Conversation: The conversation between human and AI assistant.
[|Human|] my husband  has had severe nausea for weeks with one episode 3 months ago where he nearly blacked out driving. ENT specialist says all clear, waiting to see a cardiologist in 2 days. Overnight admission to ER and cardiac monitoring says, no obvious arrythmia, but CXr cardiomegaly and mildy elevated creatinine 119 and eGFR 59. Could he have glomerularnephritis and is there a connection with this to cardiomegaly. He has absolutely no pain any where just the nausea, becomes pale, sweaty and can become bradcardic with it?
[|AI|]  HelloThanks for posting at Chat Doctor. These symptoms of vomiting, blacking out, sweating can be cardiac related and hence must be evaluated. These maybe symptoms of vasovagal syncope. Since ENT doctor has cleared him, ENT cause is ruled out. Cardiac work up should be done by a 2 d echo. It will give information about the pumping function of the heart, any damage to the walls of the heart and any leak between the valves. Also, he must do a holder monitoring which records a 24 hr ECG while the patient goes around his normal activities. This will document any arrhythmias if he is having which can lead to such episodes. The ECG may be normal in the ER but the ECG at the time of symptoms should be checked and hence the Holder should be done. I suppose with the above tests, you will get an answer to his problems. Wishing him good health regards