At the end of April/early May, I suddenly became unlike myself - cleaning everything unprompted, happily chatting with strangers and feeling like I knew all the right things to say, chronic back pain completely gone, felt I was in a daze, etc. Socializing and cleaning are usually a total drag for me (cleaning moreso). I believe it was a manic or hypomanic episode, which I had never experienced before, and lasted about a week and a half. To note, it began a few days before my period began and lasted til a few days after it was over. Typically, when my period arrives, I get a sudden sense of "clarity" and bit of energy, but nothing has ever been this powerful. It hasn't happened since.
On May 17, around ovulation, I had some stabbing lower abdomen pain and later noticed light bleeding. I have always been very regular and never bled outside of my regular 5-7 day period. I was hoping it was a one-time thing, but it happened again on June 14th (my June period came on regular time though).
On May 27, I checked myself into the ER because I was having prolonged heart palpitations and a very high heart rate. I had just been on my phone scrolling, even looking at pleasant things related to a gardening project of mine when they came out of nowhere. My vision started going at the edges after a minute or two, then my shoulders felt an ache and all my limbs were weak, and my back muscles were involuntarily locked-up/tensed. Looking back, it was probably a panic attack (which I have since read can come on for no reason), but it had never happened to me before so naturally I thought I was having a heart attack lol. I've been feeling faint & having mild intermittent chest pain since the event. Wore a monitor for two weeks and should get results back soon.
Now more recently in June, I have noticed teeny tiny black scabs or bits of dried blood from my nipples! First it was just the right one, which has since been accompanied by a weird migrating dull breast pain (no lump that I can feel, though), but yesterday I noticed the black dot on my left one too. I thought maybe it's just the heat/friction, but the right-side nip bleeding started before this heat wave.
For background: I am on no medications, and am 5'10" 135-140 lbs. Have always had insomnia and am not super active although I walk a fair amount every day. Was vegetarian for about 20 years, started eating meat again last year (and no longer get daily, 20-minute-long nosebleeds that I used to have to deal with). All of these things happening within two months is just very concerning for me as someone with no history of acute health issues. Also to note, before all of these symptoms, and immediately before the onset of the (maybe) hypomanic episode, I felt a pretty harsh rejection that may have put some stress on me. I overheard a friend of a friend say that I "should h**g myself" over some pretty minor embarrassing thing that I did. This girl isn't someone I take very seriously so I thought I was able to put it out of my mind, but it's possible that I had been subconsciously stressing over the implications/influence on my friend, and worried that the overall friend group (which includes some cool people that I'd like to get to know better) agree that I "should h**g myself" (for the record, I won't, I have other wonderful people in my life).
Does anyone have experience with all of these symptoms presenting at once? Are maybe some related to stress (maybe the hypomania and heart flutters) and others an underlying/prolonged hormonal issue? Would a thyroid panel be a good start to getting some answers, any other tests recommended?
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