valves is not functioning. From your children history it seems that she may have ventricular septal defect. As most commonly the defect tends to be tiny and asymptomatic and closed itself by the age of some years. If it's causing symptoms like breathing problem and above mentioned symptoms, then it may require surgery. Some important tests may need to rule out and septal defect or valvular defect in the heart. For example ECHO, ECG,stress test, thyroid profile (as anxiety and tremors and palpitation can occur in hyperthyroidism), and schedule an appointment with cardiologist. Hope I answered your question. Wish you best of health.