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metabolism in disarray

Good day,
I have the following problem. In the summer, I had myocarditis. Initially, it was not recognized. It manifested itself during exercise through an arrhythmia (rumbling in the chest). As a result, my metabolism (or hormones) somehow got out of balance. In September, after an MRI examination, I was told that everything was okay and the inflammation had subsided. However, the shock was deep and I completely lost trust in my body and heart. That's why I switched to home office in early September and stayed there until the end of December. During this time, I ate terribly poorly, mainly just sandwiches and processed foods all day - and even too little of that because the constant fear constricted my stomach. I always drank enough, only water and tea, no soft drinks. I did take vitamins, but I also didn't move enough and didn't see people. Over time, I noticed that my energy balance was completely messed up, which is still the case now. Sometimes I wake up at night and have incredible hunger (which also raises my heart rate, increasing my anxiety), during the day I now eat more or less normally, but my hunger and satiety are still disturbed. Sometimes I am completely full for several hours after normal-sized meals, sometimes my stomach still feels completely empty afterwards. I can no longer realistically estimate how long a meal will last or how long I will have energy. Sometimes I feel totally drained of energy. In addition, there is also the feeling "I MUST eat something now" (often very suddenly), whether it's something sweet or normal (one evening I was in urgent care and mentioned the thought of diabetes, but that's not the case). When this feeling arises, my heart rate naturally increases. Generally, my heart rate feels very unstable when hunger arises, and out of fear that it might rise too quickly, I always give in and eat something. As you can see, this is all very confusing. It is also difficult for me to differentiate between psychosomatic issues and real problems. I did not experience dizziness or headaches during this time. Is it realistic that my metabolism is so messed up that my energy balance is like a rollercoaster? Next week, I also have a nutritional consultation. I am taking Nebivolol (5mg) and a corticosteroid nasal spray because my nose is hyperreactive and produces too much mucus.

Dr. med. Frauke Gehring

Good day,

From what I can assess from a distance, a massive psychological problem seems to have crept in here! One can eat very unhealthily for a long time without experiencing the symptoms you described. I believe that your entire life rhythm has been disrupted by your voluntary lockdown. In addition, inflammation of the duodenum may have developed, causing discomfort when you haven't eaten for a while.

Your primary care physician, as a "specialist for the unknown," who often has training in psychosomatics, should be your first point of contact before a nutritionist. They should examine your blood, perform an EKG and possibly an ultrasound, and palpate your abdomen. In conversation, they will be able to better assess the psychosomatic component.

Primary care physicians receive their infectious disease patients in a separate clinic, so you should make an appointment for evaluation without major concerns. This situation cannot remain solely psychological or physical.

Warm regards, Dr. Gehring

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Experte für Internal medicine

Dr. med. Frauke Gehring

Dr. med. Frauke Gehring

Arnsberg

Staatsexamen 1984 in Kiel, seit 1992 in eigener Praxis niedergelassen. Onlineberatung seit 2001 bei Almeda, Focus (als ärztliche Leiterin), Onmeda, Bild der Frau. Moderatorin, Dozentin für medizinische Themen.

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